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"'`D red 2098327428 _ <br /> 03/13/2009 FRI _ <br /> 9: 36 _-F&X-2-0:9;✓3433-SJC eHH <br /> 2ID-02/0o2 <br /> 9ATE RE y <br /> G;EL� LMu�;lL;lD SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MARENVIRONMENTAL HEALTH DEPARTMENT <br /> nJ 2009 600 East Main Street, Stockton, CA 95202-3029 / /� Z <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web; www;sjgol�'D}) hd/ <br /> P� "/ v PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT <br /> ADDRESS: _�O, t`l0 X I O I BUSINESSIAGENCV; �_ <br /> PHONE(1): % _ Q 2 T �(Q Q_ City/State/Zip 7 <br /> J <br /> TENTATIVE*APPOINTMENTDATE:_✓��L�i� z,� �f —��FACSIMILE:.LD 2., <br /> (Please allow 10 business days from date of applicahon su Iti tt�•OT�aftva Onl ime: O' 0 O k • _ <br /> CHECK BEDX TO EXPEDITE RE T•$105 F Y•must be confirmed) <br /> �j�j(CA HDR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ ►✓G"t_ DATE • - <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS <br /> Streetk Street Name EHD USE ONLY <br /> 1. <br /> ''i 11 City rC�. I` . -1. N• Itl v(� 0 ❑ Unit <br /> 2. <br /> 3. <br /> ❑ Unit2 <br /> 4. _ <br /> Unit 3 <br /> — <br /> 6. Unit <br /> 7.- <br /> 8. <br /> 9. <br /> 10. ❑ units <br /> Specific Date Range of Information Requested: From 4(A G 2 (,2D00 to 85 ANT <br /> �,/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT O SOLID WASTE FACILITYNEHICLE <br /> �/Wd/G-THER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> yg UNDERGROUND TANK(MONITORINGMEMOVAL) ❑DOG KENNEL ❑DAIRY <br /> )"AZAROOUS WASTE GENERATOR O CHICKEN RANCH ❑WASTEWATER TREATMENTPLANT <br /> C3 TIERED PERMITTED FACILITY O MOTELIHOTEL ❑PUMPER TRUCK/YAROICHEM TOILETS <br /> 13 TATTOO/BODY PIERCING ❑POOL/SPA M LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) It <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6:00 AM-51OOPM • EXCLUDIRO 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 /> III At least one file type MUST be selected. Fax to(2091464.0130 or mall 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 />