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DATE RECEIVED EhD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, 38 95202-3029 ap p <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: wvvw.sjg h <br /> ^^ 1/ <br /> PUBLIC RECORDS RELEASE APPLICATI( <br /> APPLICANT: �lCf1>RR� lzN LFD 13U5INESS/AGENCY: em GtF0 <br /> ADDRess: S 8 0 N. W4441 Aw, �a u,L <br /> y/,, CltylStatalZip I r <br /> �I _ <br /> PHONE(t): _`L.G4--^t 6SLI- GDA PHONE(21: LOQ �J�-( 2665 FACSIMILE: d.Qtp-a}9 -a69g . <br /> TENTATIVE*APPOINTMENT DATE: (Z-, a-O Time: 0_y0 <br /> (Please avow 10 business days from date a plicatlon Submittal-'Tentative only-must be confirmed) <br /> Q- CHECK 80X TO EXPEDITE REQU $705 F C HO ECk ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE '10 <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1. Y. up f, W,° - O ❑ Unit 1. <br /> 2. ) I U SfOC 40, SYY. AVe? ❑ Unit2 <br /> 3. e (�J a � . ✓ <br /> 4. 20 S C-L IdtUn flbr.- - Unite <br /> Unit 4. 1 <br /> B• 337 � f4 ❑ Unit 5 <br /> aFf ✓ <br /> 9. L US S , a� ❑ Unit6 <br /> 10. Z 3 0 -,' dt�(,44rto, I Aim. <br /> Specific Date Range of Information Requested:From 90 e(Ik 1 to Preit iLk <br /> ,,.,// ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> J'+I-UNDEROROuND TANK(UST)CLEANUP Site(LOP) O HOUSING ABATEMENY ❑SOLID WASTE FACILITY/VEHICLE <br /> 1 OTHER CLEANUP SITE(NON-LOP) 17 FOOD FACILirY Cl WASTE TIRE <br /> 14 UNDERGROUNDTANK(MONITORING/REMOVAL) O DOG KENNEL d DAIRY <br /> O_HAZARDOUE WASTE GENERATOR MCHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> C3 TIERED PERMITTEE FACILITY ❑MOTEIIHOTEL E3 PUMPERTRUCKIYARDICHEM TOILETS <br /> d TATTOO/BODY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILrr'Y 0 OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 Am.5000PM -EXCLUDING HOLIDAYS. <br /> I. 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 209 464-0130 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses.contact the END. 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 avallabie. - <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of tho applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE:ONLY <br /> EHD 46-06 6/04/00 - PUBLIC RECORDS RELEASE APPFORM <br /> L9 39Vd NOdIdO39N3 - 96LT66569Z Tb:TT 8992/L1/ZT <br />