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DATE RECEIVED "-w EHD LOG NUMBER <br /> mc) �� ���E'F: � SAN .10AQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> MAY 0 8 2008 Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org <br /> ENV.IR01\1s1ENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: rUCe D. M. Prescott BUSINESS/AGENCY: Trump,Alioto,Trump&Prescott,LL <br /> ADDRESS: 2201 Walnut Avenue,Suite 200, Fremont,CA 94538 <br /> PHONE(1): 510-790-0900 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: May 19,2008 Time: <br /> (Please allow ten business days from date of application submittal-*Tentative only-must be confirm��((�� <br /> ® CHECK BOX TO EXPEDITE REQU )98.00 FE (C SH OR C ttbY)-REQUEST PROCESSED IN THREBB'Jd91NE p4Y.& <br /> SIGNATURE OF APPLICANT DATE Ma)j7,700R• <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 1022 E. Frontage Road Ripon <br /> 2. &Un't2 <br /> 3. <br /> 4, it <br /> 5. A AV <br /> g <br /> 7. � <br /> 8, G ❑Unit 5 <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IR UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILtTYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑WASTE TIRE <br /> E0 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL 13 PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) Compliance <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE 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(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 EHD 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 /> EHD 48-06 10/29107 PUBLIC RECORDS RELEASE APP FORM <br />