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DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ��V ENVIRONWNTAL HEALTH DE1PA)RTMENT <br /> 304 East Weber Avenue 3rd Floor Stockton,o kton, CA 95202-2708 <br /> MAR 1 3 2007 Teleplione: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd /Z$ 153 <br /> r <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AP I NTS:" 7J�d;Rh@IIeV SUSINESSIAGENcY: O.Aarferson 6 A_gSQciatps Inc. <br /> ADDRESS: 90Industrial Wu.nodi CAI 95240 <br /> PHONE(1): 209-367-370 PHONE(2): FACSIMILE: 209-369-4228 <br /> TENTATIVE*APPOINTMENT DATE: Marsch 27. 2006 _Tom;-2-.100aa <br /> m <br /> (Please allow 10 himinoss days from data of application submittal-"Tentstivc only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUE -$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE March 43 2006 <br /> UNIT DISTRIBUTION 13 Unit 1 0 Unit 2 ❑unit 3 ❑Unit 4 C3Unft 5 ❑ Unit s 4 Other(eloctronic/ilsts/maps) <br /> FILE ADDRM <br /> street street Name city EHD USE O LY <br /> 1. 800 N.Shaw Road Stockton <br /> 2. 1265 N.Shaw Road Stockton <br /> S• 2 N.Shaw tZoad Stvckto_n f <br /> '4• N.Shaw cad Stockton <br /> 7. 1 <br /> 8. J <br /> 9. <br /> 10. <br /> Specifle Date Flange of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Cl UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Ca HOUSING ABATEMENT ❑SOLID WASTE FACILrTY/VEHICLE <br /> El OTHER CLEANUP SITE(NoN-LOP) ❑FOOD FACD-m ❑WASTE TIRE <br /> 0 UNDERGROUND TANK(AkwaORINC/REMOVAL) ❑DOG KENNEL ❑bAIRY <br /> ®HAzARnous WASTE GENERATOR ❑CHICKEN RANCH ❑WAMWATER TREATMENT PLANT <br /> 0 TIERED PERMrrmo FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA C3LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FAciuTY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONnAY-FRIDAY 8:00 Alp-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to tern addresses In the space above. Select the type(s)of flies from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> r; <br /> EH0 48-OG <br /> vi/08 <br />