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VIA <br />FROM ERAS E—i ronm¢ntai, Inc. g <WE0>O0T 7 2000 74:02/ST.74:07/H0.7SO00008eS P 7 <br />DATE RE E EHD LOG NUMBER <br />SAN 7JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />OCT ®"� 200q 600 East Main St. Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvww.sjgov.Orgle <br />ENVIRONMENT <br />%nnrHEALTH PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: mj,) FUJSINESS/AGENCY:�G Com= �'1 Y/� I <br />-on M'ejK <br />ADDRESS: i 33 /STATE/ZIP: <br />PHONE(1): x,36—a1agyQ PHONE (2): FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: 16 Time: <br />(Please allow 10 business daVka,ys from date of ap li ation submittal -' Vn,must be confirmed) <br />CHECK BOX TO EXPEDITE REQUEST - 115 (C H OR CHECK ONLY) - REQ SCESSED IN 3 BUSINESS DAYS <br />SIGNA URE OF APPLICANT DATE /0-7-01 <br />Description:Electronic Information: E) List E] Map — <br />Dr -Eli MT 4; EHO USE ONLY <br />■ <br />rmw� <br />� ►�. <br />(Tr�►'�'yvff► <br />r <br />A <br />se <br />r <br />rt <br />f.: <br />-����.. <br />#fid ,....: . <br />'.,... •�,;. I <br />Speck Date Range of Information Requested: From PeU to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />NDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br />HER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br />UNDERGROUND TANK (MONrrORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br />i� HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />❑ TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK/YARDICHEMICAL TOILETS <br />❑ TATTOOISODY PIERCING ❑ POOLISPA ❑ LAND 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-6:00PM (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) 4640138 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 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 $115 deposit prior to review. <br />5. If you need further assistance, please contact Diane Martinez, at (209) 468-3425. <br />EHD USE ONLY <br />