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From:James Robinson Fax.+1(209)7404303 To: Public File Review Pact Fax: +1(209)4640138 Page 1 of 1 91142009 12:51 <br /> ,D.. T IElr ../ EHD LOG NUMBER <br /> ID) (( vlCC_-V 5'Inl SAN .IOAQUIN COUNTY <br /> UUII]] V' Il L�� ENVIRONMENTAL HEALTH DEPARTMENT ^ <br /> AUG 1 4 2009 RMIUSEEVICES 600 East Main Street, Stockton, CA 95202-3029 �1 � I/3 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orid <br /> ENMONMENt HEALTH 1 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Janie5 Robinson BUSINESSIAGENCY: JR Squared Consulting, Inc. <br /> ADDRESS: PO BOX 1744 _ Chy/Statercip Valley SptinKs, CA 95252 <br /> PHONE(1): 209-772-3841 _ PHONE(2): Cell - 209-64,2-5445 __FACSIMILE: 209-740-4303 <br /> TENTATIVE`APPOINTMENT DATE: August 20, 200 r ° Time: 3 pm <br /> (Please allow 10 business days from date of application u It ah-'T a e only-must be confirmed) <br /> XX$ CHECK BOX TO EXPEDITE REQUEST-4105 FEE(CASH OR CHECK ON O ESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT TE 08/14/09 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name _ City <br /> 1. 1024 Mellon Avenue Manteca ❑ unH 1; ;•• . <br /> AM! <br /> 2 Manteca E9.NbtC( ',I�kttf,{] u <br /> 3 400 Indusa'al Park Drive Manteca <br /> Unit 3 <br /> 4• 560 Indus ial Park Drive _ Manteca (uDd� ND � `III a <br /> 5• 551 Carnei ie St Manteca T 0 <br /> ,,,��y Unit 4 <br /> e• 555 Carneg a St Manteca <br /> 7. ❑ Unit 5 <br /> 8. <br /> 8. ❑ Unit 6 <br /> 10. <br /> fair <br /> Specific Date Range of 1 mention Requested: From to / <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 'Zh/Ps fill- <br /> X1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILrrYNEHICLE <br /> DSI OTHERCLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE (f J <br /> C(UNDERGROUND TANK(MONITORINGIREMOVAL)C l 0 DOG KENNEL ❑DAIRY <br /> 1$HAZARDOUS WASTE GENERATO /?\ ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT /y <br /> ILl TIERED PERMnTED FACILT<j— 0 MOTEL/HOTEL 0 PUMPER TRUCKIYARU/CHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLISPA ❑LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW • 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(2091464-0138 or mail t0 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> vw <br /> B - A W III 51 <br /> 1 5 s` <br /> r o Ss 1 <br /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />