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FEB. -20' 07(TUE) 18: 17 VERSAR, INC. TEL:9169622678 P. 001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> FEB 2 E 2007 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT n <br /> ENVIRONI&NT HEALI H 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2705 G <br /> PERMIT/SERVICES Telephone; (209)468.3420 Fax!(209)464-0138 Well: www.sjgov.org/chd <br /> PUBLIC RECORDS RELEASE, APPLICATI N vvv <br /> APPLICANT:r� PoM1E dt-1t+f1R8.?+ BUSINESSIAGENCY; er <br /> ADDRESS: fggq P"'S/A &&0 ` l f8i.f r)o.IV t �_j, 'I___ <br /> PHONE(11:. 116-143-01331PHONE(2): glia-8iS-93&5FacsIMILE;�I(a-10-@76It <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Pioum allow 1e businaes days from data of appllcaaon submittal-'Ten aawe only-must he confirmed) <br /> C7 CHECK 13Ox TO exPEORE R—q ¢83.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN a allSINESS DAYS <br /> SIGNATURE OF APPLICA ' DATE 2 <br /> UNITDISTRI13UTION n 1 ❑Unit2 ❑UBN3 puna♦ ntInNE G Units A Other(afectronlcllletarmape) <br /> FILE ADDRESS EHD USE Of LY <br /> atreat0 Street Name City <br /> 2 SS " I` LOO{ LST HLJ <br /> A` 3. 1 "a <br /> B. p. -WqAt ID O AFF / <br /> 8. N F <br /> 7. { ,_ es _ <br /> B. <br /> 100 O <br /> . <br /> specific Gate Range or Information Requested;From 1140 to en <br /> i- w14 <br /> ,� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p ,,pq 4+T+NDORGROINrD TANK(USTI CLEANUP SITE(LOP) M Hcuame AaATEMFNT M BOUD WASTE FACILITYNEHICLE ' <br /> O OTNER CLEANUP SITE(NON-LOPI pFOOD FACILITY 0WAaTETIRE <br /> IMUNDERGROUND TANK(MONITORINOMR100VAL) M Doo KENNEL M DAIRY A , <br /> P51AZAR0008 WASTE GENERATOR 0 CHICKEN RANCH A WASTEWATER TREATMENT PLANT 1 v <br /> •TIERED PERMITTED FACILITY rT MOTELMOTm O PUMPER TRUCKIYARDICHEM T01MTS <br /> •TATTODIt10OY PIERCING a PGoIISPA O LAND USE APPLICATION SITES <br /> E3 MEgCAL WASTE FACILITY CI OTHORIPLEASESPECIFyI <br /> WELL AND SEPTIC PERMIT RECORpa ARE AVAILAaLE FOR REVIEW - MONDAY.FRIDAY 0:00 AM-000PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. F�3f�o (gQ$)�Bh$13a OLMI to the addreas <br /> Indicated above. .Address ranges will not be accepted—for addgltdol asslstence Wkh fila addresses,contact <br /> the EHD.Applications received after 3;Q0 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant ff any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for it maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that Is activaly being worked on by EHD staff may not be Immediately available for review. A new <br /> application 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> Em«moue OOP <br /> v7Ve6 <br />