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DA- RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �- Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd q'P PUBLIC RECORDS RELEASE APPLICATION APPLICANT: IRVING JAMES BUFORD IV BUSINESS/AGENCY: BOARD OF EQUALIZATION ADDRESS: 450 N STREET CITY/STATE/ZIP:SACRAMENTO,CA 95814 PHONE (1): 916-332-0992 PHONE (2): FACSIMILE:916-319-9177 TENTATIVE*APPOINTMENT DATE: Time: (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT SEE=ATTACHED l;, TE DATE 1/23/13 Electronic Information: ❑ List❑ Map—Description: FILE ADDRESS EHD USE ONLY Street# Street Name City s Unit 1 �1• 1. 1301S WILSON STOCKTON7 2. ❑ Unit 2 3. 4. 5rUnit3 31 5. W tt e -1 P�,H zard'o 6. Ma erla IV,Iatlager>�ent'Pa go fo the ❑ Unit 4 7. foil, Ing, ebsite www sjoesdeta.org 8. ❑ Unit 5 9. 10. ACCOUNTING Specific Date Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE t %ce w1 3 ®UNDERGROUND TANK(MONITORINGIREMOVAL),J-- ®FOOD FACILITY ❑DAIRY "6'A-Lf-13 ®ABOVEGROUND TANK oC. ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT ®HAZARDOUS WASTE/HAZARDOUS MATERIALS OL ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS ®TIERED PERMITTED FACILITY {)` ❑POOUSPA ❑LAND USE APPLICATION SITES ❑ TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a$125 deposit prior to review, ***BOXED AREA-EHD USE ONLY*** n DDI ¢ fl s5 i/► HtA) (ora�41743-rO) ' t',5 r A - ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 48-06 914112