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Nov. 4. 2008 1 :00PM "',aneed GeoEnvironmenta) No. 3523 P. 1 <br /> DATE KEULIVLU EHD wv NUMBER <br /> SAN dOAQUTN COUNTY <br /> l�(� FEID ENVIRONMENTAL HEALTH DEPARTMENT �qza<600 East Main Street, Stockton, CA 95202-3029 <br /> NOV 4 2008 Telephone: (209)468.3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIROMOENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PE, . , , .*19 t <br /> APPLICANT: 4 11y UayiFa� BUSINESS/AGENCY: tlrQ11Jq Gto� <br /> � M�t J <br /> ADDRESS: 934- <br /> SllAu, Road 3i'nck•'i`o h 015 Ps <br /> PHONE(1):,�f,q'YG ^LoOG PHONE(2): FACSIMILE: Z7,7-1/44-lite <br /> TENTATIVE"APPOINTMENT DATE: Time' <br /> e allow 10 business days fr m date of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX T EXPEDITE REQUE -$ IEE( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNA PPLICANT DATE I)^f{^g <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Sh00t# Street Name City ❑ Unit1 <br /> 1.. . 2 33 NetAtk�'��-�„rnix. <br /> F72' IUCO - rock+b No W/y ❑ Unit2 <br /> 3. .l.'Z ( N. Wi� 6rk l�l0.tl S <br /> 4. �21q tt r, tt tI oiltli� I7-/VT�. Unita <br /> # + --OA need - 1-a m k3 <br /> 8 unR a <br /> 7 <br /> - — --.. ❑ Una s <br /> 8. <br /> 9. ❑ Units <br /> 10. f`? p4) <br /> Specific Data Range of Information Requested:From Boa <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES mito 190 <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 17 SOLID WASTE FACIUrYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) E]000 KENNEL 13 DAIRY <br /> HAZARDOUS WASTE GENERATOR tX Q CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOO/BODY PIERCING 0 POOLISPA ❑LAND USE APPLICATION SITE$ <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8100 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the typ (s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 1209)464.0138 or mail to the address indicated above. Address <br /> ranges will not he 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 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 /> 1114109'PAI 1 J dltyllk -IJ5 T (f <br /> EHD43-00WEB OIa200Y <br />