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lt� `ff� ylsvi.:••e' _.... .... fJd+.'�.�A Zw•;er_.:�::.;.e.�ri'r _ &Z—m=i ..r'":d4ai�rlv."J��14"� ss$. ytfifJlfid+lda"- <br /> From:Marcus H. Bole & Associat�e 530+633+0119 10S02012 15:21 #257 P.001 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: (, &1e . BUSINESS/AGENCY: �d�t't` A5- rO,-,+ <br /> ADDRESS: ��//119IZ�K. 9) k CITY/STATE/ZIP: � (�c �Z �5 <br /> PHONE(1): � (157WaL 3 PHONE(2): ;30 63 a)1' FACSIMILE: 6-30 6 3,25 D ilel <br /> TENTATIVE'APPOINTMENT DATE: &,, C <br /> ,om a ' t je Time: Y <br /> (Please allow 10 business days from d to of application submittal-'Tentutfve only-must be confir -d) <br /> ❑CHECK BOX TO EXPEDITE REQ <br /> U $I SHO CHECK ONLY)-REQUEST PROCESSED IN 3 BUST ESS DA S l <br /> SIGNATURE OF APPLICANT DATE D oZ <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1 3 V <br /> 2. i UnH 2 <br /> 3. <br /> ^ �r <br /> 4. J5 U nSt S <br /> 00 <br /> 6. V&Z Colo Q-, F T7(QS L�fvP rt - f"nit4 <br /> 7. <br /> g El Unit 5 <br /> 9. <br /> 10. <br /> SpecMc Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> kERGRouND TANK(UST)CLEANUPSITE(LOP) ❑MEDICAL WASTE FACILITY ❑rSOOLID WASTE FAGLITY/VEHICLE <br /> LEANuP SiTE(NoN-LOP) ❑HOUSING ABATEMENT � I/ASTE TIRE <br /> WND TANK(MONiTORINGiREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> OUND TANK ❑CHICKEN RANCH/DOG KENNEL [:]WASTEWATER TREATMENT PLANT <br /> US WASTE/HAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARD/CHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SiTES <br /> ❑TATTOO/BODY PIERCING ��OMPWNT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <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 12091464-0138 or mall 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review: <br /> WR2 <br /> EHD 48-06 <br /> D,.,. ;-A Tim, )nl� P'I1PM No 1474 <br />