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; 1 <br />iiI;15/ 1 a c4ci\r=i4a,y; Lc f7,4-/- (--- :1.--_:QsEpt-.....:LY _14.111, .,2 _0_ <br />, <br />na6-74.12.2_,..'i---i 1 e .4 1i';.--,,,,i ) 4i. ) 7 ,---; ()A? <br />' 1 ' ; c i - - ..) l: I) " ,Sk//' -2 7 7 I y — t, / ,..,-,/./..., . i <br />- - - , . _ - , ' .1 <br />tiv-..6-1, .1(1--;4! :L .. <br />// <br />£1/1/11 <br />EHD 48-06 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-3029 <br />ps.a 2 5 neelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />DATE RECEIVED <br />RECEIVED <br />EHD LOG NUMBER <br />09' <br />APPLICANT:• 0/16 ) 6-2 4 s' iv ry/ BUSINESS/AGENCY: <br />ADDRESS: / 0 L.1 CITY/STATE/ZIP: <br />'PHONE (1): PHONE (2): 9 6s---) 7 0 <br />TENTATIVE* APPOINTMENT DATE: <br />sTc)c*4°/S lj — <br />FACSIMILE: <br />Time: <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />LI CHECK BOX TO EXPEDITE REQUEST,- $12 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT t--,t) DATE Li \ Is1_14 <br />Electronic Information: List LI Map — Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City Unit 1 <br />1..:.3 .-) 3 2. I; A,n417 -a-12 Ldo 4D 5.,..Tooki-T---0 Ai <br />2. .0A/4 -77---R LOo F-0 09 •E FULL_ goi,1-- Unit 2 <br /> OMB „- <br /> <br />***Please respond as soon <br />I need to notify applicant during <br />EHD has files for listed addresses <br />as possible. <br />week of 5/14/12 if <br />or not. <br />ii Unit 3 <br />1 Fite 6,(e,en.. tejAt <br />---- 111 Unit 4 <br /> <br /> <br /> <br /> Unit 5 <br /> <br /> M Unit 6 <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />gi UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />3.1 OTHER CLEANUP SITE (NoN-LOP) <br />g UNDERGROUND TANK (MONITORING/REMOVAL) <br />X HAZARDOUS WASTE GENERATOR <br />-- El TIERED PERMITTED FACILITY <br />El TATTOO/BODY PIERCING <br />X MEDICAL WASTE FACILITY <br />D HOUSING ABATEMENT <br />ID FOOD FACILITY <br />D DOG KENNEL <br />El CHICKEN RANCH <br />El MOTEL/HOTEL <br />D POOL/SPA <br />D COMPLAINT RECORDS <br />El SOLID WASTE FACILITYNEHICLE <br />El WASTE TIRE <br />0 DAIRY <br />1111 WASTEWATER TREATMENT PLANT <br />II PUMPER TRUCKNARDICHEMICAL TOILETS <br />iiiI LAND USE APPLICATION SITES <br />LI OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00Pm (EXCLUDING HOLIDAYS) <br />List UO 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 />=ut,jre file reviews by the same applicant may require a $125 deposit prior to review.