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From:krazan and associatIDS 8059744022 07/12 "i07 12'0 4897 P-0010001 <br /> •l <br /> DATE RECEIVED MBER <br /> SAN JOAQUIN COUNTY COPYL <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 600 E. Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov. 03 <br /> �n PUBLIC RECORDS RELEASE APPLICA O`lN,r�I <br /> APPLICANT: �olYla �UVZ1 BUSINESSIAGI=NCY: K1�zah - <br /> ADDRESS: .Oq/'1 'Affrn� U&V-10. A IM11 <br /> PHONE(t): 901191+1i4cD PHONE(2): FACSIMILE:61D'�L -4D-Z2 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-•Tentafiva Dniy-must be confirmed) <br /> El CHECK BOX TO EXPEDITE Pee E T- �,00ECASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 01 P 07 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a# <br /> Street Name city 0 Unit 1 <br /> F2. 0L V <br /> 2. <br /> 3. �� Q q X70 32— <br /> Un[E 2 <br /> --- Unit3 <br /> 4. <br /> Unit 4 J <br /> 6. �+ <br /> 7. <br /> S. or <br /> 9' unit 6 <br /> Specific Date Range of Information Requested:From Ali`llMt oc'Y I:06 6 to <br /> ENVIRONMENTAL HEALTH DEPARTMENTFILES <br /> k <br /> DERGROUN4 TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT MSOUD WASTE FACILITYIVEHICLE <br /> HER CLEANUP SITE(NON-LOP) ❑ FOOO FACILITY WASTE TIRE <br /> OERGROUND TANK(MONITOW (REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> RED PERMnTED FACILrTY ❑MOTELIHOTEL CI PUMPERTRUCKIYARDICHEM TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA AND USE APPLICATION SITES <br /> >�MEDiCAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMrr RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:0OPN1 - 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)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.OD 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-08 9113/2006 web <br />