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�12/17/2007'-, 15:23 20972Q 76 APERIO INC PAGE 01/01 <br /> DATE RECEIVED EHD LOG NUMBER <br /> �� SAN JO.A.QUIN COUNTY <br /> ENVIRONMENTAL HEA.LTu DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 'Telephone: (209)468-3420 Fax: (209)464-0138 Web: «ivw.s_jgo�'.or h /j �b <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ;�:. Ince Y��i�IS BUSINESSIAGENCY: �DOL i C J f\8 <br /> ADDRESS:(/ 4`iZ �.. ��1Gi11y.ICc.1 Mt.lJoj u4s, l R A X15 ZW 7 <br /> PHONE(1)_12C q)-7 IS, 156'15 PHONE(2): FACSIMILE:(,LZ.Qr�G o -56A? <br /> ? <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-•Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST.$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT f ) .`I�t�(� DATE Z ` I Z - 03 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Namo City �Nr ❑ Unit 1 <br /> 1' 25 S. v�fo'•� �r. I(yN&v)teC61 —_ rib bv <br /> A)K © Unit 2 <br /> h !� 3, <br /> 4 Unit 3 <br /> 5. a,� \ <br /> \" Unit 4 ,v <br /> fi. <br /> �' ❑ Unit 5 <br /> 8. <br /> 9• ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES (( <br /> UNDRRGROUND TANK(UST)CLEANUP SITE(LOP) U HOUSING ABATEMENT 13 SOLID WASTE FACILITYIVEHICLE Z <br /> OTHER CLEANUP SITE(NON-LOP) 0 FDoo FACILITY ❑WASTE TIRE G.I� Z IZ(,-(07 <br /> UNDEROROUND TANK(MONITORINGIREMOVAL)•/ 0 DOG KENNEL ❑DAIRY J <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 17 TIERED PERMITTED FACILITY O MOTEUHOTEL 10 PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATToo/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITE$ <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 AM-5:00PM -EXCLUDING HOLIDAYS- <br /> 7. List up to ten addresses In the space above. Select the type(s)of files from the list above by shacking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)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 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 /> EH 4 7 <br />