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3 <br />12/31/2008 12:22 <br />DATE RECEIVED <br />/U id <br />tit ANT <br />ADDRESS: <br />PHONE (1): <br />7077483171 <br />di <br />AN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj <br />PUBLIC RECORDS RELEASE APPLICAT1 e <br />PAGE 01/01 <br />EHD LOG NUMBER <br />9A/ <br />`IG cy, Y.A. Y9 1 BUSINESS/AGENCY: C'ere5 ASoGtc'tcS <br />I? r—o-ST S., T -p / $ Z.C� Z Clt /State Mp 13e.rti w-tct CA c(q 6 t Q <br />_70 Zp i7 TDT4 _ PHONE (2): Le, �FACSIMILE: 70 f �Y G <br />TENTATIVE" APPOINTMENT DATE: �uL� &9L► _MLa Tlme: A fbLPsj j 5f I eV'� <br />(Please allow 10 business days from date of applic�§R submitta "Tentative only - must be confirmed) <br />® CHECK BOX TO EXPEDITE REQUEST-$1AVR7(�ASH/OR <br />SIGNATURE~ OF APPLICANT <br />Electronic Information: ❑ List ❑ Map <br />EQUEST PROCESSED IN 3 BUSINESS DAYS <br />DATE�� S <br />FILE ADDRESS <br />EHD USE ONLY <br />r 6Z2, P ®Unit 1 <br />Street # <br />Street Name <br />City <br />1. <br />1,000G... <br />C�+o.V%Ae t <br />.__ <br />5i or—V-1-b N <br />2. <br />3. <br />Cols <br />L QncLepte.A —_ .,,.. <br />C{�Tcb/O <br />5 , <br />OE , f:{ ❑unit z <br />5 ,tib <br />4. <br />g, <br />Unit 4 <br />— <br />7. <br />8. <br />_ <br />❑ Unit 5 <br />...... <br />❑ Unit 6 <br />Specific Date Range of Information Requested: From _ Q L•4. <br />to <br />ENVIRONMENTAL, HEALTH DEPARTMENT FILES 9 [ <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) D HOUSING ABATEMENT 11 SOLID WASTE FACILITY/VEHICLE 1 <br />.OTHER CLEANUP SITE (NON -LOP) © FOOD FACILITY CI WASTE TIRE <br />� UNDERGROUND TANK (MONITORING1REMOVAL)b< Ci 000 KENNEL 0 DAIRY <br />111 HAZARDOUS WASTE GENERATOR bt ❑ CHICKEN RANGY 0 WASTEWATER TRe ATMENT PLANT <br />❑ TIERED P <br />ERMITTED FACILITY Q MOTEL/HOTEL 0 PUMPER TRUCKJYARD/CHEM TOILETS <br />® TATTOOIBODY PIERCING ❑ POOLIS13A C LAND USE APPLICATION SITES <br />O MEDICAL WASTE FACILITY M OTHER (PLEASE SPI?CIFY) <br />WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RI; KW - 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 t, the address indicated above Address <br />ranges will not be accepted — for additional assistance with file addresses, contact the EHO. 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 hold 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 />