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--02/17/2009 16:44 FAX 415957300/ UUANE MORRIS LLP-SF m 002/002 <br /> (�(�((DDA(TEE RpE�CEEII(VEED(� SAN JOAQUIN OUNTY EHD LOG NUMBER <br /> N E `C' L�,1111 ISLI-!l ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> FEB r 0 2009 Telephone: (279)468-3420 Fax: (209)464-0138 Web:www.sjgo 4 d �1f► <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> FERMI APPLICANT: Mtc)r.4t.a� b. ��w�JC r\ BUSINESSIAGENCY: r� <br /> ADDRESS: (5"1k_ yyi.W'A'L+' SA.w+a win, S+I e, 2-am Cllvlstaterzlp s+n fir Ac V c.) I V A / g 4&-r <br /> PHONE(1): y(S' 5-1' 3 3O _ PHONE(2): T Z JCC5 FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: (NLaY'C.tn. f_2� T Tlme: 10 <br /> (Please allow 10 business days from data of appllradon au6mlhal-*Tentative only.most be Confirmed) <br /> ❑ <br /> CHECK BOX i0 EXPEDITE/R&QUES fWi A R CHECK ONLY)-REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List 0 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streatff Street Name City <br /> ❑ Unit 1 <br /> 1. <br /> 1443 Nw rLZc'(16 0 <br /> 2. 0r1I A) grLur SiKk+ur1 2`3Srg C) ❑ Unit <br /> 3 (`656 felt( �nck 40^ \ <br /> 4 - unit a <br /> 5. <br /> — ---m-- umta <br /> 6. <br /> 7. C unit S_ <br /> 9• — _ ❑ unit <br /> 10. <br /> Specific Date Range of information Pequested:From q 6 to e <br /> f <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NOEROROUND TANK(UST)CLEANUP SITr(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICLE <br /> rgER CLEANUP SITE(NON-LOP) n FOOD FACILITY 13 WASTE TIRE <br /> �/ NOCRGROVND TANK(MONITORINGJREMOMAL) ❑DOD KENNEL ❑DAIRY <br /> ta-HAZAR000e WASTE GENERATOR ❑CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br /> 'L7 TIERED PERMITTED FACILITY M MOTELIHOTEL O PUMPER TkucrJYARD/CHEM TOILETS <br /> 11 TATTOo1BO0Y PIERCING n POOIJSPA O LAND USB APPLICATION SRES <br /> MEDICAL WASTE FACILITY rT OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT REC.SROs ARE AVAILAULE FOR REVIEW .MOHOAY-FRIDAY 6'00 AM-S:DOPM -EXCLUDING HOLIDAYS. <br /> 1. List up t0 tan 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(2091464-0136 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 f any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The fdes 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 some:audition as released will be reorganized by EHD staff at the expense of the applicant. <br /> --- - <br /> Future file reviows,by thileanne applicant may requirea41105 deposit prior-to navlsw. --_ <br /> EHD USE ONLY <br /> EHD 48-06 8/04108 PUBLIC RECORDS RELEASE APP FORM <br />