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nt1/10/Ztielr 14:5:1 2133800505 ENVIRONMENTAL PAGE 01/01 <br /> Q �ITEDD <br /> U ll L�L SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> "-.l I, ( 5 2007 304 East Weber Avenue, 3'd Floor, Stockton, CA 9520 - 8� <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sj V. To t: <br /> ENVIRuNh1ENT HEALTH Telephoto: <br /> PERO�IT/SERVICES P77UBLIC RECORDS RELEASE ) TCA v I <br /> APPLICANT: 1 1-Co BUSINESSIAGEENCY: C t4` J <br /> ADDRESS: '?J-'5J <br /> PHONE(1): 7/�—"2icS'O— OS'SS PHONE(2): r7l '"3t��i—� FACSIMILE:�� �—DSPs <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Plaasa allow 1D business days from date of application Submittal.*Tentative only-mu,t be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- . 0 SH 0 K ONLY)-REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I S D <br /> Electronic information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit1 <br /> t Z5� <br /> 2. ❑ Unit2 <br /> 3. <br /> 4. Unit \� <br /> 5. <br /> 6. <br /> 7. ANN <br /> 3 ❑ Units <br /> 9. <br /> 1o. ❑ Units <br /> Specific Date Range Of information Requested_From t0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYIVEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 171 WASTE TIRE <br /> .�A71NDERGROUNO TANK(MONITORINOIREMOVAL) 11 DOG KENNEL 17 DAIRY <br /> E41A;ARDOUS WASTE GENERATOR El CHICKEN RANCH Cl WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY rlMOTELlHOTEL 10 PUMPER TRUCKIYARDICHEMTOILETS <br /> 0 TATro0IB0DY PIERCING 0 POOLISPA El LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY O OTHER IPLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVARAfiLF FOR REVIEW- MONDAY-FRIDAY 8c00 AM-6;ooPM - Excum NG HOLIDAYS. <br /> 1. List up to ten add resees in the space above. Select the type(,)of files from the fist above by checking the appropriate <br /> box(es). At least One file type MUST be selected. Fax to(2091464.0138 or mall tO the address indicated above Address <br /> ranges will not be accepted—for additional assistance wim 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 H 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 some 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 /> END USE ONLY <br /> ENO 40-08 gfnla d <br />