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12/01 /2 008 14:00 209464 1 <br />.------1-1,-.4-..e8/2008 MON 1211 FAX 20,-0113433 Sin EHD <br />CONNELL MOTOR T K PAGE 02/02 <br />Z002/002 <br />vI /008 <br />-11.1 <br />Elq\P.P.C.afirift = <br />ADDRESS: <br />DATE k? +OR I Electronic Information: J List LI Ma escription: <br />DATE RECEIVED <br />1"--\ <br />PHONE PHONE {1}: '947(aig-Lak PHONE (2):C <br />TENTATIVE* APPOINTMENT DATE: itz -13- 4!)_ <br />(Please allow ten business days from dole of application submittal • *ronrallve only - must be confirmed) <br />In CHECK BOX TO EXPEDITE RE Ear Moo FEE (C SH OR CHECK ONLY) - REEILIEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT 2L t...._.A.e <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/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br /> FACSIMILE. <br />Time: 4-00,1tri) <br />NESS/AGENCY; Cinficanazii, <br />02c)s- <br />?HD Len NUMBER <br />City <br />3, <br />4. <br />FILE ADDRESS <br />Street N Street Name <br />EHD USE ONLY <br />0 Unlit <br />0 Unit 2 <br />5, <br />Unit <br />6. <br />7, nit 4 <br />8. <br />0 Unit 5 <br />9, <br />10. <br />unit 8 <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />VI UNDERGROUND TANI( (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY/VEHICLE 0 Once CLEANUP Si tr (NON-1.0P) 0 FOOD FACILITY D WASTE Tine UNDERGROONO TANK (MONITORING/REMOVAL) 01 DOG KENNEL 0 DAIRY tn HAZARDOUS WAsTE GENERATOR 0 CHICKEN RANCH n WASTEWATER TREATMENT PLANT 0 TIERED PERMITTED FACILITY CI MerELJHoTEL <br />0 PooLiBrA 0 Put.init Taucx/YAao/CHEm TOILETS 0 TATTOO/BOOT PIERCING <br />CT LAND USE APPLICATION SI1E5 ri MEDICAI. WASTE FAOILirr In OTHER (PLEASE SFEciFy), <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW • MoNDAv-Fnioke0:00Am-5:00Frot - EXCLUDING HOLIDAYS, List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be Selected. Fax to (209)404.0138 or mail to thsjkove address. Address ranges will not be accepted • <br />for additional assistance with file addresses, contact the Efill Applications received after 3:00 pm will be processed the next business day. <br />The EI-ID will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten days after receipt of application. The files <br />will be held for a maximum of live business days for review. Appointments should be scheduled accordingly. <br />A file that is actively being worked on by the END staff may not be immediately available for review. A new application may be submitted when the file Is available. <br />4, <br />Any file not returned in the same condition as released will be reorganized by DID 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 />El-ID USE ONLY <br />PUBLIC Shcoaos RELEABE AP • RM