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Oct 08 2007 1 : 01PM Gc, gica Inc 415107-7880 P. 1 <br /> DAIE�OEIVEL7 ,- SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 0017 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 Fast Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: %vww,sjg o -hd <br /> 0 . 57fo <br /> PUBLIC RECORDS RELEASE APPLICAT;OO!XN <br /> APPLICANT: /Va •phtalllj BUISINESSIAGENCY; Cf-d16 C 4ADDRESS: q sf jA' rloi`—lnCrjc 0 <br /> PHONE(1): T-f PHONE(2): FACSIMILE:-(((r- <br /> TENTATIVE"APPOINTMENT DATE: Time; <br /> (Please 811OW 10 business days from date of application submittal-*Twist"only-must be confirmed) <br /> C CHECK BOX TO EXPEDITE REQUESTEE(0 <br /> H APH OR CHECK ONLY)-REQUEST PROCESSED IN 3 SU9INE S,%DAYS <br /> E OF APPLICANT SIGNAT R T DATE <br /> Electronic :Ion: El List ED Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> 0 Unit I <br /> Z 9L) 1 11- -2fb C <br /> 2. <br /> It <br /> —4rT4 Unit2 <br /> 3. 1650 <br /> �6 �- <br /> 4�2-L�4t7 <br /> 17 q1) 4, Pa rY �Unit 3 <br /> 6. Unit 4 <br /> 7. <br /> El Unit 5 <br /> 9. <br /> Sin As <br /> ,vawv, ❑ Unit 6 <br /> Specific Date Range of Information Requested:From /?00 to A0 C' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> '1fLLNDEROROuwD TANK(LIST)CLEANUP SITE(LOP) M HOUSaIG ABATEMENT [3 SOLID WASTE FACILITYNGNICLE <br /> C11,07HER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIRE <br /> UNDERGROUND TANK(MONITORINaIREmovAL) M DOG KENNEL 13 DAIRY <br /> §HAZARDOUS WASTE GENERATOR E3 CHICKEN RANCH D WASTEWATERTREATMENT PLANT <br /> TIEREV PERMITTED FACILrn, 171 MOTELIH07a D PUMPER TRUCKIYARWCHEU TOILETS <br /> 13 TArrD*tBoDY PIERCING 13 POOL/SPA 13 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 5:00AM-5:00IRM -EXCLUDINOHouDAYS. <br /> 1. List Up to ten addresses In the space above. Select the type(s)of files from the list Checking the appropriate <br /> box(es). At least one fits type MUST be selected. Fax to L209)46"ll 3 or mail SEE 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 END WHI notify the applicant If any EHO files exist. An appointment for review will be confirmed approximately ten(110) <br /> days after receipt Of application. The files will be hold for a maximum of rive 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. Anew application maybe <br /> submitted when the file is avalla ble. <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 /> END USE ONLY <br />