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- 02/17/2003 16: 44 FAX 415957300' OOANE IdORRIS LLP-SF Z 002/002 <br /> DATE RECEIVED SAN JOAQUINOUNTY EHD LOG NUMBER <br /> CEJ `J I u ENVIRONMENTAL HEALTH DEPARTMENT <br /> 6.00 East Main Street, Stockton, CA 95202-3029 ! <br /> FEB 1 v 2009 Telephone: (2'79)468-3420 Fax: (209)464-0138 Web: www.sjgo . d 3 <br /> ENVIRONNIEN I HEALTh PUBLIC RECORDS RELEASE APPLICAT <br /> PLICNT: 1L1Jnn <br /> ION <br /> PE11111APA7717h0. <br /> 1 b. ���J� BUSINESS/AGENCY: W–^� t'y14Cfla LLA <br /> ADDRESS: S1111,11`UWAA 1;10-f*j 21tM Cty/StateTZP S'n fr-4 ncV co 40 / `t4 Yq_r <br /> y(S' _ PHON11(2); . - FACSIMILE:(t): TENTATIVE`APPOINTMENT DATE: Time: 10'.yp� <br /> (Pleae allow 10 business days fromye � nsubmlttal2Tsnfative <br /> only-must be DonfIrmnd) <br /> CHECK BOX TO EXPEDITE REQUES FEF(FA R CHFCK ONLY)-REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANrG �r ��—_ DATE Z '/ — <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Streelii Street Name City ❑ unit <br /> 1, f453 NaY IFi"N'- 5fackJOA r! =( t3 <br /> z. o`tl NV grtJc SJrkiv� < Viz° � f'JC) ❑ Unit <br /> 3. 1(o6S6 le(a � �nck4ur� "tOR <br /> Unit 3 <br /> 4 \ <br /> 5. <br /> - --- - Unit <br /> 6. <br /> 7, <br /> — ❑ Unit 5 <br /> 8. <br /> ❑ UnR 6 <br /> 10. <br /> Specific Date Range of Information Requested:From /q 6 to 2 P <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDEROROUND TANK(U"CLEANUPSR[(LOP) M HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> HER CLEANUP SITE(NON-LOP) L1 FOOD FACILITY O WASTE TIRE <br /> UN <br /> nCRGROUNnn TANK(MONITORING/REMO*AL) 13 DOG KENNEL aDAIRY <br /> 15HAZARDOU6 WASTE GENERATOR 11CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> /0 TIERED PERMITTED FACILITY M MOTELIHOTEL ❑PUMPER TRucK/YARD/CHEM TOILETS <br /> 11 TATTOolROnY PIERCING 0 POOLISPA ❑LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT R=?RD9 ARE AVAILADLE FOR REVIEW - MOHOAY-FRIDAYB:OD AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ton 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 mall to the address Indicated above. Address <br /> ranges will not be accepted–for additional assistance with fila 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 f any EHD files exist. An appointment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The files will be hold 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 END staff may not be immediately available for review. A now application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the some:ond(tion 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$106 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />