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DATE RECEIVED <br />EHD LOG NUMBER <br />033 MAR 7 - 2005 <br />ENVIRONMENT HEALTH <br />PER <br />TT ECEIN-r1 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orWehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPUCANT: tnlete i ç <br />M ll BUSINESS/AGENCY: i t bfbi)V-C en ADDRESS: A 5 11). 1 k, t)2-- 9466-1 <br />TENTATIVE* APPOINTMENT DATE: IC) S <br />(Plesse allow 10 businees days from date of application submittal - 'Tents o -must be confirmed) <br />00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS W01,14 <br />DATE ah Inc eV re cic& <br />0 Unit 5 it 6 0 Other (electronic/lists(maps) <br />FILE ADDRESS <br />El CHECK BOX TO EXPEDITE REQUEST - <br />SIGNATURE OF APPLICANT <br /> • SirtnI1 <br />PHONE (1): - g - CIO 91)— PHONE (2): 1 I5- 99Lp 6 FAcstma.E: 516 06 I Z <br />Ae: rn SA-RIA etn9-HAt.ri <br />UNIT DISTRIBUTION <br />Untt 1 Unit 2 <br />, <br />66,1 9 <br />Street <br /> <br /> <br />Street Name <br />wetchipcjibn Ave, <br />City <br />qiI5 e-r-itnrs <br />EHD USE ONLY <br />6. <br />9. <br />_10. <br />Specific Date Range of Information Requested: From (=tit eh v. cif es- to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />0 UNDERGROUND TANK (UST) CLEANUP SrrE (LOP) 0 kiOUStNG ABATEMENT j e SOLID WASTE FACILDWVEHICLE ,g0THER CLEANUP SITE (NON-LOP) 0 F000 FACILITY 7WASTE TIRE grUNDERGROUND TANN (140faTORINGIREmovAL) 0 Doc KENNEL XDAIRY .21.HAZARDotAS WASTE GENERATOR fSCH1CKE74 RANCH 71. TIERED PERMITTED FACILITY PI-WASTEWATER TREATMENT PLANT <br />0 TATTOO/BOoY PIERCING 0 MoTEUH0111 eFf PUMPER TRUCKNARD/CHEM TOILETS 0 POOUSPA htEtscAL WASTE FActurr ,, a_. n US E APPIJCATIoN SITES Xr0THER (PLEASE SPEary) li') He- <br />ti <br />411. 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 <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mall to the address <br />Indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact <br />the EHD. Applications received after 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 <br />approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br />days for review. Appointments 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 <br />application may be 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 <br />applicant. Future file reviews by the same applicant may require a ;93.00 deposit prior to review. <br /> II <br />END 41-02406 <br />104/05 <br />aoT.I.J0pujefj dTE:e0 SO LO JeW I'd ETOO-T68 (OTS)