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=F--� �Do <br />SAN JOAQUIN COON <br />3 0 2009 ENVIRONMENTAL. HEALTH DEIPA <br />600 East Main St. Stockton, CA 95202 - <br />ENVIRONMENT HEALTH Telephone: (20) 468-3420 Fax (209) 464-0138 Web: <br />PERM IT/O"ER VICES <br />El <br />I . PUBLIC RECORDS RELEASE APPLICA I T <br />APPLICANT. MATT SMALLEY <br />ADDRESS: 724 VALLEJO WAY <br />BUSINESS/AGENCY: DELTA <br />END LOG NUMBER <br />CITY/STATE/ZIP: SACRAMENTO <br />PHONE (1): 916 446 3803 DRONE (2): <br />TENTAT/VE*APPOINTMENTDATE: FACSIMILE: 916 638 8385 <br />(Please allow 10 business days from date of application submittal . • Time: <br />PenraflVe only .must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - s11 EE (C H OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE <br />Electronic Information: 0 List [j Map — Description: <br />Street � <br />1jk <br />6iao- <br />1617 <br />3212 <br />Street Name City <br />_..�_ _ <br />HWY 99 NTH _.__.....-.---.. STOCKTON _ <br />FREM0NT W STOCKTOa <br />CAI+IbORNIA ST STOCKTON <br />CAMBRIDGE DRIVE LATHROP <br />HWY 9!_S_7_ -_A) - <br />STK —�U• <br />STOCKTON <br />- _ F. <br />EHD USE ONLY <br />[� Unit 1 <br />17 Ot! El <br />Unit 2 <br />d <br />P' - <br />��s° rL� Unit <br />rl r ay. <br />0 <br />Unit 6 <br />Specific Date Range of Information Requested: From ALL to PRESENT <br />ENVIRONMENTAL WEALTH DEPARTMENT FILETS --� <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT <br />OTHER CLEANUP SITE (NON -LOP) ❑ SOLID WASTE FACILITYIVEHICLE <br />❑ FOOD E NEL ❑ WASTE TIRE ' t„ <br />® UNDERGROUND TANK (MONITORING/REMOVAL) � ❑ DOG KENNEL [� DAIRY VLA► I <br />® HAZARDOUS WASTE GENERATOR CHICKEN RANCW <br />TIERED PERMITTED FACILfTY pe, ❑ MOTELIHOTEL 0 WASTEWATER TREATMENT PLANT <br />[� TATTOO-MODY PIERCING[:1A 11 PUMPER TRUCKIYARDICHEMICAL TOILETS <br />MEDICAL WASTE FACILITY ❑ OTHER OTHER (PLEASE SPECIFY) LAND USE APPLICATION SITES <br />Q <br />WELL AND SE P'hc 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($) of files from the list above b checking the appropriate <br />box(es). At least one file type MUST be selected. FaX to y Indicatede.Addr <br />ranges will not be accepted - for additional assistanc�QThe addresses, contact heaEHD.Irlesgppllcationsreceiv d afters <br />3:00 pm VAI1 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 tiles 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 fife 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 $115 deposit prior to review. <br />5. If you need further assistance, please contact Diane Martinez, at (209) 468-3425. <br />