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09/15/2009 10: 23 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> EHD LOG NUMBER <br /> R M 1 � SAN JOAQUIN COUNTY <br /> lel Ei NVIRONMENTAL HEALTH]DEPARTMENT <br /> SEP 1 5 2009 600 East Main St. Stockton, CA 95202-2708 <br /> ENVIRONMENT HEALTH Telephone: (209)468-3420 Fax:(209)464.0138 Web: www.sjgov,org/ <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 41 _BUSINESSIAGENCY: -" L� q r <br /> ADDRESS: Z5b0 \a Q CITY(rTATE(LIP_�Ck � Civ_.c...EiI , <br /> PHONE(1): 97,5 -7 Lf(C:: (pCKZ 8E) PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Tlmel <br /> (Please allow TO business days from dale of application submittal.-TentarNe only.must be confirmed) <br /> I� CHECK BOX TO EXPEDDE REQUEST-5105.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B INESS DAYS <br /> SIGNATURE OF APPLICANT �� T DATE <br /> Electronlolnformation. ❑ List0Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street Street Name city Q Unk1 <br /> nit 2 <br /> 2. Z`l\ t�i✓�� J <br /> 3. <br /> 4. <br /> 4. <br /> 5 <br /> 6. <br /> 7. ❑ Uni!5 <br /> 9. unit s <br /> 10. <br /> Specific Data Range of Information Requested: From aCJL7y to f <br /> p ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> > QNOERGROUND TANK(UST)CLEANUP SFTE(LOP) 0 HOUSING AeATEMENT tlUD WASTE FACILITYNEHICLE <br /> 47� HER CLEANUP SITE(PICK LOP) 0 FOOD FACILITY 0 WASTETIRE <br /> OERaROUND TANK(MONITORINWREMOVAL) 0 Doo KENNEL ❑DAIRY <br /> ALARDOUS WASTE GENERATOR ❑CHICKEN RANCHT,P�VASTEWAYER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 ELI <br /> MOTHOTEL 0 PUMPER TRUCKrfARDICHEMTOILETS <br /> TATTOOIB00Y PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 DINER(PLEASE SPECIPY) <br /> WELL AND SEPTIC PERMT RECORDS ARE AVAILABLE FOR RENEW-MONDAY-FRIDAY 8:08 AMZ)00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select thetype(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to rasa)4640138 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 arty EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold 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 EMU 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 expanse of the applicant. <br /> Future file reviews by the same applicant may require a$105.00 deposit prior to review. <br /> EHD USE ONLY <br /> ***If you need further assistance pleose contact Diane Martinez @ (209)468-3425 directly. Thank Yaw""* <br /> aro woe <br /> 4846 <br />