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00/03/2008 09:51 FAX 530243181;4 CH211 HILL X002/002 <br /> DATE RECEIVED EMD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.o le <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Unn LlCI�(gr-K _BUSINESS/AGENCY: CHJ_Y) 1111 <br /> ADDRESS: Z5 ZS - <br /> PHONE(1): ":3 'T� I' �" '" PHONE(2): FACSIMILE: .5 339"32� <br /> TENTATIVE*APPOINTMENT DATE: L- 1 LV8 Time: <br /> (Please allow tan business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$9B.00 FE (CASH OR CHECK ONLY)-RE=QUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE J2 e8 <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streat t1 Street Name City I ❑Unit i <br /> 3, \ <br /> 3`13 aS �lDL(� OJ f�fl i �!( 6�• �IJ-T-P I 2 <br /> (v` 32 y A 1 o W 4 I l lIFN <br /> 1 32a o 519 , 4 VfePyr( dy(°U 6"tl;� it 3. <br /> S. El-),,,ac, _ vt -�! II <br /> "I X45'( ozj • fJto(0/) �fsS 6� Unit4 <br /> ) <br /> t �mra�fc' ` S 6I�7�tl' °ES l�kd <br /> 3032 _ �. �� � VU <br /> 5'(o ) �Zl 10G5 of U,It S <br /> 2�3� fie, z Sir C7� nit 6 <br /> Gw, 110 ��� <br /> Specific Date Range of Information Requested:From to <br /> ,,,q/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHIC E <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE n <br /> ((ENDERGROUNDTANK(MONITORINGIREMOVAL) D DOGKENNEL ❑DAIRY �� J <br /> �vv]],/{{'AZARDOUS WA5TE GENERATOR 13 CHICKEN RANCH fl WASTEWATER TREATMENT PLAN <br /> W TIERED PERMITTED FACILITY 11MOTELIHOTEL UMPER TRUCKIYARD/CHEM TOIL <br /> ❑TATTOOIBODY PIERCING 1731POOLISPA LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY R 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. Fax to(209).464-0138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 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 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> �trJ I Uil i`(ii ,tv - f - <br /> EHD 40-06 10129/07 PUBLIC RECORDS RELEASE APP FORM <br />