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HOUSING ABATEMENT <br />0 FOOD FACILITY <br />D Dec KENNEL <br />0 CHICKEN RANCH <br />0 MOTEUHOTEL <br />POOL/Sp <br />0 OTHER (PLEASE SPECIFY) <br />/Er...SOLID WASTE FACILITYNEHicLE <br />„12rWASTE TIRE <br />0 DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />0 PUMPER TRucVJYARD/CHEM TOILETS <br />0 LAND USE APPLICATION SITES <br />Feb 06 08 09:45a Marda Tree Herbert <br />(925) 9 4 '7 -3738 <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.or <br />p . 1 <br />EHD LOG NUMBER <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: 1\71 ardó. H er-bey-t, BUSINESS/AGENCY: <br />ADDRESS: 7l S W. Fi ne. Lod i CA 616 24 0 <br />PHONE (1):(D')4-to. x253pH0NE (2): (9 t g) FACSIMILE: (2-1)61 - 5374 <br />TENTATIVE* APPOINTMENT DATE: TVt2.4 . 12-2QDg' Time: SC) prir-L., (or i <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) 't <br />%CHECK BOX TO EXPEDITE REQUEST -$98.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS itposible <br />SIGNATURE OF APPLICANT <br />Electronic Information: D List D Map - Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City ID Unit 1 <br />• at.L1k.1-errnintas Si i-c. Port of' Sivvn 5roclzt-ovi <br />2. .2-1 11 W. WkL5hin9-1-Lri -St. Sto cle-i-o n )_._ 7 4, 5 0 Unit 2 <br />0295() 3- 22' W - Was hi (1,5-t-an St. Si-o-Gle_frpa... <br />iSag`i c>2 9 , 6,4 `7C,25, ,V601°.'' nit 3 <br />f"----- A-1,r <br />5+. Strrd4A--6-,A.„ <br />5- 2 21 Por-i- Roctri F S-Furki-Drt /Unit 4 <br /> <br /> <br />, 0 Unit 5 <br /> <br /> c, ,r <br />Unit 6 <br />- <br />1 O. <br />Specific Date Range of Information Requested: From elf h to Prese <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DATE Z 0 2 <br />/UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />„..Er OTHER CLEANUP SITE (NON-LOP) <br />.0/UNDERGR0UND TANK (MONITORING1REMOVAL) <br />,12. HAZARDOUS WASTE GENERATOR <br />../er TIERED PERMITTED FACILITY <br />0 TATTOO/BODY PIERCING <br />O MEDICAL WASTE FACILITY <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-5:00RM - EXCLUDING HOLIDAYS. <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 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 />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 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 />*** If you should need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*** <br />EHD 48-06 9/14/2006