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-Pip 08 08 09: 45a Marda Tyree Herbert (9251 qj7-3738 P. 1 <br /> DATE RECEIVED EHD LOG NUMDER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: nnvw.sjgo45 <br /> PUBLIC RECORDS RELEASE APPLICATION '` <br /> APPLICANT: M at-A a- Her—be-1'—t— BUSINESS/AGENCY: w��-• �.1 I <br /> ADDRESS: ??15 W. Fine GE*. , 5J� Lodi CA 01624o <br /> PHONE(1):(ZDq)354 531O?7KZCJ3PHONE(2): (9ZS)ZIZ' r0_1r1 FACSIMILE: 0 1 7J34'-53_74 <br /> TENTATIVE'APPOINTMENT DATE: I?_ ZOOSf Time: 30rv1. �or t-i'i.,Feb. <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) 13 -'q <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS Pd,s'ble <br /> SIGNATURE OF APPLICANT oI DATE Z' (O- OSS <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 13wV-fe rdliy)LC16 Site Porto tcc 51-ockiolA ,� � does Jlnds �(tfpy� <br /> 4 2• a-11-1 W. Y\(0 hin +0r1 St. sto ckt-D S ( f unit2 <br /> s. 52b W- Wd!5H1n' ton St. S+nz k t FSw of ' peS 61 u .t e <br /> 4 220 t . W a5�li ton Si . StDZIc t e vLt a{�ccd � urr4`°a <br /> 5. 252t Pa-{- Roce.d F _. _- Stvrt 41J. Unit 4 \�T <br /> 6. <br /> 7. ❑ Units <br /> 8. <br /> 10 9. Unit 6 <br /> y\� 10. <br /> Specific Date Range of Information Requested: From ��t t LS•(— to PYeSen1— <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT NILSOLID WASTE FACILITYNEHICLE <br /> ,22 <br /> 1 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL)✓ ❑DOG KENNEL 13 DAIRY <br /> J7HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑ PUMPER TRI/CKIYARDICHEM TOILETS <br /> •TATTOO/BODY PIERCING ❑POOLISPA ❑ LAND USE APPLICATION SITES <br /> •MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 6:00 AM-S:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant it any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> *** If you should need further assistance please contact Diane Martinez a (209)468-3425 directly. Thank You*** <br /> • -o 52 0 :� -F1z a' <br /> EHD48A6 Sn42006 <br />