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0— <br />,Off <br />09/26/2008 14:49 FAX 559 442„081 <br />• ELEINFELDER <br />&Z002/002 <br />ifUL�CP.�-#\ SAN JOAQUIN COUNTY <br />EHD LOG NUMBER <br />SEP 2 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, 38 Web: <br />wvv .sj <br />ENVIRONMENT HEIIephone: (209) 468-3420 Fax; (209) 464-0138 Web: www.sjgov.org/ehd (xJ <br />Qf=RnhlTis€E4UtCE3 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT:_ (.( i-•�-�(l'.4'1 L <br />�L -BUSINESSlAGENCY: <br />ADDRESS; iL-y-'1 <br />I IS VI. c -I d „ <br />PHONE (T): <br />x PHONE (2):L. -+6`%i 6,V7 <br />FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE!,. <br />(Please allow ten business days from date of application submittal • *Tentative only i - In confirmed) <br />be <br />C1 CHECK BOX TO EXPEDITE REQUEST- I <br />$98.d0FEj (CASH OR CHECK ONLY) - REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT /��,, <br />Electronic Information: -- DATE <br />_ � List � Map - Descrintinn, <br />161 <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES //** <br />-t UNDERGROUND TANK (UST) CLEANUP SITE LOP cl-H <br />�THER CLEANUP SITE (NON -LOP ( ) N FooHOUSING ABATEMENTCI <br />UNDERGROUND TANK (MONITORING/REMOVAL) CK ❑ D0G FACILITY <br />SOLID WASTE FACILITY/) 7 /. <br />E3 WASTE TIRE <br />0`TIERED PERMITTED <br />WASTE GENERATOR ❑CHICKEN RANCH I7 DAIRY UA• 11 yF�J�JJ1/© <br />.� I IEREb PERMITTED FACILITY,.K 0 WASTEWATER TREATMENT PLANT <br />TATTOO/BODY PIERCING ` OMOTELMOTEL PUMPER TRUCKNARO/CHEM TOILETS <br />0 MEDICAL WASTE FACILITY 0 POOLISPA ❑ LAND USE APPLICATION SITES <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILA❑B LEOTHER <br />OR RENEW (PLEASE SPECIFY) <br />1. List up to ten addresses in the space above. Select the MONDAY -FRIDAY 8:00 AM-8:00PM - EXCLUDING HOLIDAYS. <br />box(es). At least one file type MUST be selected. Fax to t2e9) 464- <br />type{s) of files from the list above by checking the appropriate <br />not be accepted • for additional assistance with file addresses, contact EHDOr mail • Apph a onso the above dreceived after 3:00 pm will <br />be processed the next business day. •dress Address ranges will <br />The EHD <br />ll notify the <br />ant if <br />EHD files exist Anapp - <br />2 days after rlece pt of application. The any <br />will be held for a maximum of five businessnt for review will <br />be confirmed days for review. Appointments ten <br />should be scheduled accordingly, <br />3. A file that is actively being worked on by the EHD staff may not be immediately available for review. A new application <br />may be 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 />