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` F _ N <br /> 'RECc;I /ED �. EHD;LOG 1.NU R <br /> SAN JOAQUIN COUNTY Y' <br /> FEg 10 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRCNMENTALHTWOhone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> FEBMITISERVICES 0 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: -�i.Q �tI� Cl_&'&. BUSINESS/AGENCY: A\, <br /> ADDRESS: P D aLkq CITYISTATE/ZIP: <br /> PHONE (1): 10.17 (oO&— 09q9- PHONE (2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE EST-$125 F (CAS OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATUREOFAPPLICANT DDATE <br /> 1 i Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ' <br /> �+ (] Unit 1 <br /> S. unifisj <br /> / *� rr ff <br /> 2. ( ��v5 o `'i Unit 2 Y�(07 <br /> OF PRESIDENT OF STEPHEN R.CLARK El Unit 3 <br /> APPRAISER&CONSULTANT,INC. <br /> STEPHEN R. CLARK • MAI <br /> El Unit 4 <br /> (209) 932-0700 c - <br /> J <br /> (] Unit 5 <br /> P.O.Box 1844 Fax:(209)467-3518 <br /> Stockton,CA 95201 Email:sclark@westonrancluealty.com � <br /> ®Unit 6 <br /> 1� to <br /> ENVIRONMEN AL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) EDICAL WASTE FACILITY OLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) OUSING ABATEMENT [ ASTE TIRE <br /> ANDERGROUND TANK(MONITORINGIREMOVAL) COD FACILITY AIRY 2 <br /> BOVEGROUND TANK Q CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> tATTOOIBODY <br /> AZARDOUSWASTEIHAZARDOUSMATERIALS [� OTELIHOTEL [� PER TRUCKIYARDICHEMICALTOILETS <br /> IERED PERMITTED FACILITY [ POOLISPA �ND USE APPLICATION SITES <br /> PIERCING [VCOMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00 PM(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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> 1\4 v e 11 <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 9/4/12 <br />