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JUN-13-2008 03:22P FROM: T 4640138 P. 1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> (U} (' EL� v IL' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> IiJF 1 n0 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sjgQv. ro6 <br /> NCALT"` PUBLIC RECORDS RELEASE APPLICATION <br /> APp{l'4�4)FTS_UV' �_ TrI -yo 4sj n 4' BUSINESSIAGENCY: F"b PAY tT Owher <br /> ADDRESS: PD. BOK W <br /> PHONE(1): s a q 3 C(, I k Z PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: J(1 V1 e' 3 Time: <br /> (Please allow ten business days from date of application submittal-*Tentative only•must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 00 FEE(CAS OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Eiectronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Strout 8 Street Name City ❑ Unit 1 <br /> r ak s A k L co <br /> 2• ❑ Unit 2 <br /> 3. <br /> 4. it 3 \� <br /> ------------------ <br /> 6. <br /> 6. D UnIt 4 <br /> 7. <br /> 8. - - ---------- ------ ---- --- D Unit 5 <br /> 9. <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Requested: From I l to 01 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ��'�f�,��✓ <br /> HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) D FOOD FACWTY ❑WASTE TIRE <br /> F1 UNDERGROUND TANK(MONITORINGIROWWW1111" D DOG KENNEL D DAIRY <br /> t7 HAZARDOUS WASTE GENERATOR-< ❑CHICKEN RANCH 0 WASTEWATER TRHATMENT PLANT <br /> TIERED PERMITTED FACILITY D MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEM TOILETS <br /> D TATTo0/BODY PIERCING ❑POOLISPA D LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑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 Lip to ten addresses in the space above. Select the typo(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to f209)464-0138 or mail to the above address. Address ranges will <br /> not bo acceptod -for additional aa3istance 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 confTrTned approxima", tRP <br /> dsps after receipt of application. The IP!es vd!;"1'a d flip a Pe'VWrt. d,�iC K 4":e <br /> should be scheduled accordingly. <br /> 3_ A fila that is actively being worked on by tho EHD staff may not be immediately available for review. A new appliestinn <br /> ... 1`: . Ai•JinJii"i ter,, rr iii,•r•er•l•� iv.a�S,JS,i♦ <br /> 4. Any file not returned in the same condition as released will he reoman€zod by F4I11 staff at fho evRrarrcn of thn�nntsront <br /> Future file reviews by the same applicant may require a$98.00 depfj EJt p6of to ibviww, <br /> i <br /> T s' s <br /> I `� F�rvr IG�(r7 � I K�('1�noi Wf n yPc?��hPd c�c�1���al-h��-J• K-« <br />