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Mar. 5, 200E <br /> j�"2:39PM Advanced Gec,Environmental N6. 7828 P. 1 <br /> Lc1 D EHD I n(NUMBER <br /> SAN JOAQUIN COUNTY <br /> MNR 0 6 2007 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 fast Weber Avenue, 34 Floor, Stockton, CA 95 202-270 8 <br /> EN1jlR0sd1jLv1,cJJ HEAD `Telephone:(209)468.3420 Fax':(209)464-0138 Web: www.sjgov.org/ehd <br /> PERMITISELRVIGES <br /> PUBLIC RECORDS RELEASE APPLICATION 27yV9 <br /> APPLICANT: rSSUSIHES$IAGENCY; Q Ult!bf1 <br /> ADDREW. 10 s Q C 9) 1i1 <br /> PHONE(1): '?0` z' l a o(o PHONE(2): d * -a+1 _FAC$IMII.E:4�(J7�u7�f/�1 <br /> TENTATIVE*APPOINTMENT DATE: RS w Time. l <br /> (Please allow 10 business from date of application submittal-•TenWve only-must be c nflrmed) <br /> CHECK BOX TO EXPEDITER UE$T-595.00 FEE(CASH CHEG NLl()-R q EST PROCESSED 1N S SUP ESS DAYS <br /> 510 TURF Of=APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map--Description: <br /> FILE ADDRESS E `JSE ONLY <br /> street 9 Street Name City Unit 1 <br /> 01 <br /> 1. irt+ <br /> s. C 3 its ' unit Y <br /> Kit <br /> low4. O W Unl1 S <br /> (3. <br /> ell llnrt f4 <br /> 7. ❑ UnN 5 <br /> g ❑ Unit 6 <br /> 1 I}. <br /> Specific Date Range of Information Requested:From to <br /> ,J ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> � <br /> y)�g(UNDERGROUND TANK(IJ$Ty CLEANUP SITE(LOP) 0 HOUSING ABATEMENT I�SOLID WASTE FACILITY1WHICLE. <br /> OTHER CLEANUP SITE(NON-LOP) n FOOD FACILITY d WAST9 TIRE <br /> jIA UNDERGROUND TANK(MONiTOSUNGIREMOVAL) d DOC KENNEL ❑DAIRY <br /> 49 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WA$TfWATERTREATMENT PLANT <br /> TIERED PERMITTED FACIuTY ❑MOTELIHOTEL PUMPER TRUCK/YAROIGHEM TOILETS <br /> ❑TATT461BODY PIERCING ❑PDDUSPA LAND USE APPLICATION SITES <br /> ❑MEDICALWASYEFACILIYY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6:00 AM-5:00PM • Exci-u iia HouDAYs. <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 ibove. Address <br /> ranges wlli not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:04 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 aotivoly 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 carne condition as r+aieased will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> EfID 19-06 9!13/1008 <br />