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;915 679 2422 <br /> nD ( I� <br /> If�1 LLIFIT:� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0C 1 2 i 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/eh <br /> ENVIRONMENT HEALTH <br /> 3 j( 7 t <br /> PER NinTIJLRVI PES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: SCS// j9UGI.J <br /> e� �- —I � BUSINESSIAGE/N�C�Ye: <br /> ADDRESS: �`10 (,pri-EpA-LI irm-k ()o �,� `— CitylSrate2ip St'rvi hf7"%O� q.('d,, -? <br /> PHONE(1): C06-901-do1 PHONE(2): ar�1-�i79`L?7.d <br /> p FACSIMILE: ���-G`�j-270Q <br /> TENTATIVE*APPOINTMENT DATE�St�'t 7T^� Tlme: <br /> (Please allow 10 business days from date of application submittal-•Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE 5106 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE toL2_4locr <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Name city <br /> 2. ')-48 b, �.o(1 f3 E' J� M olcc V5l] ❑ Unit2 <br /> 3. <br /> 4. �'Q f1 V_ M Unita <br /> 5. 1 V OF " L A QNvi <br /> 6. `11.5' G . (/f.j (/4', Unk4 <br /> 7. <br /> 6. \ <br /> 9. <br /> 10. ❑ unit 6 13 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> &UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILTTYNEHICLE <br /> VtOTHER CLEANUP SITE(NON-LOP) 0FOOD FACILITY 1:1 WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 13 DOG KENNEL L3 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELIHOTEL LT PUMPER TRUCKIYAROICHEM TOILETS <br /> O TATTOOIBODY PIERCING 13POOLISPA El LAND USE APPLICATION SITES <br /> E3 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-5:00P61 -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(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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 46.06 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />