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V N <br />Sep 22 08 10:29a HI itz Environmental 707" M121375 <br />p.1 <br />J E'� EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />2 2008 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: L--e-E-- Ft L; l V I `Z BUSINESS/AGENCY: \o Ar' <br />ADDRESS: 0 CG' G (� r I L_ c� clty/staterzip <<S {amu ({ Sa SY <br />PHONE (1): 707 -3,;� PHONE (2): 76 7-7q2 - q Q FACSIMILE: -�'6 T ^ <br />TENTATIVE" APPOINTMENT DATE: a S /4P W 4�D q Z9 _ _ <br />Time: <br />(Please allow 10 business days from date of application submittal -' entative only - must be confirmed) <br />. CHECK BOX TO EXPEDITE RE EST - $1=(CASH CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE cI -off " U 6 <br />Electronic Information: ❑ List[:] Map– Description: <br />HOUSING ABATEMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />JM <br />OTHER CLEANUP SITE (NON -LOP) <br />Street alk <br />Street Name City <br />,p Unit 1 <br />3 P �1.10 <br />UNDERGROUND TANK (MONITORING/REMOVAL�( <br />11 DOG KENNEL <br />"R CHICKEN RANCH <br />F1 -S+ceJS c� �ci1 <br />2. <br />PK HAZARDOUS WASTE GENERATOR pe <br />i� u <br />��r <br />uyj �u11QE5 _ G�VQnlo4d� Unit2 <br />3. <br />❑ TIERED PERMITTED FACILITY <br />11MOTEUHOTEL <br />Unit 3 <br />je <br />4. <br />5. <br />- - — <br />13 POOLISPA <br />0 LAND USE APPLICATION SITES <br />unit 4 <br />6- <br />El OTHER (PLEASE SPECIFY) <br />T• <br />WELL AND SEPTIC PERMIT RECORDS ARE <br />AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-S:OOPM - ExCLUDING HOLIDAYS. <br />Ir Unit 5 <br />8. <br />9. <br />Unit 6 <br />10. <br />Specific Date Range of Information Requested: From (, to i Q dVVP <br />iru <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />HOUSING ABATEMENT <br />SOLID WASTE FACILITYIVEHICLE <br />/� o <br />'/v�� <br />JM <br />OTHER CLEANUP SITE (NON -LOP) <br />❑ FOOD FACILITY <br />WASTE TIRE <br />DAIRY <br />y,� <br />�" 3 6 <br />UNDERGROUND TANK (MONITORING/REMOVAL�( <br />11 DOG KENNEL <br />"R CHICKEN RANCH <br />WASTEWATER TREATMENT PLANT <br />ll -r' , f• <br />PK HAZARDOUS WASTE GENERATOR pe <br />❑ TRUCKfYARDICHEM TOILETS <br />2 /�' <br />Q ­131a <br />ll�✓/(i0 <br />❑ TIERED PERMITTED FACILITY <br />11MOTEUHOTEL <br />PUMPER <br />• TATTOOMODY PIERCING <br />13 POOLISPA <br />0 LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />El OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE <br />AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 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 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 Tile 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 $105 deposit prior to review. <br />EHD USE •% <br />