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Jul.13. 2006 2:53PM <br />DATE HtL t:m=i) <br />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.rigov.org/ehd <br />Iced GeoEnyironmental <br />APPLICANT' <br />No. 5480.HDL �,UML4ER <br />PUBLIC RECORDS RELEASE APPLICA'T'ION <br />PHONE (1): O( U 7 - 1 (17'1 —1 VU LO PHONE (2): -1A UY' /01 — AA'l a <br />/ W FACSIMILE: +(U 7 ` )110'/ ` 11 f if r <br />TENTATIVE* APPOINTMENT DATE: 1 9 <br />o Ly O( ©Q & ewed Time: /O-40-0 4 r- B7;}r if r <br />(Please allaw 10 business days from date of application submittal-'rentaHve only - must be confirmed) ( rPgA 1 <br />SiGI4CHECK EOX TO EXPEDITER 6 S • 593.00 FEE ( OR C ECK ONLY) - REQUEST PROCESSED IH�ry3 B SINES" DAYS <br />RE OF APPLICANT &tA44L DATE / d <br />UNIT DISTRIBUTION 0 Unit 1 tl Unh 2 M Unit 3 M Unit 4 Unit 5 Unit 8 Other (61oCtronlUlletelmdp5) <br />EHD USfaONLY <br />I II <br />SpedtiD Data Range of Infomration Requested: From I L905 to pbfd <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UN DEROROUNDTANK(USTjCLPANUPSITE(LOP) 0HOUSINGABATEMENT tlSOLR)WASTE FAGILITYNEMCLE <br />DTHER CLEAN"?SITE ["0 4 - OF M FOODFACIuTY ❑ WASTE TIRE <br />NDERORWNDTAW(MONnORINOIRENWAL) FI DOG KENNEL Q DAIRY <br />HA2ARbOUe WAST roe _ ATOR C3 CRDKEN RANCH ❑ WA ,MATERTREAT&ic PLANT <br />tl TIERED PERMMM FACILITY ❑ MOTELIHOTEL Q PUMPER TRUCgYARD/CHEM TOILETS <br />12 TATI'OOIBODY P1ERdNG ❑ POOUSPALAND UaE APPLICATION SITES <br />MEDICAL WASTE FACILITY O OTNER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-5:00PM - EXCLUDa1O HOLIDAY&. <br />1. 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) OA -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 />2. 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 hold for a maximum of five business <br />days for review. Appointments should be scheduled accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br />application itaay be 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 <br />applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />EHD M42Aae <br />VI= <br />L� <br />/11 <br />