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09/25/2007 08:51 FAX 5307585672 FEDEX KINKO'S DAUIS 2002/003 <br /> DATE RECEIVED EHD LOG NUMBER <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.o hd (113 <br /> PUBLIC RECORDS RELEASE APPLICATION L <br /> APPLICANT: vim-//yNr'IfCj - GAC r _B/USINESS/AGENCY: Cc)nSulT-4"f-� '��'a1�`' y <br /> ADDRESS: /(d YL1�tt(� lL� HUL �(.��J ts, C/� 9 5�6'Z7/E3 lCa <br /> PHONE 4&0 1758-83 3 PHONE(2):�aL�'0) 902-4(o3Z FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confi <br /> CHECK BOX TO EXPEDITE R QUEST-$98.00 FEE(CAS HECK ONLY)-REQUEST PROCESSED IN 3 S A <br /> NATURE OF APPLICANT DATE Z <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street I Street Name City ❑ Unit 1 <br /> �. 70r fra Rd <br /> AAS- z <br /> 4 <br /> N Der <br /> 3-1, 2N-Tho nfon 906 Lodi 'VA. <br /> ❑ Unit 3 <br /> 4., W. Sar enRosd 1*0� ; /v�� g5"�a4L <br /> 5 / l 9/ 1 Lo t-,:- ❑ Unit 4 <br /> 6 A& I p Q;r- 5+tL c.. IZA Lvcl_c; NDL3 <br /> 7.' - f ,1 Rom �O 1-oGL l _0 ❑ Unit <br /> s Y5 r a _ ��: r 0",999 qA,-04;92-2x;97-io. al-sU, <br /> 9. 2.f ! L o t�1E'�c Yctma• d l-oa i ^5 -q6/�, ❑ units <br /> 10. 3�yj 0619.2-10 1LA 9?-SLS- <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACI <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) <br /> ❑*T.ER <br /> L ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR NCH ❑WASTEWATER TREA ENT LANT <br /> ❑TIERED PERMITTED FACILITYEL ❑PUMPER TRUCK(YARDICHEM TOILETS <br /> ❑TATrootBODY PIERCING �I.AND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ASE SPECIFY) <br /> WELL AND SEPTIC PERMIT$01%A $AIA'ILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 AM-5:00PM -EXCLUDING HOLIDAYS. <br /> 1. 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(2091464.0138 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 /> 2. 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 fora maximum of five business days for review.-Appointments --_._ <br /> 4ouldbe-scheduled-Accnrding ly <br /> 3. 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 /> 4. 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 /> EHD 46-08 WEB BIB2007 <br />