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01/09/2008 815:01 2093345374 WGR SOUTHWEST NOCAL PAGE 01/01 <br /> DA ��EC-'it l,i;� r'f EHD LOG NUM9ER <br /> � 1 _���I,�,I 'v hU SAN JOAQUINCOUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JA I Q 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:wwwsjgov.or <br /> pRr�giTiFRVp10EJg 7 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_V-`1- 11- S �'e.(-4JQ BUSINESS/AGENCY: CJ Cti(? '7C�T(--I L1J'25 r" <br /> ADDRESS: ��nnl w � 5,2eer Ut'Tc L-DD� C 1J <br /> PHONE(1):a09_ 3-51.1 - 5363 PHONE(2):�l�or0.�7 ?,7(' (o �FACSIMILE:ZOc{ �7'a 'J 37-I <br /> TENTATIVE*APPOINTMENT DATE: � a-p ��CJQ�{ Time: �� /aYYI <br /> (Please g0ow 10 business days from data Gf applicatlon submittal-*Taolptl a only.must be confirmed) <br /> 17 CHECK BOX TO EXPEDITE REQU ST-$90.N FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SINESDAYS <br /> SIGNATURE OF APPLICANT DATE / D <br /> Electronic Information: ❑ List[7 Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street p Street Name - Cny <br /> URIt 1 <br /> 1. 515 ay.. <br /> 2. S505 <br /> � �vT+ 9 �G �t7Y7 "��L"l- ❑ Unit2 <br /> 3. 3LOO <br /> 4. 05 w . <br /> 5. <br /> 6. <br /> 7. — <br /> 8. ❑ units <br /> 9. <br /> 10. Unit 6 <br /> Specific Dale Range of Information Requested:From .�1...-(. to <br /> -- // ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4)NDEROROUND TANK(UST)CLEANUP Sur(LOP) ❑HOUSING ABATEMENT �£pUD WASTE FACILITYNEHICLE <br /> �THER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY WASTE TIRE <br /> i1N0ERGROUNO TANK(MONRORINO/REMOVALI MDOG KENNEL I7 DAIRY <br /> HAZARDOUS WAsm GENERATOR ❑CHICkEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> rJ M TIERED PERMITTED FACILITY CI MOTEL/HOTEL t7 PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOO18ODY PIERCING 0 PODUSPA <br /> 0 ❑LAND USE APPLICATION SIrEa <br /> MEDICAL WASTE FACILITY E3 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAaLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-5:00PM -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(208)464-013a Dr ail to the add as Indic ed above <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received afterAddress <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 conflnned 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 EHb staff may not be Immediately avallable for review. A new application may be <br /> submitted when the Ne 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 /> END'e.ao wee orerzooi <br />