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03/07/2011 MON 9: 33 FAX 2094682999 SJC Public works IaJ001l001 <br /> elmvc <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> !"MR 0 7 ZD1I ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 Fast Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMENTALTelephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> I PERMIT/SERVICES t'Tf f <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ) 1 k / 13U5INESSIAGENCY: I'S-AG <br /> ADDRESS: I ! 7 t ClttyylStatelzip <br /> PHONE(1): 21QL PHONE(2): �yG� (aD[� FACSIMILE: Z9'!9 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-`Tentative only•must be confirmed) <br /> Q CHECK 13OX TO EXPEDITE RE 'EST- 105 F CAS OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑List[]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streot 9 ) Street Name City 4A—�5 2y <br /> Unit <br /> t5700 G G�I[9+'L - G��� �L2� f0.TW.l n5 fO, <br /> 2. © lL ll 7D La Unit <br /> 3. bb 1 11 <br /> 4• <br /> Unit 3 <br /> ESCa. � <br /> s. ?©D o <br /> Unit4 <br /> T• tofu S' c. n(" Li <br /> ,r� Unit 5 <br /> 6. 11000 'L1 "243 <br /> unit s <br /> 10. 3 Z1 Ese-C..tar - Qom({I a \l /5A-W 31 <br /> Specific Date Range of Information Requested:From P�-,97270757 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ZFfiOUS{NG ABATEMENT XBOLID WASTE FACILITYIVEHICLE <br /> �THER CLEANUP SITE(NON-LOP) .FOOD FACILITY l3 WASTE TIRE <br /> MIUI InERGROUNO TANK(MONITORINGIREMOVAL) El DOG KENNE=L DAIRY <br /> ;HAZARDOUS WAST4.GENERATOR )!FCIQCKtN RANCH .WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 17 MOTELIHOMI. ;PUMPERTRUCKIYARDICHEMTOILETS <br /> L7 TATTo01BO0Y PIERCING Cl POOLlSPA OLLAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> - WELL AND SEP710 PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIl7AY 8.00 AM-5:00PM -ExCLUmNa 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 208 464-0138 or mail to the 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 <br /> pplicant <br /> Future file reviews by the same applicant may require a$105 deposit priorto review. <br /> EHD USE ONLY <br /> EHD 4846 8I04108 PUBLIC RECORDS RELEASE APP FORM - <br /> i <br />