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04/24/2007 08:56 5362445021 LAWRENCE ASSOCIATFS PAGE 01 <br /> PATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRON14ENTAL REALTH DEPARTMENT <br /> 600 E. Main Street. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: 4- w.sJSov,0rg/ d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: USINES AGENCY: ra // 50[�Gt�Crj <br /> ADDRESS:_ �Zxo frw t o <br /> PHONE(1):5-?-zO.'.�-�{�- ]D PHONE(2): it SIMILE: 530 ^Z.L11f-SO 7� <br /> TENTATIVE'APPOINTMENT DATE: J[- 3 e;5totT�rb f ZP.n. <br /> (Please allow 10 buslness days from date of appl canon b a e a my-must he confirmed) <br /> CHECK 80X TO EXPEDITE REQ ST-595. CASH O K'- •REQUEST PROCESSED IN 3 BUSINESS DAYS GJa.tcblC, <br /> SIGNATURE OF APPLICANTVf� DATE <br /> Electronic Information: ❑ Li s Map-Description: <br /> FIL ADDRESS EHD USE ONLY <br /> Street M -,Street Name I city <br /> 11 Unit 1 <br /> 1. foq .9 r�Akta N. FV _ <br /> 2. 10 U�?r tl n s � �'1 f *47U-It 2 <br /> i <br /> 4, `a=7,0 0 r 1 /Orunit 3 <br /> 6. Unit 4 <br /> 1550 <br /> ❑ unit 5 <br /> Unit 6 <br /> —C— <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT PISOLIO WASTE FACn.R IVERICLE <br /> OTHER CLEANUP SFTE(NON-LOP) O FOOD FACILITY ;V WASTE TIRE <br /> W.UNDERGROUND TANK(MOWTORING/REMOVAL) C3 DOG KENNET. DAIRY <br /> HAZARDOUS WASTE GENERATOR El CHICKEN RANCH .2'WASTEWATER TREATMENT PLANT <br /> XTIERED PERMITTED FACILITY CI MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEM TOILETS <br /> 13 TATTOOISDDY PIERCING 171 P00OSPA (� / M LANG�J\_E,(p,PPLICgTION SITES <br /> ❑MEDICAL WASTE FACILrrY �i OTHER(PLEASE SPECTI"Y) J,lf�{fx QF- 1.L7C�A'�u__ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AMS:OOPM - EXCLUDIN4 HOLIDAYS. <br /> 1. List up t0 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(208)464-0138 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 confinned 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$95-00 deposit prior to review. <br /> LHD USE ONLY <br /> EHD40-" 9119120 woh <br />