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04/24/2007 08:55 530244;921 LAWRENCE ASSOCIATES PAGE 01 <br /> pATE REGEIVEo - EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street, Stockton, CA.95202-3029 <br /> Telephone. (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orW .d <br /> eo <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: USINES AGENCY: L_&w YL✓-_i 4- A SSo(Lo�S <br /> ADDRESS: 00 J <br /> — I <br /> RHONE(1):S PHONE(2): 41111 ACSIMILE- 5�D^2.Lf f—JPO Z/ <br /> TENTATIVE'APPOINTMENT DATE: 5 e; W qCieti t Zp.^- <br /> m <br /> (Please allow t0 business days frodate of appl cation sub » e my-must be Confirmed) <br /> CHECK BOX TO EXPEDITE REQ ST-$95. CASH O REQUEST PROCESSED IN 3 BUSINESS DAYS "waa-b(C <br /> SIGNATURE OF APPLICANT 14, DATE 4/�l� <br /> Electronic Information: ❑Lis 10Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street IF -tStreet Name city 0 Unit t <br /> 1. f p 9 c-Qt �6Crti N: F,F C <br /> 2. ! 0 $K 2 n ,. i XUnn 2 �) <br /> 3. OSorJ " 3 "� V <br /> 4. Ja-77A0 r .� u <br /> uea <br /> s. jal]�(,? r- <br /> 6. g 50 4 irrunit 4 <br /> 7. t, <br /> 0 unit s <br /> 8. <br /> 9. '� t1 <br /> �� �- � 50 Unit6 <br /> _. <br /> 10. . . N jo. t . -- ^Jr�-f C CSC• <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,QUNUERGROUNo TANK(UST)CLEANUP SUE(LOP) ❑HOUSING AOATEMENT P SOLID WASTE FACILITYNEHICLE <br /> THER CLEANUP SRE(NON• -OP) O FOOD FACILITY �W�,ASTE TRE <br /> ZeUNDERGROUND TANK(MONITORINOIREMOVAL) ODOG KENNEL Zry .RJRY <br /> ,/HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH .ta'WASTEWATER TREATMENT PLANT <br /> J�TIERED PERMITTED FACILITY ❑MOTmJHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> D TATToolUooY PIERCING ❑PoWSPA (T�� � 0 LAND SE�P POCATION SUEs <br /> MEDICAL WASTE FACILITY �I OTHIFR(PLEASE SPECIFY) G{11" of- �ACJn�Sc_ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AMS: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. Fax to 1208)484-0138 or mail 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 If any EHD files exist. An appointment for review will be confirmed approximately tan(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$95-00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD45-00 D/13/26M <br />