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DATE RECEIVED EHD LOG NUMBER <br /> p �(� '7 SAN JOAQUIN COUNTY <br /> EUI r`a' L ENVricONMENTAL HEALTH DEPARA, T <br /> JUL I G [008 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.or <br /> ENVIRMP ,IEPdI HEALTH <br /> 61 , <br /> Q Qa,rrjERVICr" !� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Y,�CV�+ C�- '/ _ BUSINESSIAGENCY: <br /> ADDRESS: P p lZ )k LW .l 0 Cori iT'ti. CP q y z_0 <br /> PHONE(1): Ca�0 q) 9 3 a. -- 0�O 0 PHONE(2): 109 C07 00l'D-, FACSIMILE: � � �r)— <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQST-0$98.00 FEE(CASHOR HECK ONLY)-REQUEST PROCESSED IN 3fBBUSINESS DAYS <br /> SIGNATURE OF APPLICANT If�� (\� DATE / O <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> d'-V 19 <br /> 2. (] ll . (.)U,JI Lyle, Unit <br /> 3. tc <br /> 4. Unit <br /> 5. <br /> 6i� � �� U Unit <br /> 7. <br /> Unit 5 <br /> 8: <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) --II DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR la CHICKEN RANCH nWASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY OTELIHOTEL gPUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOOIBODY PIERCING POOLISPA 13 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDINGHOLIDAYS. <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 additionalassistancewith 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 if 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 /> EHO 48.06 9/142006 <br />