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'I <br /> 209-234-0538 Line 1 - 6:03 05-C6-2008 1 /1 ' <br /> DATE RECEIVED . tjmd ' SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 'ECH V EDDENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street; Stockton, CA 95202-3029 <br /> MAY 0 7 2008 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www,sjgov.orgl 5q, q () u <br /> ENMONMENT HEALTH PUBLIC RECORDS.RELEASEAPPLICATION r <br /> APPLICANT: �d j? /�`�o t?¢ BUSINESSIAGENCY: <br /> ADDRESS- (� /YrQ�i� weSf c!: ,z-/et�/71`x' -Z� <br /> PHONE�)�t : Y Q �� PHONE(2): �c FACSIMI i <br /> TENTATIVE*APPOINTMENT DATE:. Ray L v; 5_©L� <br /> (Please allow ten business days from date of a plication submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$98.0 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSIN SS DAYS <br /> SIGNATURE OF APPLICANT DATE 5' 6 <br /> Electronic Information: ❑ Lis Map-Description: <br /> FILE ADDRESS . EHD USE ONLY <br /> I Street# Street-Name City ❑Unit i <br /> . 9101 r <br /> /S �/C� f �� AIC)2' © o L2e V r C <br /> 04eUnit 2. <br /> 3. <br /> 4. f <br /> I- Unit 3 <br /> 5. \ <br /> 6. nit 4' J <br /> 7. .-. <br /> $' ❑Unit 5 <br /> L10 <br /> Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK FUST)CLEANUP SITE(LOP) C3 HOUSING ABATEMENT WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP} ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> I ❑TIERED PERMITTED FACILITY C7 MOTELIHOTEL ❑,PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑ POOLISPA ^LAND USE APPLICATION SITES <br /> i ❑MEDICAL WASTE FACILITY <br /> El OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM -EXCLUDING HOLIDAYS. <br /> I. 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 above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> be processed the next business day. <br /> 2. The END will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten <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 the EHD staff may not be immediately available for review. A new application <br /> may be 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 /> Pun•s.ns: nnom7 <br /> PURI !:PrtU)Rf1C RFI FACP ACP I:nRM <br />