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'CIE U SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 7 20001 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: WWW.sJgOV.Ogd <br /> EN41iRUlull/lir jr,i fi PUBLIC RECORDS RELEASE APPLICATION ((( <br /> [�FRf�?lil FRb'ICFS <br /> APPLICANT:C�fr �r�.„, BUSINESS/AGENCY: y�-, <br /> ADDRESS: L13L� laf�C ; Ave CITY/STATEIZIP: <br /> PHONE(1): 9)6 tigo 04-13 PHONE(2): FACSIMILE: 116 qrl? o5 <br /> TENTATIVE”APPOINTMENT DATE: SAA 94 <br /> Time:,„, 4 �p��a ror <br /> (Please allow 10 business days from data of application submittal-•Tonfaltve only.must be oonfirmodY <br /> ❑CHECK BOX TO EXPEDITE RE EST-$ 5 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE, a] OR <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street a Street Name city 0 unlit <br /> 1 coptP AAs, Ave— rZ14. <br /> 2, Jg Cp e-15 <br /> 3 \ <br /> a. n113 <br /> S. IN <br /> S. <br /> _ nlf4 <br /> 7. <br /> e• ❑Unit' <br /> 10. nh s <br /> Specific Date Range of Information Requested: From to 1*4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ���/// <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [j HOUSING ABATEMENT SOLID WASTE FACIUTYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY WASTE TIRE <br /> NDERGROuim TANK(NIONITORINGIREMOVAL) ❑DOG KERNEL kDAIRY <br /> AZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL MPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA NO 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-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List u0 to ten addresses In the apace above. Select the type(s)of filas from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091454-0138 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}Iles exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold 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 END 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 END staff at the expense of the applicant. <br /> Future flis reviews by the same applicant may require a$116 deposit prior to review. <br /> S. H you need further assistance,please contact Diane Martinez,at(209)46"428. <br /> mouseoN y <br /> EHD 4946 f/2loa <br /> L00/100iA XU] LZ 60 600Z/LZ/01 <br />