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Apr. 8. 2008 15:34 BR04N & WINTERS No. Qb60 P. 1/1 <br /> EHD LOG NUMBER <br /> '° � TV/� , SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.or eh <br /> O�1:5 0 <br /> ERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: M V4L. Gr_C3 BUSINE381AOENCY: <br /> ADDItE$$: `V1M1 <br /> PHONE(1) 4 Y& PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE; "F23 Time: (��� Q' n'►. <br /> (Please allow ten buSi s ays from da of ap tication submittal-`Tenfative only-must be confirmed) <br /> 12 CHECK BOX TO EXPEDITE RE EST. 98.0 FE (CRS R CHECK ONLY)-REQUEST PROCESSED IN THM_ INES$DAYS <br /> Ob <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map-D -ption: <br /> FILE ADDRESS EHD U$E ONLY <br /> i Street street Name City o Unit 1 <br /> ... �{5 r0l aye I 1G n 3 <A)0 C_Z) <br /> 2 Q CI* V) -t1Xr. a q(0 jD a Unit 2 <br /> 3. �I <br /> 4,1 <br /> 4. G ID Sa�_6u 0 C 46 nit 3 <br /> 6. km <br /> /L/ r' nit4 <br /> .r+ <br /> S. W• '��C�W1 7 �. ❑Unit 5 <br /> q3 w. t�l'Mots A)f7 it 6 <br /> Specific Date Range of Information Requested;From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDFRGROUNo TANK(UST)CLEANUP SITE(LOP) O HOUSING AeATP uFNT SOLID WASTE FACILINNEHICLE <br /> "HER CLEANUP SITE(NON-LOP) M FOOD FACILITY 17 WASTE TIRE <br /> j <br /> MIDERGROUNDTANK(MONITORINGIREMOVAL) 0DOG KENNEL GDAIRY f( <br /> m'FIAZARDOUS WASTE GENERATOR D CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 11 MOTELIHoTEL C]PUMPER TRUCKIYARDICHEM TOILETS j <br /> rl TA-00/0ODYPIERCING C3 POOLISPA 0 LAND USE APPLICATiONSITES j <br /> O MEDICAL WASTE FACILITY E7 OTHER(PLEASE SPECIFY) <br /> W—AMU SFPTIcPERMIT REcORDSARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM -EXCWDiNGHOLIDAYS. <br /> 1- List up to ten addresses in the space above. Select the typa(a)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. t e Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD, Applications received attar 3:00 pm will <br /> 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 <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 the EHD staff may not be immediately available for review. A new application <br /> may be submitted when the fila is available. <br /> 4. Any file not returned in the some 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$98.00 deposit prior to review. <br /> EHD U$E ONLY r <br /> EHD 4&09 9E129107 PUBLIC RECORDS 0.ELSA$9 APP FORM <br />