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Sep 10 OS 02:33p S` -ra Delta Corp 1-5-1-229-1452 p.1 <br />A -R (-,ElyE i , i�1�� EHD LOG NUMBER <br />�'...•,I' ;11'"�g SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />�• r_ ,600 East Main Street, Stockton, CA 95202-3029 <br />. ; 0 2008 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />r PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: NIDE 6LLL awl BUSINESS/AGENCY: $ IE9.AA if"A .T& (Ce-W.ATWAj <br />ADDRESS: 50'lU N SlIg tl ST. STIE' 1.5 Z_ CHy/State/Zip '� SKZ I CA <br />PHONE (1): � 5w) ZZ°1 1 L151 __ PHONE (2): FACSIMILE: <br />TENTATIVE' APPOINTMENT DATE: 1 CP , 7 j Time: 11 A•M, <br />(Please allow 10 business days from date of application submittal - "Tcntadvo only - must be confirmed) <br />13 CHECK BOX TO EXPEDITE REQUEST - $10 CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 1100106 <br />Electronic Information: ❑ List El Map - Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Street # <br />Street Name <br />City <br />❑Unit <br />1 <br />315 <br />WpTt(LLOD WND <br />2. <br />❑ Unit] <br />Unit 3 <br />4. <br />- -- <br />5. <br />--_ _. <br />Unit 4 <br />6. <br />7. <br />❑ Unit 6 <br />8. <br />9. <br />-- ..._ .. _.. <br />❑ Unit li <br />10. <br />....--- <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />00 UNDERGROUND TANK (UST) CLEANUP SIVE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY/VEHICLE art <br />M OTHER CLEANUP SITE (NON -LOP) E3 FOOD FACILITY O WASTE TIRE [,l./ r j } 1 <br />R1 UNDERGROUND TANK (MONrT'ORING/REMOVAL) ❑ D00 KENNEL ❑ DAIRY 9A 1AF <br />is HAZARDOUS WASTE GENERATOR C n CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br />❑ TIERED PERMITTED FACILITY ❑ MoTEUHOTEL ❑ PUMPER TRUCKIYARUICHEM TOILETS <br />❑ TATTOo/13OOY PIERCING M POOUSPA ❑ LAND USE APPLICA71ON SITES <br />❑ MEDICAL WASTE FACILrTY n OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-5:00PM GXCLUDINO 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) 464-0138 or mail to the addrega 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 $105 deposit prior to review. <br />EHD USE ONLY <br />