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From:James Robinson Fax:+1(209)740-4303 To:Public File Review Regi Fax: +1 (209)464-0138 Page 1 of 1 8/14200912:51 <br /> DATE RFQE1V EHD LOG NUMBER <br /> 1�iu j� SAN JOAQUIN COUNTY <br /> fl IIL� 1 ENVIRONMENTAL HEALTH DEPARTMENT . <br /> AUG 14 2009 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.od <br /> ENVIRUNMEPlf HEATH PUBLIC RECORDS RELEASE APPLICATION <br /> PFR11ffl 'FP,VICF.I 4 <br /> APPLICANT: Janles Robinson ___ _ BUSINESS/AGENCY: JR Squared Consulting Inc. <br /> ADDRESS: PO BOX 1744 City/Statelzip Valley Spllrits, CA 95252 <br /> PHONEl11: 209-772-3841 PHONE(2): Cell - 209-6642=5445 FACSIMILE: 209-740-4303 <br /> TENTATIVE"APPOINTMENT DATE: AllITl1St 20, 9 Time: 3 pm <br /> (Please allow 10 business days from date of ap s mittal-*Tentative only-must be confirmed) <br /> X)M CHECK BOX TO EXPEDITE REQUEST.S105 FEE CASH 0 'I C REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> ( ,' , <br /> SIGNATURE OF APPLICANT '�` �', � DATE 08/14/09 <br /> IElectronic Information: ❑ List❑ Map -Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street If Street Name qty <br /> �• 1024 Mellon Avenue Manteca ❑ tJDlt+ <br /> 2, an eca ❑ L61ti 2 <br /> 3. 400Industt'al Park Drive Manteca <br /> Unit 3 <br /> •ial Park Drive Manteca <br /> 4. 550 Indus <br /> 5. 551 CarneE ie StManteca-., D <br /> Uni <br /> 6. 555 Carneg a St Manteca <br /> 7. <br /> $ Unit 5 <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of I" rmation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IS� UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT SOLID WASTE FACILrrYIVEHICLE <br /> 1MOTHER CLEANUP SITE(NON-LOP) 173FOOD FACILITY WASTETIRE <br /> Ob <br /> n UNDERGROUND TANK(MONITORING/REMOVAL) 171 DOG KENNEL ❑DAIRY <br /> TZ HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILrrY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> 13 TATTOO/BODY PIERCING ❑ POOL/SPA ❑LAND USE APPLICATION SITES <br /> Ell MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY6:00 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 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 /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />