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V41 �vvo lvn J.V;ya VRA IQ041/001 <br /> DATE RECEIVED EHD LOU NUMBER <br /> SAN a1OAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgoV.or91 <br /> SS S <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: I e, L lac K-1A a y BUSINESSIAGEEN�CY: <br /> - <br /> ADDRESS: Q /J- I(-I�� ,Ot d CQ(iYt Cir/ V # 15-(41 -70 <br /> PHONE(1): PHONEr FACSIMILE: <br /> `ErIi c TENTATIVE*APPOINTMENT DATE:�" � �S _Time: t4VL <br /> (Please allow ten business days from date of application submittal-'Tenfat/ve only-must be conytf mod) <br /> 0 CHECK 80X TO EXPEDITE REQUEST-5I9'8. ASH OR GHE Y)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �C(�.�t� — DATE - 5/2_:? /4a <br /> Electronic Information: List❑Map-Description:, f?QZ 7777,5 7,550 <br /> FILE ADDRESS _ EMD USE ONLY <br /> Street# Street Name _ City- ❑Unit I <br /> 2. 5LI _.. tl rrQG ����{ O �CO'yJv oUnit 2 <br /> 3- 3U!O " Trac Gi S <br /> Flo c. <br /> ' 4• Sp T� S >L I� �r,(.. Trq ! 4 �`-��v d2�� nd 3 <br /> s. 3 W• Gra i-rl: Lintz. toad Trot! a C D <br /> 6. 2 353 - T`GSf- 20( Trot <br /> 5(�2 nita <br /> 7. U 0 gj ru 0f L i 20 ( 7 r'9S3 a -k6303 <br /> s. 3(R0 r._�.hf (1`112, Roach Tref e7Js-,57 3Vrei 01505? OUnit5 <br /> 9- !3 `rsfs0 __ -,U/ UraK�- ;�Le, Goad 77ar 4S3Uy_ d <br /> 10, nit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p.+UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT )�I^SOUD WASTE FACILnY/vEHICLE <br /> R OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY gWASTF TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) l7 DOG KENNEL 13 DAIRY <br /> HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> C]TIERED PERMITTED FACILITY 0 MOTELIHOTEL t7 PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOOBODYPIERCING ❑POOLISPA 17 LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY C3 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 /> box(es). At least one file type MUST be selected. Eax to(209)464-0138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> 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 <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 the EHD staff may not be immediately available for review. A new application <br /> may be 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 /> END USE ONLY <br /> EHD 49.06 70129107 PUBLIC RECORDS RF.LFA9F APP Fnnu 1 <br />