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Sep 10 08 02: 33p S—ra Delta Corp 1 -5-"-223- 1452 P. 1 <br /> P_ATE-R�-PEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 2 0 <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 0 8 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd I. <br /> R_ V!P,"Ji <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1Atc,IF 51KM, —BUSINESSIAGENCY: 5t69-CA. rAP-T111, (Ce_FW_A17a0 <br /> ADDRESS: 50'l0 Q ST. ST , '7i L city/statemp 9ze:'SKZI CA 1)3-110 <br /> PHONE(1): (55"1) T:7,C1 -I L151 PHONE(2)- FACSIMILE: I - I y5-L <br /> TENTATIVE"APPOINTMENT DATE: 51EPT0-trSr(1_ t(ffl Time: <br /> (Please allow 10 butimps5 days(Tom date of application submittal-'TantativQ only-must be confirmed) <br /> IM ctIECK BOX TO EXPEDITE REQUEST-$ CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i�� �� DATE I 10 <br /> Electronic intormation: D List D Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit I <br /> 2. 0 Unit 2 <br /> 3. <br /> 4. WU.ft 3 cl(16 <br /> 5. '.0000 <br /> — W Unit 4 <br /> 6. <br /> 7. <br /> 0 Unit 6 <br /> 9. <br /> Unit 9 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOLISM ABATEMENT 0 SOLID WASTE FACILlTYiVEHICLE <br /> M OTwr!Ft CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIRE <br /> IM UNDERGROUND TANK(MON rTORINWREM OVAL) 13 Dou KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR,�>, 0 CHICKEN RANCH 171 WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY C3 M01-ELIHOTEL 13 PUMPER TRUCK]YARDICHEm TOILETS <br /> 13 YAT-rooffioijy PiFRciNa E3 POOL/SPA IM LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY n OTHER(PLEASE SPECIFY) <br /> WELL AND$EPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - 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 live 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 />