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06/03/2008 09:51 FAX 530243109' CH2M_HILL <br />_ _4... <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY <br />0002/002 <br />EMD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 -7 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj ]OV.O /e <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: LMA A &4 (oi lK _ BUSINESSIAGENCY_ CHarl FIM <br />ADDRESS:�JrZS i±.fPCTr{K �I^ @(I'?'h CIA <br />PHONE(1): `:3'�'2'Z'1.3`")`- PHONE(2): FACSIMILE: 5 11'339-324', <br />TENTATIVE* APPOINTMENT DATE: b� IY�n14 Tlme: 12PTL <br />(Please allow ten business days from date of application submittal-•Yentadvo only - must be confimlad) <br />❑ CHECK BOX TO EXPEDITE REQUEST- $9R -Do FE(CyyA��SH OR CHECK ONLY) - REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT '*PE/ DATE Jxie8 <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS EHD USE ONLY <br />Street# <br />Street Name <br />city I ❑ Unit 1 <br />Srock4an d llS dpi <br />3° <br />$. El Oor tlo <br />3`137 <br />5 A'em 4 u) <br />("AH& ())TP 2 <br />110',W Vv 'oWW <br />I Ill —�� �� <br />50f;pvtQ-1/'i'T Nt= iv 0 Apeaectli - (Ol) a � a <br />3? 4 � <br />S, E OoraA.e <br />h <br />-3 14 <br />S. >rt Dgcr aD <br />r�L�: fi��#n �ISSd� Ulnit4 <br />S 6 0-1R#) oeS )*- <br />31x5 <br />t Omradc <br />3a3a <br />- <br />ho V units <br />�P-Yz- <br />28a <br />Hi;n S} <br />Av-e <br />!c^e�P <br />C ~�L414- no Ab rut C nit 6 <br />a <br />Specific Date Range of Information Requested: From to <br />1 ENVIRONMENTAL HEALTH DEPARTMENT FILES 4! `A �V <br />r6NDERGROUND TANK (UST) CLEANUP SITE(LOP) 0 HOUSING ABATEMENT �oLIDWASTE FAQLRYNEHIcj�E �,p/� <br />goTHERCLEANUPSITE(NON-LOP) ❑ FOOD FACILITY WASTETIRE '�ti/\/_U\ v' 1 p n <br />NDERGROUNO TANK (MONRORING/REMOVAL) ODOG KENNEL ODAIRY <br />}1AZARDOUS WASTE GENERATOR 13CHICKEN RANCH ❑ WASTEWATER TREATMENT PLA 1 .✓✓✓ <br />['TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ��PLIMPER TRVCKIYARDICHEM TOI <br />171 TATTOOIBOoY PIERCING ❑ POOUSPA VIAND USE APPLICATION BITES <br />❑ MEDICAL WASTE FACILITY WOTHER(PLEASE SPECIFY) NO$ tAaT, QAE - <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW - MONDAY.FRIDAYY 8:00 AM-S:OOPM - 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 above address. Address ranges will <br />not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will <br />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 <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 />3. A File that is actively being worked on by the EHD staff may not be immediately available for review. A new application <br />may 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 applicant <br />Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br />