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89�'ET1'trt d EHD LOG NUMBER H11 H-4V.t.€0NN0 .1 NA SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT clan G 9 ddv 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd A % M= PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Mikesonke ADDRESS: 1117 Lone Palm Avenue Suite 201 PHONE (1): (209)579-2221 BUSINESS/AGENCY: CardnoATC PHONE (2): (209) 356-5018 TENTATIVE* APPOINTMENT DATE: MondayMay6,2013 (Please allow 10 business days -from date of applicatio ❑ CHECK BOX TO EXPEDITE SIGNATURE OF APPLICANT su CITYISTATEIZIP: Modesto, CA 95351 FACSIMILE: (209) 579-2225 Time: 10:00am only - must be confirmed) Y) - REQUEST PROCESSED IN 3 BUSINESS DAYS DATE April 22,2013 I Electronic Information: ❑ List ❑ Map — Description: I FILE ADDRESS I EHD USE ONLY Specific Date Range of Information Requested: From Present 0 ENVIRONMENTAL HEALTH DEPARTMENT FILES On UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITY EHICLE Q OTHER CLEANUP SITE (NON -LOP) [:1 HOUSING ABATEMENT WASTE TIRE Q UNDERGROUND TANK (MONITORINGIREMOVAL) 4& ❑ FOOD FACILITY ❑ DAIRY ❑ ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT i LANT W HAZARDOUS WASTEIHAZARDO S MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICALTOILETS Q TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ TATTOO/BODY PIERCING Q COMPLAINT/RESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) 1. List un to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed- approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. ***BOXED AREA- EHD USE ONLY*** 11F.001 O4= { X ��►t�Fli]irC-'Tr►7i�Yf1C�l=i��:.i��yrno�:r:ti-�^�:�F�- F il♦� J' 1 } Street # Street Name City El Unit 1 714 N. Hunter N. Hunter Stockton Stockton o j j JNp[Q unite 2. 715 3. 804 N. Hunter Aj 17 N. Hunter f Stockton Stockton I vita 4. 819 5. 706 N. EI Dorado N. EI Dorado Stockton Stockton j it4 6. 713 7. 8. 725 804 N. EI Dorado N. EI Dorado Stockton Stockton% 'f J -t I a it 5 9. 212 W. Poplar Stockton NOU�+'l: 3 UOt>Ali� ❑ Unit 6 10. Specific Date Range of Information Requested: From Present 0 ENVIRONMENTAL HEALTH DEPARTMENT FILES On UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITY EHICLE Q OTHER CLEANUP SITE (NON -LOP) [:1 HOUSING ABATEMENT WASTE TIRE Q UNDERGROUND TANK (MONITORINGIREMOVAL) 4& ❑ FOOD FACILITY ❑ DAIRY ❑ ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT i LANT W HAZARDOUS WASTEIHAZARDO S MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICALTOILETS Q TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ TATTOO/BODY PIERCING Q COMPLAINT/RESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) 1. List un to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed- approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. ***BOXED AREA- EHD USE ONLY*** 11F.001 O4= { X ��►t�Fli]irC-'Tr►7i�Yf1C�l=i��:.i��yrno�:r:ti-�^�:�F�- F il♦� J' 1 }