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May. 18. 2006 9:52PM Advanced GeoEnvi ronmental _ No. 4936 P. 2 <br /> (DATE RECEIVED ��_55 � SAN JOAQUIN COUNTY ERO Loo NUM9ER <br /> WE ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 1 0 L"006 Tele304 East Weber Avenue,3'd Floor,Stockton,CA 95202-2708 //� „// � ' <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehdL <br /> ENVIRON /SEl3 HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> P <br /> AFPLICANT: U l Gny..� ^/' BUSINESSIAOENCY+ U N <br /> ADDRESS: S b Qdil s 1 v/ylJ�Ly �f /•y�) "1 J ' — e <br /> PHONE(1): 4769- 07-1006 PHONE(2): 4207 - /'Q - ;2A-/ 2r FACSIMILE: D 7' <br /> TENTATNE"APPOINTMENT DATE: .21/ 4144 2006 Time: ID=Oa A0 . <br /> (Please allow 10 business days from date of applfhation submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE E T-$93.00 FEE(CA II CHK�ONLY)-REQUEST PROCE§SED IN 3 BUSIN SS DAYS <br /> SIGNATURE OF APPLICANT _ VJL� DATE <br /> UNRDISTRIBUTK)N ❑ Un 02 ❑ Unit3 ❑ Unita ❑ Units ❑ Unhe ❑ Other(electronlcAlstslmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> $troal a Street Name city <br /> 1• U i Ltd WTV <br /> 2. U Je-57 / L1J '! <br /> 3. 17100 i r <br /> 4. Inv <br /> [ v t r �}C <br /> 5. U e C" <br /> 6. <br /> C <br /> e. rn 1 .57Mel nom <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tu <br /> NDERGROUNDTANK(UST)CLEANUP$ITE(LOP) ❑HOUSING AEATEMENT ❑$OLID WASTE FAC0.TP/NENICLE <br /> THER CLEANUP 8ITE(NON-LDP) ❑ OFoov FACILITY WASTE TIRE <br /> NDERGROUND TANK(MONRORINGIREMOVAL) O DOG KENNEL ❑DAIRY <br /> AZARDOUS WASTE GENERATOR O CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br /> G TIERED PERMITTED FACILITY ❑MOTELIHOTEL �❑.r PUMPER TRUcrJYARDICHEM TOILETS <br /> M TATTOC/BODY PIERGNa E3POOIISPA p�LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) • <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY.FRIDAY 8:00 AM-6:00PM - EKCLUDNS,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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-M 38 or mail to the addresi� <br /> Indicated above. Address ranges Will not be accepted-for additional assistance with file addresses,co.ltact <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 busEress <br /> days 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 may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> EXON-02.00! <br /> 111AN5 <br />