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DATE RECEIVED 46 EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.SjgoV.org e <br /> q q -? <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_2fi¢�CUS sola- BUSINESS/AGENCY:/Y/4-'QC_6'I' A/. BaLC- .1' /►57oe_ <br /> ADDRESS: /0�/ e20C4 bt(✓L y Tt-,+>NjO� 9s Gq 2— <br /> PHONE(1):-5-50 <br /> PHONE(1):$30 633 d// PHONE(2): 530 633 01 lot e FACSIMILE: �X <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> ,,� (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) Lr! �• <br /> M CHECK BOX TO EXPEDITE R -$98.00 FEE(CASH 0 HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DA <br /> SIGNATURE OF APPLICANT i.,� </ 61L� DATE 05�/09'/2,ao 5? . ' <br /> Electronic Information: E] List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name CityElUn' 1 <br /> 1. 1z25 L.oRb 4--oDr �fS bl � �W of or <br /> 2. ❑ Unit 2 <br /> VLo � G <br /> 3. Nem <br /> 4. T <br /> T, <br /> 5. <br /> 6. Unit 4 <br /> 7. - <br /> ❑ Unit 5 <br /> 8. Moft <br /> 9. <br /> WS ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M' DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 11SOLID WASTE FACILITYIVEHICLE <br /> I <br /> Y OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑WASTE TIRE Wj' <br /> � Z <br /> 1311 El//DERGROUND TANK(MONITORING/REMOVAL) DOG KENNEL DAIRY /fi <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOO/BODY PIERCING ❑ POOLISPA O LAND USE APPLICATION SITES <br /> C3 MEDICAL WASTE FACILITY ❑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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> *** If you should need further assistance please contact Diane Martinez C? (209)468-3425 directly. Thank You*** <br /> EHD 48-06 9/14/2006 <br />