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Jul. 13. 2006 2:53PM Aced GeoEnvironmental No, 5480.HDLPvLMeER <br /> DATE I(t:Ut:IV✓:D SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT L <br /> 304 East Weber Avenue, Y4 Floor;Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: V_ t1 BUSINEESSIAGENCY: �} 1} t1C.4 . }.aru <br /> ADDRESS' ryry13',39/' S/7 Q_ll..� /�kbq6 , S t o cW_j-L)A) CA Q ST I S Q <br /> PHONE(1): AIJ2 • 02-1006 PHONE(2):(? Q - I - , 2C FACSIMILE: V— �KT7`�1� 2f,JI i <br /> TENTATIVE`APPOINTMENT DATE: 7 JO 1y 404(!t &Jo Time: /19-0— A►�1�1�{° <br /> (Please allow 10 business days from date of application submittal-'Tantative only-must be confirmed) (V- /v? _ <br /> 4 CHECK EOX TO EXPEDITER EBT•$93.00 FEE(C OR C ECK ONLY)•REQUEST PROCESSED IN 313 SINES^DAYS <br /> Ste \TORE OF APPLICANT DATE <br /> UNIT DISTIaIBUTION 0 Unit 9 11Unrc 2 ❑ Unit 3 M Untt 4 0 Vnit S M Unite ❑ Other(61cotroW0110tslma04) <br /> FILE ADDRESS EHD US GNLY <br /> Ai7a <br /> reet lf Steel Name <br /> i - <br /> p ►tu t ne/ 2 e Ta 1 a t C <br /> 1a. o ulvhAtire_ t <br /> ?7119f+ecific Date Range of Information Requested: From <br /> Orll� ENVIRONMENTAL HEALTH DEPARTMENT FILES !! *4,_� <br /> UNDERGROUND TANK(US'f)CLEANUP SITE 0 HOUSING ABATEMENT O SOLID WASTE FAciuTTNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) In FOOD FACILITY ❑WfdITE TIRE <br /> NDERGRWND TAKK(MONITORINGIREMOVAL) M DOG KENNEL Q DAIRY <br /> tHAZARWVEI WASTE GeNeeATOR 13 CHICKEN RANCH LJW/,`;:EWATER TREATMENT PLANT <br /> tl TIERED PERMITTED FACILITY ID MOTELMOTEL �❑ PUKPERTRUCYtYARD;CHEMTOILETS <br /> ❑TATT00150oY PIERCING O POOLISPA f LAVS US#APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 9:00 AMS[DOPM • 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 typo MUST be selected. Fax to(2091464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses; contact <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 review Will be confirmed <br /> approximately ten (10)days after receipt of application. The files will be held for a maximum of five business- <br /> days <br /> usinessdays 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 new <br /> application[hay be submitted when the file is available. <br /> 4. Any file not returned in the.ame 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 priorto review.__ <br /> EN 4042.900 <br /> v+aw <br />