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DATE RCEIVED <br />1 <br /> <br />it <br />(unit 4 <br />0 Unit 5 <br />B5/1 O/2@@9 09:54 9164463803 MATT PAGE 01 <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.org/e <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: /1 5/14L- Y <br />(Ab9-/ ..54-c/z/i/wwi-0 C-e41 <br />(Please allow ten business days from date of application submittal -* Tentative only • MUSt be confirmed) <br />71 CHECK Box To EXPEDITE REQUEST - Ss .00 FEE ASH OR CHECK ONLY) REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE <br />c <br />BUSINESS/AGENCY: <br />ADDRESS: <br />PHONE (1): q 1 6 44-6 3??Q3 PHONE (2); FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: 5 - e c) 3c-) Time: <br />END LOG NUMBER <br />9 2008 <br /> HEAI <br />VICES <br />Electronic Information: 0 List D Map - Description: <br />FILE ADDRESS <br /> <br /> <br />I 16,0 <br />130 <br />Street # <br />E 0-1,9erK <br />47 -eeLoo <br />1,1 r•T 4vet-‘4e <br />t'J (t.5e'i <br />Street Name City <br />5 rout7tv,i <br />5 rOCK7-0N) <br />7-0C IcrOAJ <br />J <br />Fl-in I ICF r-1),,41 y <br />7 Unit 1 <br />074 5'.0 *7/z) <br />6 El unit 2 <br />o /c, <br />35, AA-95.?3 <br />1315 <br />4315 Unit 3 <br />6 <br />7. <br /> (au kg.) eF.GAE__ <br />k4rzoifJ(r (/-JtV .•rock-Tot.) <br />9. <br />10, 0 Unit 6 <br />Specific Date Range of Information Requested: From /i LL.. to A 112 656v 1- <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />0 HOUSING ABATEMENT 0 Soup WASTE FACILITYNEHICLE <br />CI FOOD FACILITY 0 WASTE TIRE <br />0 DOG KENNEL 0 DAIRY <br />CI CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br />0 MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEm TOILET'S <br />0 POOL/SPA El LAND USE APPLICATION Fins k 0 OTHER (PLEASE SpEciFy).64121/Iffokr ek‘14970:1, T r45( 2 f&F-RSE <br />WELL AND SEPTIC PERMIT REcoRos ARE AVAILABLE FOR REVIEw - MONDAY-FRIDAY 8:00 Am-6:00pm - EXCLUDING HOLIDAYS. <br />1. List up to ten addresses in the space above. Select the type(s) of files from the Ilst 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 not be accepted - for additional assistance with file addresses, contact the EHO. Applications received after 3:00 pm will <br />be processed the next business day. <br />2, The EHD will notify the applicant if any END 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 should be scheduled accordingly. <br />A file that is actively being worked on by the EI-10 staff may not be Immediately available for review. A new application <br />may be submitted when the file is available. <br />Any file not returned in the same condition as released will be reorganized by El-ID 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 />END 48-06 10/25p7 <br />PUBLIC RECORDS RELEASE APP FORM <br />)(UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />%OTHER CLEANUP SITE (NON-LOP) <br />UNDERGRouNo TANK (MONITORING/REMOVAL) <br />AN...HAZARDOUS WASTE GENERATOR <br />ACTIERED PERMITTED FACILITY <br />TATToo/BODy PIERCING <br />0 MEDICAL WASTE FACILITY