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Nov 25 08 Oli24p Si47-Ira Delta Corp 1-55`'-,,229-1452 p. l <br /> DATE RECEIVED if EHD LOG NUMBER <br /> _ —��;—, SAN JOAQUIN COUNTY <br /> �) iL_Ir _ 1 ,,11 � I <br /> q� ;.L '_�! � � U ENVIRONMENTAL HEALTH DEPARTMENT -- . <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> + phone: (209) 486-3420 Fax: (209) 464-0138 Web:www.S19ov.Or9/ehd <br /> �-1EALPUELIC RECORDS RELEASE APPLICATION <br /> APPLiCAI i.S Ei, rS�1...Fi5J3VLL: . <br /> �1 _ 1 t BUSlNESSlAGENGY: <br /> ADDRESS: '7 "iJ CXYlStatelZip <br /> PHONE111: `Z2°1�1+ rj� PHONE(2):- i� FACSIMILE. - 1 <br /> TENTATIVE"APPOINTMENT DATE: Pge,, '" 200e$ if Time: J@t I I:tib _ <br /> (Please allow 10 business days tram date of application submittal-7entativa only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE=QUEST- SH OR CHECK ONLY)- , <br /> REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map–Description: � <br /> FILE ADDRESS ] F-HD USE ONLY <br /> 8treel Street Name city <br /> 1 30 97,4,0 W [❑ Unit t <br /> 2. <br /> 3. ❑ Unit 2 � <br /> 4-- _ -- - — — -- <br /> - - - _ <br /> 00 <br /> -------- ....,.; -, ..__ ..:. unit 3 <br /> T. ,„. ❑ <br /> a. Unit ti <br /> 9. . <br /> 10, — 0 U ntt s <br /> Specific Date Range of Information Requested:From 6-200to <br /> ENVIRONMENTAL HEALT14 DEPARTIVII NT FILES <br /> M UNDERGROUND TANK(UST)CLGANuP SITE(LOPI 173 Hous(Na ABATEmr- r ❑Smm WASTE FAciuTwvEHjcLE <br /> P WHER CLEANUP SITE(NUN-LOP) ❑FOOD FACILRY 0 WASTE TIRE <br /> CA UHDER OROUNO TANK(MoN"RIN4lREM9vAL) 01304 KENNEL C1 DAIRY <br /> IR HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTL"4MATFR TREATMENT PLANT <br /> G1 TieReD PERMITMO FACIL rFY ©MoTmMarEL 0 PumPER TRudUYAROCHI_M TOILET$ <br /> TATTnoR3ooy PIERCING 0 POOLASPA ©LAND USE APPLICAroN SITES <br /> MEDICAL WAs-rE FACILnY G OTHER(PLEASE SPECIFY) i l <br /> WILL AND SEPTIC PERMIT RECOR03 ARE AVAILABLE FoR RLvIEW-MONDAYfRIDAY B:OO AM-6:OOPM - EXCWr4NQ HOLFvAYS. <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(east one file type MUST be selected. Fax to 200 4640138 or mall to the"add Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact tht EFID. Applications received after <br /> 3:00 pm will be processed the next business day. ; <br /> 2. The END will notify the applicant If any EHD files exist. An appointment for revlew 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 /> 1 A Tile that is actively being worked on by EHD staff may not be Immediately IavaP(albie for review. Anew application may 6e <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$105 deposit prior to review. <br /> EHD USE ONLY <br />