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Aug 16 07 11 : 37a Mard TBree Herbert (925) 94" '738 P. 1 <br /> pivEo EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202 <br /> 2001 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s gov.o <br /> p��R�IV,11EiUr PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN : DA E-{E 2F3 E rLT E USINESSIAGENC�Y: wC1 K- SO x L L�2 S F <br /> ADDRESS; 1 V�/. P 14�l E �T. STS• b L—DDI "/I r7 z—+o <br /> PHONE(1) CCI ZS q 41 �Jrl 3 B PHONE a): CaZS� ZI Z- 5 1`I"j FACSIMILE: (ZCO�1� 3 4—537 4 <br /> TENTATIVE'APPOWTMENT DATE: '�( - 0 TIS; 10&r-i <br /> (Please allow 10 business days from dao of apMGcation cubmitral 7TAnfa6Yr only-must be conflrrnod) <br /> Q CHECK BOX TO EXPEDITE REQUEST-S9S 00 FEE(CASH OR CHECK ONL - EOUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 2�, DATE 0—1 (O--07 <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroet# Street Name City ❑ Unit 1 <br /> 1. 20¢0 W. vl�l'�s h� +n r St. Sfia�I1�iLo✓� 1 AJ r, F \\ <br /> 2. 2 1I S 1n1 VV6L.51•-�-i �p� �jr, lj(-D GIST-p y� !)' F 0.41 Unit <br /> 3. '7-1 3W • 11J Gzs t1: a r� S r b c>Lbn . F <br /> Unit <br /> 4. ZZ,7 --- W_ W aS lei -I-b S r. Sfi oGk�►-� �/7�� r`� <br /> 5. 2 3 os VV. W a5 hi✓��to n _Sfi. S1 o c 1�♦ c�,•l r Untt 4 <br /> 6. 232- <br /> t IAV. Y�clrsln�nr�+or\ 4Sr. Stoc>�bvt .,r �= <br /> 7 25210 W_ was1�� Loh Sr. Sfiock�or T <br /> �l7u� 0 Unit 5 <br /> 8. 2(o5t� -W. 1/Vct5Ll� rl Fool 5t_ Siock�r, a�"'t� `� <br /> s- o0 1/U wL�st<i tD'1 St JtOc k{-c�c� Unit6 <br /> 10. L-1, <br /> W. W asl-t� i arl Sr. 5bCk_+-oh A) <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL,HEALTH DEPARTMENT FILES <br /> It' I <br /> UNDEROROUJD LE <br /> TANK(UST)CAMVP SITE(1,0P) ElHOUstN �G ABATEMENT OLID WASTE FACILITYIVEMCLE <br /> /'ROTHER CLEANUP SITE(NoR-LOP) ❑FOOD FACILITY OWASTE TIRE <br /> ,2rUHoE-RGROUNo TANK(MONr 0RINWPCMOVAL) ❑Doc KENNEL d DAIRY <br /> ,'HAZARDOUS WASTE GENERATOR O CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERIIIniw FACILITY la MOTEUHOTEI, PrftMPER TRUCKNARDICHEM TOILETS <br /> ,0'TATTcwaaaY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ;11dEDICALWAS1E FACILITY ❑OTHFR(PLEASE SrEQrY) <br /> WELL AND SEPTIC PERMIT RL-CORDS ARE AVAILABLE Foo REwrw - 1610NDAY-FRIDAY a;00 AN-5:00PM - E XCLUDma HOLIDAYs. <br /> 1. List up to tett addresses In the space above. Setact the type(s)of Nies from thv list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to{2491454-0138 or mail to the address Indkated above. Address <br /> ranges will not be accepted—for additional assirrtance witfT file addrasses,contact the EHD.Applicatforts received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD fries 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 EHO 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 exponso of the applicant. <br /> Future file revivwx by the sante applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> enoaea�snbrzool <br />