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APr. 21 2008 11 : 03AM 0-inced GeoEnvironmental No. 1830EHDP'__1.VUMBER <br /> DAVE ML =vtv <br /> ILL))J; +"✓✓ SAN JOAQUIN COUN'T'Y <br /> —J ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> A—PR � � '�G8 ( Telephone: (209)468-3420 Fax. (209)464-0138 Web:www.sjgov.6rg/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT- eI (- 0'i:44 Zeti BUSINESS/AGENCY: my'L'"Oer'� <br /> ADDRESS: �6lG cJ k4)0 C _ <br /> PHONE(1): / /G���' PHONE(2): 601 `f`�� 7 FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time. <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ,IrCHECK BOX TO EXPEDITE REQUE -$98.00 FE (GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAY15) <br /> SIGNATURE OF APPLICANT DATE Z <br /> Electronic Information: ❑ List❑ Map–Description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 2. ' J(./ — ❑ Unit 2 <br /> 3. <br /> 4 1 Unit 3 <br /> f �� •SGu�I �---[�Y2Ccri,e..'�1L_�. �� ' d A)-91v6 VAI <br /> s. e)g7 v* � r��.. Unit 4 <br /> 7. <br /> --- _........ __......._ Unit 6 <br /> 9. <br /> _ __. ..... _ Unit 8 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT AKOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> "NDERGROUND TANK(MONITORINGIREMOVAL) Cl DOG KENNEL ❑DAIRY <br /> 4 "pA2ARDOU9 WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MoTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOUSPA ❑ LAND USE APPLICATION SITE$ <br /> IO MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONoAY-FwDAY 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(ss). At least one file type MUST be selected. Fax to(209)464-0138 or mall 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 behold 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 /> END 48-06 WEB 8IM007 <br />