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Feb 06 08 09: 45adajree Herbert (92 443738 p- 1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fat: (209)464-0138 Web: www.sjgo %or " t5 <br /> _ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1y 1 and a n er BUSINESS/AGENCY: VUC_-A o_ 3" <br /> ADDRESS: /?J15 W. Fine- 6+. f Ste_ 05 Lodi r(-A 616 240 <br /> PHONE(1):C2o��32J� - h��0� X753PHONE(2): ��ZS)Z12 C51 1r1 FACSIMILE: l')a� <br /> TENTATIVE APPOINTMENT DATE:�tl es • 'F 3. 12- 200q Time:_ �0 �n� (or- <br /> F'1•,i eb• <br /> (Please allow 10 business days from date of application submit(al-'Tentative only-must be confirmed) g <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS poxible <br /> SIGNATURE OF APPLICANT oI DATE _Z- (O— 0 8 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1 30V Ie miyud5 Si•hG PortoC Stixki-t: 6t-ockton <br /> 2. ..-11—I W. YV0_,Shin +0r1 Sfi. sto Gk#-D ,J/, r ❑ Unit 2 <br /> 3. 5 2b w. Inl�shi n , St.- Si -- 214 ?F'✓ <br /> Unit 3 <br /> a ZZo t . V�ashiln�ivn 9% Si oz��- y7oax r� <br /> 5- r3 2-1 Por-4- ROO d P SFrz }v <br /> 6. ♦ Unit 4 <br /> 7. <br /> $ -- ❑ Unit 5 <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From toe-n� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ID DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY MOTEUHOTEL 11 PUMPER TRUCKNARDICHEM TOILETS <br /> O TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - 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 /> 3:00 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> **" If you should need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*** <br /> EHD 48.06 9/14/2006 <br />