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AlIV29-07 16:48 From-BROWN AND -` "ELL 916 635 8805 r T-869 P.002/002 F-048 <br /> EEj `i 1��I�U .I•.� <br /> I SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> tEG ! 9 Z007 ENVTRONAUNTAL HEALTH DEPARTAWNT <br /> 600 East Main Strcet, Stockton, CA 95202-302 <br /> -t�`ijRnj%ihlEINT HE��Llephone: (209)468-3420 Fax: (209)464-0138 Web: WWW..slgo r / d <br /> i,, iTISEWCES *Zq <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> TAPPCANT: BUSINES$IAOENCY: <br /> ss: <br /> (1):11 PHONE(2): qiO <br /> 2-01 -5244- FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATA: O Time, f D.400Lkq <br /> (Please allow 10 busln®ss days from date of a licati n Submittal-"Tentafive only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITER QUEST-$88.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE <br /> Electronic information; ❑ List[]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name <br /> City ©451tlXV!TV N) Unit'! <br /> 2. "21bc -C�tJ Unit2 <br /> 3. <br /> 4. ( U1 Yl�� <br /> 5. <br /> 6. f( � ulsrta' <br /> 7. <br /> - ❑ Unit S <br /> Unit <br /> Specific Date Range of Information Requested:From to f 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 13 soUD WASTE FACILITYNEHICLE <br /> 2rOTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> 2rUNDERGROUND TANK(MONITORINullkEMOVAL) CI DOG KENNEL ❑DAIRY <br /> 2-HA7ARDOUS WASTE GENERATOR C1 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> ©TIERED PERMITTED FACILITY ❑MOTELIHOTEL C3 PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑TATToo/BODY PIERCING POOL(SPA G?I-AND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY O OTHER(PLFASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY$;OO AM-5:Ot1pM -EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of fifes from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(20911464-0198 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 END files exist. An appointment for review will be Confirmed approximately tan(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 1S 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$88.00 deposit prior to review. <br /> EHD USE ONLY <br /> END f8-06 WEB 8/812007 <br />