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i <br /> 08/19/2010 08'34 FAX 9168529139-, Geocon Consultants — 001/001 <br /> # DATE R �� EHD LOG NUMBER <br /> #, y SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 3 60.0 East Main St. Stockton, CA 95202-3029 <br /> (209) 468-3420 Fax: (209) 4640138.Web: wvvw.sjgov.org! hd <br /> 5 <br /> PUBLIC RECORDS RELEASE.APPLICATION <br /> A�PLICAHT: BUSINESSIAGENCY:_ EC)C,=)j hj <br /> ADDRESS: _. 2j(CLCD 6 2L.J t1,�� �-7P, GlTYISTATEIZIP: c <br /> PHONE (1):(`110 _9 T ( a Pr ( S PHONE(2). ?-o �(o S FACSIMiL>=:�(Cv� 6-52 -n 1 3� <br /> TENTATIVE*APPOINTMENT DATE: E5- -2,4 S0Time: I eDC5 <br /> IPleaso allow 10 business day8from data of appliCation submittal-•1-enfaflve only-must be confirmed) <br /> CHECK SOX TO EXPEDITE REQUEST-$122 FEL(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIG ATURE OF APPLICANT DATE I&—('�i (c" <br /> Electronic Information: ❑List❑Map--Description: <br /> FILE ADDRESS END USE ONLY <br /> Street IF Street Namo city Unit I <br /> 14 <br /> 1 I7 I l"c aR, 5 VDC4L71c d O <br /> 2. ci" .. � nit2 <br /> 3. 2.3 {C5 a✓z. c Y ''zxK n"" W .r' Kuu <br /> 4. <br /> 6. ®r' <br /> lir. <br /> 7.' <br /> e. <br /> ❑Unit 6 <br /> 9. <br /> 3 eclfW`Dii Ftifrng f ns Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT &SOLID WASTE FACT 9� <br /> OTHER CLEANUP SITE(NON LOP) ❑FOOD FACILITY WASTE TIRE h 1 ^y <br /> UNDEPGROUND TANK(f ovaRWO(REMOVAL) ❑DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCHWASTEWATER TREATMENT PLANTXj Y <br /> TIERED PERMITTED FACILITY ` <br /> ❑MQTEUHOTEL PUMPER TRUGKIYARDICHEMICAL 7pILETS <br /> TATToWBODY PIERCING ❑PooLISPA LAND USE APPLICATION SITE$ <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-6:00 Pm ExcLuowa HOLIDAYS) <br /> 1. Lij;tMp to ten add s 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 9 406-13139 or mail to the addrels Indicated ab ve. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHO. 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 far review will be confirmed approximately tan(10) <br /> days after recelpt of appfleatlon. The files will behold fora maximum of five buSInssa Jaya for revliix. Appointments <br /> should be scheduled accordingly. <br /> 3. A flis 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 th , s Fthe applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review, <br /> el+o use oHLr 0.1 <br /> MD 45-os a�rieryo <br /> I <br />