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EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .org/e d <br /> Telephone: (209) 468-3420 Fax: (209) 464 <br /> -0138 Web: www.sjgov3T <br /> 0IN'ML", PUBLIC RECORDS RELEASE APPLICATION <br /> 0 , <br /> APPLICANT: Gu_'L� —BUSINESSIAGENCY: 5(e'?'f_A <br /> ADDRESS: City/Staterzip cs1')0. ( x 1�3-110 — <br /> PHONE(1): PHONE(2): FACSIMILE: 6j%!5) TO- q5"lo— <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> 13 CHECK 13OX TO EXPEDITE REQUEST-$10 CASK OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> , <br /> SIGNATURE OF APPLICANT DATE 10/ 11108, <br /> [Electronic I I riformation. L] List[] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name City Unit I <br /> W4reP_UX:) EOND Pocoo-11 <br /> 2. Unit 2 <br /> 3. <br /> unit 3 <br /> 4. <br /> Unit 4 <br /> 6. <br /> 7. Q unit 5 <br /> 9. Untt 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IM UNDFR3ROUND TANK(UST)CLEANUP SITE(LOP) 0 Housma ABATEMENT 0 SOLID WASTE FACWTYNEHICLF <br /> M OTHER CLEANUP SITE(NON-LOP) C]FOOD FACILITY 0 WASTE TIRE <br /> 10 UNDERGROUND TANK(MON MORIN OIR EM OVAL) 0 Doo KENNEL rl DAIRY <br /> 10 HAzAnDous WASTE GENERATOR J( M CHICKEN RANCH 0 WA3TT_-WATr.R TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY 13 MOTRLJHOTEL 0 PumPERTRUCWYARDIC"IEM TOILETS <br /> 13 TATTOOIBODY PIERCINO 0 POOL/SPA M LAND USE APPLICATION Sims <br /> 13 MEDICAL WASTE FAGILtTY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FpjuAY 8:00 Am-5:00rlm - EXCLUDINO HOLIDAYS. <br /> 1. List up to ton 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!1464-0138 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 /> Z. 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> cl djQ3 e'410ij eiials I,b S TT B0 f,T BOO <br />