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May 1b U( 08:1(a DEM 415-707-2038 p.1 <br /> DATE REC£NED <br /> P <br /> SAN JOAQUIN COUNTY EHD LAG NUMBER <br /> Dl�E CN�P f q% j 10 ENVIRONMENTAL HEALTH DEPARTMENT <br /> a 600E Main Street, Stockton, CA 95202-3029 <br /> I 2007 Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org d <br /> F{,r.l„ ,h :,r I i I .,' PUBLIC RECORDS RELEASE APPLICATIO Z0.3 <br /> pd1PW.IF'.I, W,\ CEA)MACDANIRL <br /> ADDRESS: 3210 GOUGH STREET 78105, SAN FRANCISCO,ANCZSCO, CA 99123 BUSINESS/AGENCY: ALLWEST ENVIRONMENTAL <br /> PHONE(1): 415-240-3205 <br /> PHONE(2): FACSIMILE: c415-707-2038 <br /> TENTATIVE'APPOINTMENT DATE: J d�� <br /> (Please allow 10 business days from dale of ap Cab n submittal-•TeMadveonly must be twn0rmed) <br /> ❑ CHECK BOX TO EXPEDITE REgdES - 00 FEE(C SH CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street o street Name <br /> 18800 SPRECKELS ROAD .L.E�ry 101 Until <br /> Z. BETWEEN 32 AND 787 SPRECKELS ROAD (ODD ND.) MANTECA - ❑ Unk2 <br /> 3. <br /> 4. rrryyy ) <br /> �UnilO <br /> 5. <br /> 6. Unit 4 <br /> 7. <br /> 8. ❑ Unit 5 <br /> 9. <br /> 10. ❑ Unit 8 <br /> Specific Date Range of Information Requested: From �/ 5�� to O <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> $NDE <br /> NDERGROUND T8NK(US-0 CLEANUP$ITE(LOP) D HOUSMIG ARATEAENT D$OLIp WASTE FACILITYNEHICLE <br /> RCLEAN UPSI TENON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> RGROUND TANK INONRORING)REMOVAL) ❑DOG KENNEL D DAIRY <br /> AZARDOUSWASTEGNERATORD CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> EREDPERMITTED FAaLm 0 MOTELIHOTEL ❑PUMPERTRUCK)YARD/CHEN TOILETS <br /> D TATTOOMODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> Cl MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAELE FOR REVIEW - MONDAY-FRIOAY8:00AM-5:00PM - EXCLUNNGHOUJ ys. <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 Nle 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 rile 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 /> aRO�sos alarmos..s <br />