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------ - '--- - - _. _ _'-'---.. ----------.- -------------I ------ -------------------- - .-----------. <br /> a <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT t <br /> F 1 A ,- 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> '2`�°r, Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: HAFIZA SALEHBHAI BUSINESS/AGENCY:BOARD OF EQUALIZATION <br /> ADDRESS: 121 SPEAR STREET,SUITE 460 CITY/STATE/ZIP:SAN FRANCISCO,CA 94105-1584 <br /> PHONE(1): 415-396-9158 PHONE (2): FACSIMILE:415-356-6298 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ® CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 0E C -D L TtI"E DATE 5/6/13 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name City 'DdUnit 1 <br /> 1. 29081 W BENJAMIN HOLT STOCKTON 560 <br /> 1 <br /> 2. ❑Unit 2 <br /> 3. <br /> 4. Unit 3Vq <br /> 5. <br /> 6. ❑ Unit 4 <br /> 7. <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. 1 `ACCOUNTING <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICL / i t <br /> ❑OTHER CLEANUP SITE(NON-LOP) [:1 HOUSING ABATEMENT ❑WASTE TIRE S( Pd <br /> ❑UNDERGROUND TANKNITORING/REMOVAL ®FOOD FACILITY El DAIRY we q-0�6W _43 <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> IV <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: 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 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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> —1 a @^k� <br /> � PPV-f9 .j `�.. �e/bi!QA ry i1! i A P� <br /> o I `A <br /> 5 4` v" t <br /> ❑ Records providedIrby Staff-PPR Complete. Staff Name: zbkikbe I Alrap <br /> EHD 48-06 d Al i%AP/,r-<f. a 14112 <br />