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DATE RECEIVED FHD LOG NUMBER <br /> 1C� ' SAN J4AQUIN COUNTY <br /> `-'1 ENVIRONMENTAL HEALTH DEPARTMF,NT <br /> 600 hast Main Street, Stockton, CA 95202-3029 <br /> FEB 1 1 2008 Telephone: (209)468-3420 Fax: (209)464-0138 Web: %VWW.Sjgov.or 11 d <br /> EG`IrtOfii��iVT HEALTH PIC5 <br /> UBLIC RECORDS RELEASE APPLICATION <br /> nt-n^a:—a-rnvin� <br /> APPLICANT: Maryellen Laumbach BUSINESSIAGENCY: Attorney <br /> ADDRESS: P.O.' Box 13398 Sacramento, CA 95813/1012 - 19th St. , Sacramento, <br /> PHONE(1): (916) 447-9433 PHONE(2): FACSIMILE: (9 16) 9 71— 4?5814 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-`Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/8/08 <br /> Electronic Information: ❑List EQpap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street of Street NameCily El <br /> It 1 <br /> 1. 16 East Harding Way 1 Stockton <br /> 2- -- <br /> ❑ Unit 2 <br /> in <br /> 3. <br /> Unit 3 <br /> 6 Unit 4 <br /> 7. <br /> S. ❑ Unit s <br /> 9. <br /> -— ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From 2/25/08 to 3/7/08 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> lS UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ❑ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)."r ❑ DOG KENNEL ❑DAIRY <br /> .FA4AZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PE RKIITTED FACILITY ❑ MOTEUHOTEL ❑PUMPER TRUCKIYARDIC HEM TOILETS <br /> ❑TATTOOIBODY PIERCING ❑ POOUSPA ❑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-6:00Prn - 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 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 WEB 8!8/2007 <br /> T -d XHd iArNASdd dH Et, :2T BOOz 80 qad <br />