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16/ZUUb I b:I U PAA <br /> 001/001 <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ur' Ff ENVIRONMENTAL HEALTH DEPARTMENT <br /> L '.73 <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgo <br /> J-0 EJ <br /> A9�10 73 <br /> . .'. ''ri [T;' PUBLIC RECORDS RELEASE APPLICATION <br /> 7 BUSINESS/AGENCY: <br /> ADDRESS: 50 F'Lef"C01( 6-y' 2o7�,-/ooe City/state/Zip -5A-q-r-r-- C.sc,r cA 9YI05 <br /> q-, <br /> PHONE(1): 59/--75-72 PHONE(2): CVIS-)S91- '500 -FACSIMILE: -10 <br /> TENTATIVE*APPOINTMENT DATE: Time: Lyl-)S91�-n <br /> (Please allow 10 business days from date of applicatlon submittal-*Teniadve only-must he confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 313USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: El List 0 Map-Description <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Na Y4 city <br /> froo C-)esi CAer-C4 Cj 40 n 0 Unit 1 <br /> 2. ❑ <br /> Unit 2 <br /> City <br /> 3. <br /> 4. Unit 3 <br /> .5 <br /> 5. --��U.lt 4 <br /> [6 <br /> 7. <br /> 0 Unit 5 <br /> 9. <br /> 1--10- — - — 0 UnIt6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 3�TNDERGROUND TANK(UST)CLEANUP SITE(LOP) C]HOUSING ABATEMENT 0 SOLID WASTE FACILITYIVEHICLE <br /> HER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY M WASTE TIRE <br /> >ZUNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL C3 DAIRY <br /> >—KHAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 171 TIERED PERMITTED FACILITY C3 MOTELIHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> E3 TATTOO/BODY PIERCING E3 pOoL/SpA E3 LAND USE APPLICATION SITES <br /> E3 MEDICAL WASTE FACILITY 173 OTHER(PLEASE SPECIFY)_ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 Am-5:00pm -E)tCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by chocking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 Of 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 hold 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 now 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 48-08 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />