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03/16/2007 15:10 FAX U002 <br /> R I EHD LOG NUMBER <br /> ID SAN JOAQUIN COUNTY <br /> U 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 1 6 2007 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> ElvVl«OW41CN I fiLAU I I <br /> LTelephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd L004 1 <br /> PE. M1,T/S PIR PUBLIC RECORDS RELEASE APPLICATION <br /> D <br /> APPLICANT: Nick BUSINESS/AGENCY; WnllGc z-Kw�n� i A�,SoGia�cS <br /> ADDRESS: 3yI0 0.4 A 56ck6y, }cA 1521q <br /> PHONE(1):(ioc,) 73 4-77ZZ PHONE(2): (2-0 1) 23q--7-77-7 (�X) FAe5W1_t£: <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 EXPEDITERE T• 00 FEE(CAS OR EC ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ' , 4f_iz -- DATE 3/1&/07 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ unit 1 <br /> �. g5i5 WpI-"la� <br /> 2. �j�'1 pc f. joo ❑ Unit <br /> 3. '4007 1oo Rd E <br /> 4. loo Pi LAZ <br /> Unita <br /> 5. 755 acgww <br /> 6. 1905 N r (&c, Q,,,t� Unit4 <br /> d <br /> 7. 00 ela TDI l 1�01 �JT� h ❑ Unit 5- <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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(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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 9/1312006 <br />