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06/15/2007 09:13 4157774874 AGS INC PAGE 01/01 <br /> E!F�,�J'�' �i �D <br /> `I <br /> y✓ I� i11 <br /> DATE RECD` —' EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 5 2007 ENVIRONMENTAL HEALTH DuPARTIV ENT <br /> E�d�';t�i f�fE9Ei`�T jaE���y 600 E. Main Street, Stockton., CA 95202-3029 <br /> oFnfti��T��i=F�ii1EAL Telephone: (209)468-3420 Fax: (209)464-0138 Web: www_jgov.o41ellid <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: y012 BUSINESS/AGENCY: A 6—S <br /> ADDRESS: o S'' SCOaa CAd <br /> PHONE(1)= s PHONE(2)= FACSIMILE: <br /> TENTATIVE'APPOINTMEN DATE: Time: <br /> (Please allow 10 business days from date of application submittal-•Tonto(ivo only-mu d) <br /> CHECK BOX TO EXPEDITE RCOU -S95.O�E(CASH OR CHECK ONLY)-REQUEST INESS DAYS <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑ List EYMap--Description: n <br /> \' L <br /> FILE ADDRESS _- _ EHD USE ONLY <br /> Street Name ` City © Unit 1 <br /> - adl-- --- <br /> 2. ( ��O 5 ❑ Unit 2 <br /> 3. <br /> 4 C /IrUnit3 <br /> f5. `J-1 --- �P tNo✓T1dCJ� F �� lJnit 4 <br /> T7 <br /> ❑ Unit 5 <br /> �- <br /> s. ..�ZSS Iv IN— iI (� _�- ❑ Units <br /> 10. — <br /> Specific Date Range of Information Requested:From l S4 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT 0 SOLID WASTE FACILITY/VEHICLE <br /> 1K OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY []WASTE TIRE <br /> lK.UNDERGROUND TANK(MONITORING/REMOVAL) M DOG KENNEL ❑DAIRY <br /> ItHAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Pp TIERED PERMITTED FACILITY ❑MOTEL/HOTFL Q PUMPER TRUCK/YARD/CHEM TOILETS <br /> t0 TATTOO/BODY PIERCING =POOLISPA �LAND USE APPLICATION SITES <br /> ry M201CAL 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. Fayto(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 bo processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD flies 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$95.00 deposit prior to review. <br /> END USE ONLY <br /> E D nx•nE 9M-, .(AJ(j woo <br />