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09/15/2009 10:23 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> ILJ) SAN JOAQUW COUNTY EHD LOG NUfvIBER <br /> U UL�1L / <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 1 5 2009 600 East Mainz St. Stockton, CA 95202.2708 <br /> Telephone., (209)468-3420 Fax: (209)464-0138'Web: WWW.Sjgovorg/ <br /> ENVIRUNNILNT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION 1` <br /> APPLICANT; P BVUIN�ES[SIAGENCY: <br /> ADDRESS: t� C11YlSTATEIZiP_ �} ` �-/ l �1 ` 9 <br /> PHONE(1); f�5 �L4(0- cac%:DS--PHONE(2): FACSIMILE <br /> TENTATIVE`APPOINTMENT DATE: Tlrna; <br /> (Pinar@ allow 10 business days from date of application submittal-'TenWIve only-must be confirmed) <br /> in CHECK 13OX TO EXPE13i"M REQUEST.$105,00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 D CINESS DAYS <br /> SIGNATURE OF APPLICANTS DATE <br /> ElectronlG Information: El List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> StreCt# Street Name city ❑ Unit 1 <br /> 2. l� untt.2 <br /> 3. <br /> nit 3 <br /> b6. �nit 4 <br /> t). -_.......M,, <br /> • ❑ Unit 5 <br /> 9. Unit j <br /> 10, <br /> Specific Date flange of information Requested: From Q to f �� <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP 3nE(LOP) la HOUSING AsAT1:MCNT OUD WASTE PACILITYNEHICLE t�3 <br /> SITE(NON-LOP) d FOOD FACILITY ❑WASTEIIRF �''� <br /> �fHER=P <br /> b€RTANK(MOtJITORINI31REIu0vAl)Q` ❑DOO KENNEL DAIRY a IZARDOUS WASTE G€NERATOR 0 CWGKEN RANCH -, A EWATER TRI=ATMEN7 PLANT <br /> 0 TIERFDP€RMITTED FACIUTY ©MOTMMOTFL 11 PUMPER TRUCKIYAR0tCMEMTOILETS <br /> TATTOOIDODY PIERCING 0 P00LJSPA 0 LAND USE APPLICATION SITU <br /> M MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIPY) <br /> W€LL AND SEPTIC PERMT R1=CORD3 ARE AVAILABLE FOR REYiEw-MONDAY-FRIDAY 8:00 Am-!OOPM - 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 appropriate <br /> box(es). At least one file type MUST be selected. Fax to ash 464-0j38 or I to the ad rasa f ed above. Address <br /> ranges vAII not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm wail be processed the next business day, <br /> 2. The EHD will notify the applicant if arty EHD files exist. An appointment for review will be confirmed apprcutimately ten(10) <br /> days after receipt of application. The files 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 ENR staff may not be immediately available for review. A new application may be <br /> submitted when the file is available, <br /> 4. Any lite not returned in the same condition as released vAli be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105.00 deposit prior to review. <br /> EHD USF ONLY <br /> ***If you,need further assistance please contact Mane Martinez @ (209)468-3425 directly. Thank You*** <br /> grp4rmoe <br /> 46-06 <br />