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11 cV 05/27/2005 FRI 11:39 FAX 4001/001 EHO LOG NUMBER DATE RECEIVEDD SAN JOAQUIN COUNTY w7 CFgV� O ENVIRONMENTAL HEALTH DEPARTMENT I O 0304 &st Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 tijg 2 7 2005 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj90v.0r9'ehd —.IT ut:e1THPUBLIC RECORDS RELEASE APPLICATION BUSINESSIAGENCY: ADDRESS' PHONE (1): r rb O vR s.....+e �.,..�� I_,. .. _ - TENTATIVE` APPOINTMENT DATE: SV`N� $ 2OOr Time: 0:� Ash (Ploaso allow 10 bminasa days from date of applicattea submittal - •Tentative only - must ba co�rmad) %�4_79 M • 1] CHECK BOX TO EXPEDITE REQUEST _ $95.000 fIEE (C�H OR CHECK ONLY) -REQUEST PROCESSED INS BUSIN 01nKIATI1oC �L.•lF7r 'F-�-�- "�-' DATE L-27- 11-7 Specific Date Range of Information Requested: From to t?Rg:SEN9` - ENVIRONMENTAL HEALTH DEPARTMENT FILES UNDERGROUND TANK(UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT � SOLIDwA5IEFACIOttNENICIE ftr OTHERCIEANUPSITE(NONLOP) Cl FOOD FACILITY WASTE TIRE UNDERGROUND TANK(MONffMNGIREMCVAL) El DOG KENNEL AIRY )*iArARDOUS WASTE GENERATOR 171 CHICKEN RANCHVASTEWATER TREATMENT PLANT RM OTIEREOPEITEDFACILITY ClMDTWHOTEL PUMPeRTRUCK1YARDICHEMTOILETS 13 TATTO800Y PIERCING OPA O Use APPUTACAAA. ❑ MEDKAwAT }OTmR(PIEA9E SPEc1Y) GQADGyiT WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-PoDAY 8:00 AM-6:00PM " EXCLUDING HOLIDAYS, 7. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 484-0138 or mail to the address indicated above. Address ranges will not be accepted -for additional assistance with the addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review, A new application may be submitted when the file is available. 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future the reviews by ine same appucant may require a aya.uu DepUUIL PTIVL w IG -:IU• . END {SO G IIIA, WffiffilKIM ►r�n1�u� Specific Date Range of Information Requested: From to t?Rg:SEN9` - ENVIRONMENTAL HEALTH DEPARTMENT FILES UNDERGROUND TANK(UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT � SOLIDwA5IEFACIOttNENICIE ftr OTHERCIEANUPSITE(NONLOP) Cl FOOD FACILITY WASTE TIRE UNDERGROUND TANK(MONffMNGIREMCVAL) El DOG KENNEL AIRY )*iArARDOUS WASTE GENERATOR 171 CHICKEN RANCHVASTEWATER TREATMENT PLANT RM OTIEREOPEITEDFACILITY ClMDTWHOTEL PUMPeRTRUCK1YARDICHEMTOILETS 13 TATTO800Y PIERCING OPA O Use APPUTACAAA. ❑ MEDKAwAT }OTmR(PIEA9E SPEc1Y) GQADGyiT WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-PoDAY 8:00 AM-6:00PM " EXCLUDING HOLIDAYS, 7. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 484-0138 or mail to the address indicated above. Address ranges will not be accepted -for additional assistance with the addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review, A new application may be submitted when the file is available. 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future the reviews by ine same appucant may require a aya.uu DepUUIL PTIVL w IG -:IU• . END {SO G IIIA,