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DARECEID SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> WVIRONMENTAL HEALTH DEPARTME jjS <br /> r 1868 East Hazelton Avenue, Stockton, CA 95245h <br /> DEC eI_ L- 6227 <br /> l Telephone: (209)468-3420 Fax: (249)464-0138 Web:Ww <br /> i IMMM11TALI-IFALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APL TrnY r l c.c� BUSINESS/AGENCY:-FMCUr1 r G_c l� <br /> ADDRESS: lt`L8 S�G�, c kis, CITYISTATEIZIP: R,,e) e--,J,, C,(A <br /> PHONE (1): PHONE (2): e"I- LI 0-11 - 5 FAX OR E-MAIL: Q <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> CHECK BOX TO EXI�E7D- REQUEST $13 FEE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1-2— <br /> I. <br /> 1. List up to ten addresses W e spaceIfIel8e. Select the type(s) of files from the list below 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.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any END 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 /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:40 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List ❑ Map— Description: <br /> Specific Date Range of Information Requested: From r� to <br /> ENVIRONMENTAL J F1 Q `� C• f IZ ` <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) (� <br /> 3311l)''i.� '�'?� [�CONsuMER <br /> l� <br /> .�!OTHER CLEANUP SITE(NON-LOP) {` <br /> p.f HAZARDOUS Wip�,,� _p DAIRY <br /> 5 TIERED PERMITTED FACILITY 2 `'�/F � P. .VrDrl <br /> /,'97' <br /> ❑AaovrrROUND TANK ✓✓✓ l LN ! 1 <br /> UST (M ONITORING I REMOVAL) El PWS <br /> ,N_HAZARBOUS MATERIALS 3 <br /> 'C SPILLIRELEAGE RESPONSE <br /> WATER QUALITY <br /> SOLID WASTE FACILITY I VEHICLE 4 <br /> FOOD FACILITY 1 <br /> fl POOL I SPA SITE MITIGRTlON y <br /> DAIRY <br /> F7 LAND USE APPLICATION SITES �V <br /> ❑HDUSING <br /> SEPTIC PUMPER TRUCK 1 6 <br /> YARD I CHEMICAL TOILETS <br /> a WASTEWATER TREATMENT PLANT Q CUPA <br /> HOUSING ABATEMENT 7 <br /> MOTELIHOTEL <br /> CHICKEN RANCH l DOG KENNEL 1 p CJPA-UST <br /> ®MEDICAL WASTE FACILITY <br /> TATTOCIBOUY PIERCING 0 SOLID WASTE <br /> ❑WASTE TIRE g <br /> COMPLAINT <br /> QTHER(PLEASE SPECIFY): ❑ACcouNTING <br /> 10 <br /> "`BOXED AREA-EHD USE ONLY'"' <br /> ❑ Records provided by Staff-PPR Complete. Starr Name: <br /> EHD 48-06 <br />