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07/02/2007 10: 16 FAX (�001/001 <br /> DATF RECEIVED EHD LDC NUMBER <br /> - SAN.IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMTNT <br /> 600 E.Main S(rcet, Stockton, CA 95202-3029 <br /> X111 <br /> OSS Z007 Telephone: (209)468-3420 Fax: (209)464-01"8 Web: www.5jgov.nrg/ c <br /> 0 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APpL1�.ANT= [ r` �� 'S i LC.�`I BUSINESS/AGENCY: DEL-7 Cor)514 <br /> ADDRESS: /3J I/6 /F UUf—Ib CA-.IP2fvE Y/2A j of fc) Cv2r>uv�f 01$370 <br /> PHONE(11: 716 ✓0 3 ( W I PHONE(22))::-11 6 -34,6 q_301 FACSIMILE: '119 6 3 F a US, <br /> TENTATIVE"APPOINTMENT DATE: 7d P Pi:-F 1q✓E Time: /9/V y <br /> (Please slim 10 business days from date of application subminal-'Tentative only.must be conlirnred) <br /> 13 CHECK BOX TD EXPEDITE REQUEST- 5.00,/FyE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /f %I ' - DATE <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> streak Street Name City_ - L) Unit t <br /> E H1101 y�wny ra�k-10"i <br /> -S = S — ---- LAI /Z �a c� ElDnit2 <br /> R <br /> a. I64-�0 _ GM132rofrr'� _ ;7-trLr)(� <br /> 4. SU i_ I� . EC- <br /> -5. 36u6 TF1uaN7 (10. STau ' VIN �3�a u1114 <br /> -� 6. 2375 Taney �3Lv�. fJ T2RCy 36- 4" y(o <br /> T. <br /> - -- - - - - ❑ Unit 5 <br /> 8. <br /> 9. . _..... ..-- -- <br /> . .._ units <br /> 10. <br /> Specific Date Range of Information Requested:From '/ L L - to L L <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NOERGROUND TANx(UST)CLEANUP SITE(LOP) I7 HOUSING ARATFMENT 17 SOLID WASTE FACILITYNENIGLF <br /> ❑("OTHER CLEANUP SITF(NON-LOP) (2 FOOD FACILITY 11 WASTE TIRE <br /> NOERGROUND TANK(MONITORINGIREMOVAL) IJ KENNEL ❑DAIRY <br /> VAZARDOUS WASTE GENERATOR M CHICKEN RANCH O WASTewATER TREATMENT PLANY <br /> TIERED PERMITTED FACu ITY 15 MOTELMOTEL ❑PUUPER TRUCIUYARD/CHEM TOILETS <br /> O TATTOWBODY PIERCING ❑POOL/SPA 1`1 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL ANh SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIew- MONDAY-FRIOAT 8!00 AN-5:0011 - EXCLUOMG HOLIOATS. <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 09 464.0136 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 he 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 for <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$95.00 deposit prior to review. <br /> EHD USE ONLY <br />