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Aug 16 07 11 : 37a 11 <br /> 8%yree Herbert (925)738 p. 1 <br /> 17IVED EHD LOG NUMBER <br /> �G���I1 �.,� SAN Jol�Qvnv COUNTY <br /> �G �IC frJ� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202 <br /> j' 2007 Telephone:(209)468-3420 Fax;(209)464-0138 web;www.sjg0v.0 <br /> PUIRLIC RIECO.RDS RELEASE APPLICATION <br /> APPLICAN : DA f-f E 2B E�T EUSINESSIAGENCT: W 61 R- <br /> ADDRESS: S W. P E '�'T• I STE• b , L-OD1 "I rJ Z 40 <br /> PHONE(1) C 9 ZS q L}-1- xjI 3 g PHONE(2); (R25) ZI2-Gi 1`11 FACSIMILE: (ZDG� 334-53`I 4 <br /> TENTATIVE'APPOMITMENT DATE: 66-" 3 1 —C)-T Time: 10&r-1 <br /> (Please allow 10 business days from date of apprrcation cubmiftal-`Tanhut only-must be confkm*M <br /> ❑ CHECK BOX TO EXPEDITE REQUEST•SIS OO FEE(CASH OR CHECK ONLY), EQUEST PROCESSED IN 3 SUSIN SS DAYS <br /> SIGNATURE OF APPLICANT �7 DATE g I lG- 0_7 <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ unit 1 <br /> 1. 2oq o <br /> W. V�lcsh� inr. St. Sta�k4o✓� � r, � <br /> 2. 2 11 S W . WGCS�i �aI-t Sr. �7�Gk�ov� �' F Unit <br /> 3. 213 <br /> \/V. vvas 4.: n St _ k oc�bn , F F <br /> y22fl1 --- W w0.S('L( Unita <br /> 4. r� <br /> +D In 51-. STO ck+-art <br /> 5. Z3o�, W. Was11i vt tan St_ Stocic�ova <br /> Unit 4 <br /> 6. 23 Z1 W. V JA-S l 1;r> +0 <br /> r. 252-(0 W. WrtiSk" j4oel Sr. SfiocJc+o? , <br /> ❑ unit 5 <br /> 8. 205p w. Wc.Shi n 4-o� <br /> s. -L-1 oo \JV ars h� tz�rt St _ St o�1`}c unit e <br /> 10. 21 1-`f W. W as�� �ol�t St-. Pl. F . l <br /> Specific Date Range of Informatbon Requested:From a-11 C .U+fS to <br /> �+ ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> /CJ 1JMXRCW0UW TANK(UST)CLEANVP 517E(LOQ) ❑Houamc AnATEMENT ­eT`S OLID WASTE FACR RYIVEHICLE <br /> OTHER CLeANu!SITE(NON•i..OP) ❑FOOo FACILITY 0 WASTE TIRE <br /> ,PrUNDERCROUND TANK(MOWTORINOIREMOYAL) ❑Doc KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ZrWAsTrWATeR TREAT mE NT PLAN <br /> ,0 TIERED PemirTTrmo FACILITY Q MOTEU00TEL PIPLIMPER TRUCIUYARWCr1Em TOILETS <br /> ,E2'TATTawaaDY PIERcwG O POOL/SPA 0 LAND USE APPLICATION$ITT:S <br /> 1dEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT ReCORD3 ARE AYMLABLE FOR REWEIN - MONDAY-FRIDAY 3:00 AN-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)Of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to t2091464-0138 or mail to the address indimcated 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 fifes exist. An appointment for review wil l be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for reviow. Appointments <br /> should be scheduled accordingly. <br /> 3. A filo 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 ava17able. <br /> 4. Any file not retumed in the some 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 /> EHO USE ONLY <br /> L-r1D'f0-01 SI1K2001 <br />