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06/03/2008 09:51 FAX 5302431654 CH2A1 HILL Z002/002 <br /> EMD LOG NUMBER <br /> DATE PSCEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT w7G <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: 209 468-3420 Fax: (209)464-0138 Web:www.sjgov.o 51e <br /> 7elep ( ) <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Uwl G BUSINESSIAGENCY' <br /> ADDRESS: 25_Z5 ;f ( t- Rt: LL—%. L'..� �d6-l: `. <br /> PHONE(1): 3 "7�'1'.,i s _i'� PHONE(2): FACSIMILE: -532 <br /> TENTATIVE*APPOINTMENT DATE:,b_ 117L6 _Time: J20V <br /> (Please allow ton buslness days from date of application submittal-'Tentative only-must be confirmed) <br /> L] CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE,(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �@yJ;,tr DATE <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY _ <br /> NStreet 9 Street Name City El Unit 1 <br /> 1. 3"fi3o ..,5, tl0ortic�o 5 �}'2�K•-fan `1 � <br /> unit 2 <br /> 2' 3`43 5 <br /> 3. 3.2Vz Qcsr<nr�� N�.c <br /> 4. 7[z0 " �. � Unita <br /> 5 —.,..- S. E l ay c a,d P CJ <br /> 6. SQi J m� off, Unit4 <br /> 7. 07 <br /> A ❑Unit <br /> C <br /> 10. 8b( Ave• �� f nit 6 <br /> Specific Date Range of Information Requested:From to <br /> 1 ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t UNDERGROUND TANK(UST)CLEANUP SITE(LOP) In HOUSING ABATEMENT $OLID WASTE PACILITYIVEHICLE <br /> ULU THERCLEANUPSITE(NON-LOP) ❑FOOD FACILrry EeWASTE�IIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> [[[[[[������HTIERED <br /> WASTE GENERATOR ElCHICKEN RANCH fl WASTEWATER TREATMENT PLANT <br /> GT I IERED PERMITTED FACILITY ❑MOTELIHOTEL ,n,/PUMPER TRUCKIYARDICHEM TOILETS <br /> 173TATTOOIBODY PIERCING ❑POOUCJSPA I;ND USE APPLICATION SITES <br /> J <br /> ❑MEDICAL WASTE FACILITY L�OTHER(PLEASESPECIFY) 6.0IAa'!a <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 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)4G4-0138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> 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 <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 the EHD staff may not be immediately available for review. A new application <br /> may be submitted when the file is available. <br /> 4. Any file not retumed 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 40-06 10127107 PUBLIC RECORDS RELEASE APP FORK <br />