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l 81169/2868 15:81 269334f DA)°.� RSG VEEP_, C' r� •-, i WGR SOUTHWEST hq# {� I l K, �t4� LIU SAN JOAQUIN COUNTY ENVIRON,VENTAL, HEALTH DEPARTMENT JAN 1 0 2008 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (2050 464-0-138 1 3 8 Web: Www.sjgov,ar i'rkL(.. IZ QE`q`r/'tl!�aF PUBLIC RECORDS RELEASE APP'LICA PAGE 61/81 END LOG NUMEiLR APPLICANT. I I` � �- � �'} �� } 4A ADDRESS: S Vj Lir i R�� r B USINESSrAGENCY: { � � _. PHONE (1): - J'-3(13 PHONE (2), �i %(a FACSIMILE . TENTATIVE` APPOINTMENT DATE: 1%�0 (please aJI0w 10 buainesa da Tlm®: Yg from date at $ppllcallon aubmlttsl - • rerstaGve only -m� ^` Q CHECK 6must be conflredj 0X TO EXPEDITP RFnfw— .. _ -- -- _ SIGNATURE OF APPLICANT Specific Date Range of Informatlon Requested: From OR CHECK ONLY) - REQUEST PROCESSED IN 3 �) I 9 Llst NIONUAY-FRIDAY 8:00 Awf:-00 3. Up tp ten addresses In the Space above. $elect the . PM ' CACLUDING HOLIDAYS. type(S) of from the list above by c hecking the appropriate box(es). At least one Elle type MUST be selected. Fax t 20 ranges witl not be accepted - for addEtlanal assist with Ila addresses, co4-013 or ntact the r=MOsgppilcat� ns received after 3:00 pm will be processed the nett business day. Address The Elite re notify the applicant If any I:HD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt le acro dinglpplication. The files will be held fora maximum Of five business days for review. Appointments should be scheduled accordingly_ A file that is actively being worked on by EHO staff may not be immediately avaNable for review A submitted when the file Is available . new appltcatdan may be 4. Any fife not returned In the same condition as released will be reorganized by END staff Future file reviews by the game applicant may require a $98.00 deposit prior to review, at the expense of the applicant. to —� ENVIRONMENTAL HEALTH DEPARTMENT FILES �DERGROUNI) TANK (UST) CLEANUP SITE LOP iii�TH€R CLEANUP SrTE (NON -LOP) ( ) �INDERGROUND ❑ C7 FOObIING FACILM ABATEMENT WASTE Fq�ILRYn/PHICLE 25 TANK (MONTTORINWREMOVAL � &'" HAZARDOUS WASTE DOG KENNEL I WASTE �q�YE 71Rf; GENERATOR✓ Q TIERED PERMITTED FACILITY i� TATTOCIBODY PIERCIN4 n CHICKEN RANCH Q MOTELlHoTj-L 13 Q DAIRY ly TR ❑ WASTEWATER TREATMENT PLANT TMENT h" WASTPumr Q MEDICAL. WASTE FACILITY ❑ POOLISPA ❑ OTHER (PLEASE SPECIrY) ❑ RATER A 61 TOILETS Q LARD rz APP APPLICATION SITES WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR Reo 9 Llst NIONUAY-FRIDAY 8:00 Awf:-00 3. Up tp ten addresses In the Space above. $elect the . PM ' CACLUDING HOLIDAYS. type(S) of from the list above by c hecking the appropriate box(es). At least one Elle type MUST be selected. Fax t 20 ranges witl not be accepted - for addEtlanal assist with Ila addresses, co4-013 or ntact the r=MOsgppilcat� ns received after 3:00 pm will be processed the nett business day. Address The Elite re notify the applicant If any I:HD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt le acro dinglpplication. The files will be held fora maximum Of five business days for review. Appointments should be scheduled accordingly_ A file that is actively being worked on by EHO staff may not be immediately avaNable for review A submitted when the file Is available . new appltcatdan may be 4. Any fife not returned In the same condition as released will be reorganized by END staff Future file reviews by the game applicant may require a $98.00 deposit prior to review, at the expense of the applicant.