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U5/1J/ZUU8 14:48 PAA 415 882 9 61 URS CORP-221 MAIN ST. Z001/001 <br /> '1111iiW 14U U EHD LOG NUMBER <br /> U <br /> U l`�-�\�L / SAN JOAQUIN COUNTY <br /> AUG 1 3 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMENT HEALTH Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ d <br /> pFQ�R�T/SEr�VnTEc (P%r <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: &S ukw S BUSINESS/AGENCY: _LA "L <br /> ADDRESS: X127( AAA uy `S-1 . Stw� �� y- City/State/Zip 'GAN f]2�kltfG'C>;QIr�C}�y <br /> PHONE(1): 4�� �, V?,q PHONE(2): qr\ �jS7- 3 x,33 FACSIMILE: 'V L. !Z4/ <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-`Tentative only-must be confirmed) <br /> 1:3 CHECK BOX TO EXPEDITE REQUEST_- 105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -- "` DATE JO <br /> Electronic Information: ❑List❑Map—Description: • <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> Unit 1 <br /> T <br /> nit 2 <br /> i. <br /> 3. I _ <br /> 4 — - <br /> /Poll 3 <br /> 5. - <br /> - Unit 4 <br /> 6. ; <br /> 7. <br /> —f— ❑ Unit 5 <br /> 8. <br /> 10. � unit s <br /> Specific Date Range of Information Requested:From to I�YLII <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ; <br /> NDEItGROUNDTANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT OLID WASTE FACILITY/VEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL AIRY <br /> � <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 6 TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKIYARD/CHEM TOILETS <br /> 1������7T''''''ATTCO/BODY PIERCING POOL/SPA LAND USE APPLICATION SITES <br /> EDICAL WASTE FACILITY 17 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 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 /> boxies). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address Indicated above. Address <br /> ranc;es 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 be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A fil,: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 /> FutL:re file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-C6 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />