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From:James Robinson Fax:+1(209)740-4303 To:Environmental Health Fax: +1(209)464-0138 2 of 2 7/23/2009 4:08 <br /> DATE RECEIVED <br /> SAN .JOAQUIN COUNTY u EHD LOG NUM <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 C6 <br /> JUL = 3 2009 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e <br /> er`l'V ,�' i',i " �� I PUBLIC RECORDS RELEASE APPLICATION <br /> APPLUNT: James Robinson --_--BUSINESS/AGENCY: JR S flared Consulting, Inc. <br /> ADDRESS: PO SOX 1744 _ City/State/Zip Valles Spiins CA 9322 — <br /> PHONE(1): 209-7772-38.41 — PHONE(2): Cell - 209_642-544.5— FACSIMILE: 209-740-4303_— <br /> TENTATIVE`APPOINTMENT DATE: August 6, 2009 Time: <br /> am <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 07/23/09 <br /> Electronic Information: ❑ List❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1 1531 El Pinal DriveStockton ❑ Unit 1 <br /> 2. tOC Ori ❑ Unit 2 <br /> 3• 2801 North`'Vest Lane Stockton <br /> 4• 1624 E. AI ine Avenue L `/( StocktonUnit 3 <br /> 5. <br /> 6• nit 4 <br /> 7. <br /> 8 ❑ Unit 5 <br /> 9. <br /> 10. ❑ Unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 10 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT 11 SOLID WASTE FACILITYNEHICLE <br /> 1s1 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> XUNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑DAIRY <br /> IX HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> SSI TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> 13 TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> E2 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 /> subm itted 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 /> EHD 48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />