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03/16/2007 15:10 FA% 0 • EHD LOG�NUMBEft <br /> T l 002 <br /> 'SI UI iID) SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> )1 Rt3 2 6 2007 304 East Weber Avenue, 3`d Floor, Stockton,CA 95202-2708 /� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd 2, <br /> ENVIRQPJ(AENP HEP,LiN <br /> 41 <br /> PERMIT/SEWICES PUBLIC RECORDS RELEASE APPLICATION t <br /> APPLICANT: MV ck 1Ce.�Afi-[)[a-Syh BUSINESS/AGENCY: wnllacz-K..1nI 1-ry55ec,'4.3 <br /> ADDRESS: 3410 tt AW- zP 56cld l-oA .rA 95219 <br /> PHONE(1): 209) 234-ThZ PHONE(2): (209) 2-34-7727 (41)0 IE£ <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RREEpt �T T. 00 FEE(CAS OR EC ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT // '20? - _ DATE 316/0'7 <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ Unftt <br /> ,. <br /> 4315 LjV'v" loe AAE <br /> 2• 3y"I �a+<f1o0 Ra ❑ Unit2 <br /> 3. N1407 W0.1-uloo 94 E L <br /> Unit 3 <br /> 4' <br /> [5. X55 N Bve Aekwo uns<a <br /> I q0`JI� �00 e.0 4-b Int `J'{- Unit 5Unit 6 <br /> . <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> (UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACiuTYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONTroRING/REMOVAL) 13 Doe KENNEL ❑DAIRY <br /> HAzARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARO/CHEM TOILETS <br /> CI TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> IJ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 5:00 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 f2091464-0138 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 /> 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 /> EHD USE ONLY <br /> END I8-0G 9113,2006 <br />