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w" 07/11/2012 12:59 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> lip ..� EHD LOG NUMBER <br /> Em DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEIVED 3 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JUL 1 1.2ftlephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehe 1 <br /> 1 <br /> i <br /> ENVIRONMENTAL HMTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: T,,pf shcuaaireBUSINESSIAGENCY: }.Zenon, raatecbm' � Al , Tnc. <br /> ADDRESS: 3140_PS aeon E�T_V_d CITY/STATWMP_T#ea Sacy'amento C -9-5691 <br /> PHONE(1): 916-371-0434 PHONE(2): FACSIMILE: 916-371-1809 <br /> TENTATIVE'ApPOINTMENTOATE: July 20, 2012 Time: <br /> (Please allow 10 business days from date of a cat on subrn .-Tentative only-must be confirmed) <br /> ❑CHECK BOY TO EXPED REQU -5125 FEE(C SH HECK ONLY)-REQUEST PROCESSED IN 3 SUSI SS DAY <br /> SIGNATURE OF APPLICANT DATE / <br /> Electronic Information: ❑List❑Ma Descriptio <br /> FILE ADDRESS RHD USE ONLY <br /> O8troet S Stroet Name CFty ❑in <br /> Q 1 7a4o PERFORMANCE DR STOCKTON , <br /> Q,u C 2. 5476 S AIRPORT WAY STOCKTON Q/1 <br /> 3, 6603 S AIRPORT WAY STOCKTON OD ^ <br /> 4. 7759 S AIRPORT WAY STOCKTON c9 o 10 Il <br /> 5. / <br /> 6.7. <br /> $ <br /> Speclfic Dato Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES FF/` <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACLLITYNEHICLF. �l <br /> ®OTHER CLEANUP SITE(NON-LOP) 4 ❑FOOD FACILITY ❑WASTE TIRE t <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)I/ " ❑DOG KENNEL ❑DAIRY <br /> HA7.ARDOUS WASTE GENERATOR d+ ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT -Iit <br /> ®TIERED PERMITTED FACILITY 04-, ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOBoOY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 0:00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses In the space above. Select the types)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 mall 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 exlsL An appolntmentfor review 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 /> 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 END staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> - Z t M '_ <br /> If Ai <br /> , eH Aa.ee m <br /> Received Time Jul, 11. 2012 1 :26PM No. 0524 <br />