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05/31/2006 WED 10:14 FAX 5590 2886 BSK Environmental N2/002 <br /> DA " Aq I p�\y/E D SAN JOAQUIN COUNTY EHD LOG NUMEE? <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 3 1 2006 304 East Weber Avenue,3'd Floor,Stockton,CA 95202-2708 3 <br /> ENVIRONMENT HE L eH�boae:(209)468-3420 Pax:(209)464-0138 Web:www.sjgcv.org(ehd 2 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATIOgN� <br /> APPLICANT: Ml)r-E ("1C_ll-EN21-' r BUSINESSIAGOE7NCY:_Wk A 566)AT45 <br /> ADDRESS:_5,6�_CNAW Auctiy[I _�l�I� 9'�� F/LEJ/,�O/ lfA 7J70Y_ _ <br /> PHONE(t):_55g?- 1/97.2.%ro I IV . ZPP <br /> TENTATIVE*APPOINTMENT DATE: bI/Y�oC� Trm: /OgrM <br /> (Please allow 10 I USInGAS days from date of application submittal-•rentafNa only-must be ciWirmed) <br /> CHECK BOX TO EXPEDITE R )LEST 4=H E H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE d 6 <br /> UNIT DISTRIBUTION OUnk1 mUn eUnn3 ❑Unit 4 0Unit6 0 Unit a oinor(tlxlro.Nflistxlnwps) i] <br /> FILE ADDRESS r 0 <br /> *VmNal_. TA <br /> _. <br /> s _.. <br /> ....... .ryYla• -•fia9 0..-- ---- -- — <br /> [4. 3oe3 N.A✓lOnruQ• -- Sy KaaJ <br /> 3o te IIA✓s igt_2z9 �l/A✓Y_ nvuE N F.F SY ceCo�f _ <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested:From /f 5'O to �o <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNwE outID TATO((VST)CLEANUP Sm(LOP) O HOUSM'G ABATEMENT 13 Soov WASTE FA xjTYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILrTY O WASTE TIRE <br /> ```���...,,,UNDERGROUND TANK(MONMRINGtREM a) ❑Doe KENNEL ❑DAIRY <br /> HAZARDOUSwASTFGENrRATOR 13CNICKEN RANCH ❑WASTLWATERTRETM .PLAN: <br /> TIERED PERMITTED FACILr MMOTELIHOTEL ❑PUMPERTRUCKMAROM"CM TOILETS <br /> 0 TATrOOBWY PIERCING M POOL/SPA 11 LAND USE APPNCATEON SITS <br /> MEDICAL WASTE FACILITY U OTHER(PLEASE SPECIFY) __ _ <br /> WELL AND SEPRC PERMIT RECORDS ARE AVAILABLE PDR REVIEW- MONDAY-FRIDAY 3:09 AM-5:00?al - 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to 4209)464-0133 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,cont3ot <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 rov-Iewwill be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five busincros <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 now <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 /> ExD+aaaaa <br /> InAaa <br />