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l� <br /> t1 E' SAN JOAQUIN COUNTY EHD LOG NM9ER <br /> J <br /> 20110 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> E ffP,0W10ENT HEALT14ephone: (209)468-3420 Fax. (209)464-0138 Web: www.sjgov.org eh0 <br /> rWNRMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:C6f%11 BUSINESS/AGENCY-_L-j, 5 v:us <br /> ADDRESS: '�Lj 7s I ':A, S�'!.' - CIT YISTATFIZIPCA <br /> PHONE(1): PHONE(2): FACSIMILE:1 4'D-b <br /> TENTATIVE, APPOINTMENT DATE: 4111 it) lime:Watt- iW.0_02r. <br /> (Plamw allow 10 buslnesn days from dabs of application submittel."Tenraftm only-must he confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE VEST-$115 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN.3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE - <br /> Electronic Information: El List❑ Map—Description: <br /> Bond <br /> FILE ADDRESS EHD USE ONLY <br /> Sheet a Street Name City E3 unit 1 <br /> qs <br /> 04 <br /> 2. trs .r,w AVG _ ❑Unit 2 <br /> 3. SS. - t1 <br /> 4_ <br /> 6. _ nit 4 <br /> 7. <br /> ©Unit 5 <br /> 8. <br /> El <br /> 1 t} <br /> unit 6 <br /> Spac;c Data Ranpa of Information Requaatad: From to <br /> ENVIRONMENTAL HEALTH DF-PARTMENT FILE$ <br /> ,UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> ER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MoNrTORINGIREMOVAL) L1DOG KENNEL F-1DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MoTELIHOTEL ❑PUMPER TRUCKfY_ARDICHEMICAL TOILETS <br /> ❑ <br /> ❑TATTOOMODY PIERCING EIPOOLISPA MEDICAI.WASTE FAcii rry ❑OTHER{PLEASE SP£C1FY) ❑LAND Il$r APPLICATION SITES <br /> WELL AND SEPTIC PERMrr RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAY5 <br /> 1. List ue to ten addresses In the space above. Select the typo(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fan to(20914U-o'138 or mall to the address indicated abg53L 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 appolntrnont for review will be confirmed approximately ten(10) <br /> days offer receipt of application. The flies will be held for a maximum of five busing$$days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A fife 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> END WE ONLY <br /> EHD�9.Oe <br /> L00/L00f XVj L0:130 01OZ/9Z/E.0 <br />