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NOV-05-2009(THU) 11 : 37 5ajam Engineering 6roup, lnc (FAX) 9806435 P. 001/001 <br /> V Elf D • SAN JOAQUIN COUNTY - EHD LOG NUMBER <br /> FO( 10 5 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMENT HEALTfTelephone:(209)468-3420 Fax:(209)464-0138 Web:.www,sjgov,org/ehd <br /> PERMITISERMES PUBLIC RECORDS RELEASE APPLICATION! <br /> APPLICANT: iG ar.�. BU81NE98lAGENCY: .Salt/I, En;;,k«',,, G-frw <br /> t1Gs'O wA P k '✓e fi�i l6 & no a Gee ®Aa 67A 9/770 <br /> ADDRESS: /�lillsA cr ,,1 <br /> PHONE(1):ISw(?) Fro-off- PHONE(2.):, (foy J8d'Gy.?,1'- FACSIMILE; �y0yJ Y80-`yfS <br /> TENTATIVE"APPOINTMENT DATE; /V'✓ h Time- I063O <br /> (Please allow 10 business days from date of eppllutlon submittal-"Tenraava only-muat be conarmed) <br /> CHECK BOX TO EXPEDITE RE ES $ .00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE r 09' <br /> Electronic Information: E] List❑Map—De9Crlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street C Street Nems <br /> City ❑ unit 1 <br /> 1• 3dl ✓rPccc e; ,�e, /�antcca !''n T- <br /> 2' ❑ Unit 2 <br /> S <br /> 4, 1 untt a <br /> 4. <br /> 6 unit 4 <br /> 7. <br /> 9 ❑ unit 6 <br /> 8. <br /> 10. ❑ Unit e <br /> Specific Date Range of Information Requested;From _. I�� to rcren' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ©HOUSING ABATEMENT n SOLID WASTE FACILITYNEHICIL a. n <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 13 WASTE TIRE n <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)K, O DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY O MOTELIHOTEL t7 PUMPER TRUCKNARDICHEM TOILETS '^ U <br /> C3 TATTOOIBODY PIERCING O POOLISPA 0 LAND USE APPLICATION SITES W <br /> MEDICAL WASTE FACILITY rl OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW - MONDAY-FWDAV 9:00 Am.&OoPM -EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(2)of files from the list above by checking the appropriate <br /> box(es), At least one file type MUST be selected. Fox to(208)464.0188 or mall to the address Indicated above. Address <br /> ranges will not be accepted—for additions assistance with flle 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 RHD files exist. An appointment for review will be confirmed approximately ten(1 D) <br /> days after receipt of application, The Mae will be hold 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 EHD staff at the expense of the applicant. <br /> Future Ole reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br />