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rm:OAR <br /> ronmental Cor oration To:<no^bject>(12094640138 <br /> 15:39 04115111 GMT-06 Pg 01-01 <br /> 20946E 99 ENVIP,ONMENTAL HEALTH j <br /> ,�,L �/ �• PAGE 01/01 <br /> ECF,It+�O5 Z� SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> APP, 5 2W ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL HEALTH 600 East Main St. Stockton,CA 95202.3028 <br /> L -PERA wfthone: (209)46$-3420 Fax: (209)464-0136 Web;www.sjgov.org/ehd <br /> - I ,T/SERVICM PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Matthew Phillips BUSINESSIAGENCY: AAZ Environmental <br /> ADDRESS: _2009 Vine #5 CITYISTATEfZIP: Denver, CO 80205 <br /> PHONE(1): 719-494-6925 PHONE(2): 888-221-0297 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE- Time: <br /> (Please allow 16 business days from date of appLlcallon subm t-'TWfatfve only-Must be eori0finedl <br /> Q CHECK BOX TO EXPEDITE REQU $122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ;M <br /> ----------__... OATS ��_ j - <br /> Flectronio InfMTnation: ©List❑Map-DascYiptlon:_ <br /> FILE ADDRESS FHD 0F ONLY <br /> Street a _-.I--- • Street Name City /J Unit 1 <br /> T!� t• 1630 N. W _ Stockton G`aI Ak4C-0 ��t`-- <br /> V 2• __ —_ 2 <br /> 3. — <br /> 4. nit 35 <br /> s• Unit 4 <br /> 7. -- —_ <br /> 8• t ❑Unit S <br /> ----- <br /> 10. a <br /> speeiRc Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I� / � <br /> ®UNDERMOU10 TANK(UST)CLEANUP SITE(LOP) ❑H=tNSA5ATEW.NT ®SOL)O WASTE FACLNYIVENICLE -/-INCL, /vI -+ <br /> Qx:OTHER CLEANUP SRE(Nom-LOP) I8 FOOD FACKITY `��J'WASTE TIRE <br /> ®UNDFAOROuto TANK(WIMO REMOVAL) L,,.I Doo KENNEL. LJ DAIRY <br /> HAZARDOUS WASTE GENERATOR []CHICIvui RANCH [yj WASTEWATER TREATMENT PLANT �n <br /> TEM PERMITTED FACA.Rfj\ ❑MOTELIHOTEL I}��PuMPERTNuCKfYARNGHEMICALToILETa <br /> LJ TATroolBODY PIERCING ❑PDOIjSPA LJ LAND USE APPUGATioii SITES <br /> [] MEDICAL WASTE FACILELY []OTNER(PLEAS€SPECIFY) <br /> WELL AND SEPTIC PERMrI RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY S:OO AM-5:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type($)of files from the Iist above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to 12091464.0135 or mai La the addrass IndicAled shove. Address <br /> ranges will not be accepted-for additional asslstanca with filo addresses,contact the EHD. Applications received after <br /> 3:00 pm will be procassed the next business day. <br /> 2. Ttia END w01 notify the appilcanl if any END files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after raeelpt of application. The files will be held 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 ENO staff may not be immediately available for revises. A new application may be <br /> submitted when the file is available, <br /> 4. Any file not returned In the same condlOon as raises"v411 be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may roquire a$122 deposit prior to review. <br /> EHu ON Y <br /> N <br /> I <br /> ENO YJH! <br /> 011Zw1a <br />