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04/18/2013 21 :44 FAX <br /> Lj U <br /> DATE RECEIVED F-HE)LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> L L, LL;LIU,) ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, P Floor, Stockton, CA 95202-270 C1 <br /> 2007 Telephone;(209)468-3420 Fax, (209)464-0138 Web:www.sjgov. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:-: <br /> I &V VM iA BUSINESSIAGENCY:t4n4rL­ r:Af I La <br /> ADDRESS: tk:t- t�,a A Ll 01!cl <br /> r-A'j--s q F. <br /> PMONE(1), all <br /> C%n 4 t PHONE(2). ' LF <br /> TENTATIVE*APPOINTMENT DATE: j 12$_&1d: Time: 106t> <br /> (Pluaaa allow 10 business days from da id of application submittal-'Tentptiva only-must be confIrIned) <br /> E3 CHECK BOX TO EXPEDITE REQUEST ;"5.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT L DATE S-111 1,0- <br /> 7 <br /> Electronic Information: Cj List Map—Description: <br /> FILE ADDRESS EHD US I-ONLY <br /> CiFy— <br /> street* $treat Name <br /> I. <br /> .F2 I _ I T4 El Unit I <br /> I. _ 11AISL_ tp�A�0 11-fl- C_j+. .._7rC .. - .- 15 0 (0 <br /> 2. units <br /> 3. q 1;+ <br /> Unit 3 <br /> 11-61 4. il br-1 <br /> y. J- 0. <br /> ❑ unit S <br /> 8. <br /> 9. nit 6 <br /> 10, <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1d UNDERCAouNa TANK(UST)CLEANUP 91112-(LOP) C3 HOUSING ABATEMENT 'd WLFD WASTE FAC1LrrwvFHtcLE <br /> 19 C),Mcft CLEANUP SITE(NON-LOP) 0 F000 FAciLrry 0 WASTE TIRE <br /> Of UNDERGROUND TANK(M0NIT6R1NG/REMaVAL) C3 D0r,KENNEL In DAIRY <br /> 14 HAZARDOUS WAST9 GENERATOR 0 CHICKEN OtANCH Cl WASTEWATER TREATMENT PLANT <br /> 14 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL 0 PUMPER TRucKIYAftofc"Em TOILETS <br /> C3 TATTOWBO13Y PIER01NO El POUMPAM LAND USE APPLK:ATK)N SITES <br /> 0 MEDICAL WAsrF FACILITY 0 OTHER(PL&A62 SPECIFY) <br /> WELL AND SEPTIC PERM"ftC,01106 ARE AVAILAEU POR REVIEW MONDAY-FRIDAY 8.'00 AW-6:00PM - EXCLUDING HOLIDAYS. <br /> 1. LM up to ton addresses In the Space above. Select tne type(s)of files from the list o4ove by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or Mqll to the address Indicated above. Address <br /> ranges Y411 not be accepted—for additional assistance with file addresses,contact the 040.Applications recelved after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHO will notify the applicant If any EHD files exist An appointment for review will be confItTried approximately ton(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 accordingity. <br /> 3. A file that Is actively being worked an by EHD staff may not be immediately available for review. A now application may be <br /> submitted when the Me 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 S1115.00 deposit prior to rovIew. <br /> EHD USF_ONLY <br />