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g 27 12 03:11p John Ormerod (925 <br /> p� ) 933-9004 p.1 <br /> • <br /> r I@Y DSAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 2 7 2017_ 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> J <br /> APPLICANT: 0411 0/-41941-'00/ BUSINESSIAGENCY: <br /> ADDRESS: /00 I.or1%411ow !7✓rye CITYfSTATE/ZIP:%7/Pa5 of 64 9,Ys23 <br /> PHONE(1): 925-305-8590 PHONE(2): FACSIMILE: L25" 933- 9005V <br /> TENTATIVE*APPOI NTME14T DATE: Time: <br /> (Please allow 10 business days from date of 11 11 submittal-•Tentative only.must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 125F E CASH OR ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICADATE F-Z7-/y <br /> Electronic Information: ❑List❑ p-Description: - <br /> FILE ADDRESS EHD USE ONLY <br /> Street M ! Street Name cityEl Unit 1 <br /> 1 /S//O /LI[lelH/OC L P <br /> 2- / /8y 1&141,-,,f/e/., .e - Unit <br /> 3. <br /> 4. /SZ9y l /o I <br /> Unit 3 <br /> s. /25D �a�l� 20>d/ b' 2aisLS (Z i;I�J , / /)e aye!) <br /> 6. l..�Y3 r ZDad Jj2 j a, cflI g 2$ 12' yrnG.(a(L> nits <br /> 7. <br /> 8- <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> Unit 6 <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SHE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> ©OTHER CLEANUP STrE(NON-LOP) ❑FOOD FACILITY ❑WASTETIRE <br /> ®UNDERGROUND TANK(MONrfORINGIREMOVAL) ❑DDG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR E]CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOJBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION Sims <br /> ❑ MEDICAL WASTE FAcuTY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:0D AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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!2091464-0138 or mail tothe 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 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 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$125 deposit prior to review. <br /> Luo as-r..n.,r <br /> EHO 48-08 811111 <br /> Received Time Aug- 27. 2012 2:08PM No. 0989 <br />