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0 HOUSING ABATEMENT <br />0 FOOD FACILITY <br />0 DOG KENNEL <br />1:1 CHICKEN RANCH <br />0 MOTEL/HOTEL <br />PooL/SPA <br />in OTHER (PLEASE SPECIFY) <br />la UNDERGROUND TANK (UST) CLEANUP StTE (LOP) <br />ea OTHER CLEANUP SITE (NoN-LOP) <br />UNDERGROUND TANK (MONITORING/REMOVAL) <br />HAzARDOUS WASTE GENERATOR <br />in TIERED PERMITTED FACILITY <br />0 Tarrooittopy PIERGINGI <br />0 MEDICAL WASTE FACILITY <br />0 SOLID WASTE FACILITY/VEHICLE <br />i3 WASTE TIRE <br />0 fumy. <br />0 WASTEWATER TREATMENT PLANT <br />0 PUMPER TRuCIVYARD/CHEM TOILETS <br />LAND USE APPLICATION SITES <br />Sep 10 08 02:33p Delta Corp 1 -55°-228-1452 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SE P 1 0 2008 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgiehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />RIVEc ‘411ENT HEALTH <br />Dcw,A:Tic;cowirsr.c <br />p . 1 <br />EHD LOG NUMBER <br />5S1q2. <br />APPLICANT: bt Ylf>0-4 ti 41.ut1 6LL-LOCIU-1 <br />ADDRESS: Stint) kJ skxt-0 sits, 15z. City/Stale/Zip VIZRSLIO ( A n <br />PHONE (1): (S5 °0 7,7,01 — 1451 PHONE (2): . FACSIMILE: (S'Scl) Z.1-41 - 1 1457— <br />'TENTATIVE* APPOINTMENT DATE: SEere-trsret, I Co ,ta, Time: I \ <br />(Please allow 10 business days from date of application Submittal - *Tentative only - must be confirmed) <br />CI CHECK BOX TO EXPEDITE REQUEST - 410 CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE / 1006 <br />I Electronic Information; List • Map — Description: <br />I _ <br />PILE ADDRESS EHD USE ONLY <br />Street # Street Name City —.1..? S 0 • Unit 1 <br />1 - 41315' a . VVP:Mit.Lop EOND 51-txX...fri ,1-5-02... - {4.0 cat 4 - C-1 <br /> El Unit 2 <br /> <br />lett 3 <br /> *, <br />Unit 4 <br /> <br /> <br />- Unit 6 <br />O. <br /> CI units <br /> <br />Specific Date Range of information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />BUSINESS/AGENCY: 5 t (CZ-Feefirte-A., <br />SIGNATURE OF APPLICANT <br />61 lig <br />WELL AND SEPTic PERMIT RECORDS ARE AvAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-6:00Pm - EXCLUDING HouDAYS. <br />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 />The El-ID will notify the applicant if any EHD flies 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 />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 />Any file not returned in the same condition as relessed will be reorganized by END staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $105 deposit prior to review. <br />El-ID USE ONLY