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( T�1D EHD LOG NUMBER <br /> Il 1yL"L.-- -SAN JOAQUIN COUNTY <br /> APP 2' t 7009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMENT.HEAT-01ephone: (209) 468-3420 Fax: (209) 4640138 Web: WWW.Sjgov.oqZ95% <br /> II_RMtTlS4�VIGES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: E C� BUSINESSIAGE�NCY: F-1ySE D <br /> � 1 <br /> ADDRESS: O 1. Wt i ,[ <br /> City/Statvfzip -1"�1� cow <br /> PHONE(1): ZD � `t —4(0(A �_ PHONE(2): 246_ Z�I - ZC4r FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE; mo rC� F–J 2ao"N Time:. �3o Ap <br /> (Pleaso allow 10 business days from date of application submittal-•Ter*tfve only-must ba confirmed) <br /> CHECK BOX TO EXPEDITE RE T-�10 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1 DATE �1 <br /> Electronic Information: Q List❑Map—Description: <br /> _ FILE ADDRESSEHn USE ONLY <br /> Street Street Name City - -.�... - <br /> © Uri it1 <br /> 0_4 ll .. ii C S7. p'__ x) F, F <br /> 2. I 2Ccr%.�..,, �� C� /� ❑ Unit2 <br /> N. <br /> C' .006 UnIt3 � <br /> ��++ <br /> .�- nit <br /> • .2 E n . Li,60 5 - <br /> aIt, G CJ UnR 5 <br /> r�019 O 616. G <br /> 9. ` <br /> -- <br /> Moir, unit� ». w._�__/���.. �- --..__.0.. ❑ Unit6 <br /> Specific Date Range of Information Requested:From Csr•ftel to r*164 C <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> LJNDERGROUND TANK(!.EST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> BOTHER CLEANUP SITE(NON-LOP) C3 FOOD FACILITY 0 WASTE TIRE <br /> XUNDERGROUND TANK(MONITORINWREMOVAL) ❑Don KENNEL M DAIRY <br /> JKHAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> d TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK(YARDICHEM TOILETS <br /> ❑TATroo1BODY PIERCING ❑POOLISPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8,00 Aw$:OOPM - ERCLUDING 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 209464-0138 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHO48-06 8104108 PUBLIC RECORDS RELEASE APP FORMA <br /> ZO/T0'd 66TO 998 SEG T G311JN0&10:)Ni 039N3 22:9T 6002-TE-WId <br />