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01/04/2006 15:35 9722477 DOPE PAGE 02/02 <br />DAZE R€GEIVED EHD LOG NUMBER <br />�) '� SAN JOAQUIN COUNTY <br />� __2 ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'd Floor, Stockton CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 2. <br />ENIVIR UP N'p.J <br />PF -221/ LEVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tim Zoch I David Ennis SUSINESSIAGENCY: QORE Property Sciences <br />ADDRESS: 12801 N. Stemmons Freeway, Suite 807 Dallas, Texas 75234 <br />PHONE (1): 972-247-7229 PHONE (z): FACSIMILE: 72-247-7810 <br />TENTATIVE* APPOINTMENT DATE: January 16, 2006 Time: <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirfned) <br />17 CHECK BOX TO EXPEDITE REQUEST - $93.00 FEE (CASH OR CH ONLY) -REQUEST PROCESSED IN 3USINESS DAYS <br />Tim Zoch J nuary 4, 2006 <br />SIGNATURE OF APPLICANT 2906.01.0413:30:44 DATE <br />UNIT DISTRIBUTION ❑ Unit 1 ❑ Unit 2 ❑ Unit 3 ❑ unitUn ❑ Unit 6 ❑ Other (electr6nWilsts1maps) <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I' UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />FILE ADDRESS <br />❑ OTHER CLEANUP SITE (NON -LOP) <br />EHD US� ONLY <br />Street # Street Name City <br />1. <br />4315 <br />E. Waterloo Road (Shelli <br />o C <br />❑ CHICKEN RANCH <br />2. <br />❑ TIERED PERMITTED FACILITY <br />atedooStockton--CAA- <br />._CA <br />❑ TATTOO/BODY PIERCING <br />3. <br />3. <br />4407 <br />E. Waterloo Road (Ernie's) <br />stor <br />4• <br />Stockton. CA <br />5. <br />4400 <br />Stoc on. C <br />, <br />6. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I' UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />❑ SOLID WASTE FACII <br />❑ OTHER CLEANUP SITE (NON -LOP) <br />❑ FOOD FACILITY <br />❑ WASTE TIRE <br />N UNDERGROUND TANK (MONITORINGIREMOVAL) <br />❑ DOG KENNEL - <br />❑ DAIRY <br />❑ HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />❑ WASTEWATER TRE) <br />❑ TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ PUMPERTRUCK/YA <br />❑ TATTOO/BODY PIERCING <br />❑ POOLISPA - <br />❑ LAND USE APPLICA <br />❑ MEDICAL WASTE FACILITY <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-5:00Pw - EXCLU <br />NT PLANT <br />'HEM TOIL TS <br />SITES <br />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 <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <br />indicated above. Address ranges will not be accepted – for additional assistance with file addresses, contact <br />the EHD. Applications received after 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 c nfirmed <br />approximately ten (10) days after receipt of application. The files will be held for a maximurn of five business <br />days for review. Appointments 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 <br />application may be 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 t 9 expense of the <br />applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to rel iew. <br />EHD 48 -02 -OH <br />1!14W <br />