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MAY. 3. 2006 3 1PM CONDOR EARTH TECH N0. 6665 '. 2 <br /> _ I'IPK EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> EI NM01�MNTAX.HEAuR DEPARTMTiENT <br /> 304 East Weber Avenue,3d Floor, Stockton, CA 95202-2708 07 3 <br /> O O Telephone: (209)468-3420 Fax: (209)464-0138 Web; wwvrsjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION 1 513 <br /> APPLICANT: Jo BUSINESSIAGENCY: <br /> AIDDRESS 62 Ii2k E I �,�y <br /> PHONE(i): - OSIS PHONE(2): ��'/ ��(—��� FACSIMILE: -Q518 <br /> TENTATIVE"APPOINTIRENT DATE: 5/ 11 Time:—1�,�D��_ <br /> (Please allow 10 business days tram datMloft,,sobmittal-*7®ntativa Orly-must b®confirmed) <br /> ❑ CHECK BOX TO EXP E ST-$9 .00 FECK ONLY)-REQUEST PP.00ESSED IN 0 BU IIVESS DAYS <br /> SIGNATURE OF APPLIG T fDATE 6151040 <br /> UNITDISTNBUTION ❑ Un' i ❑ UIR2 ❑Unit a nit4 0UnX5 E3 UnitS ❑ Other(electronic/listaf apsj <br /> FILE ADDRESS EItD USE ONLY <br /> Street$ Street Name City <br /> 1. O� PiN D - Q <br /> 2. hnl <br /> / 3, E6c <br /> 5. <br /> 9. AN Ly <br /> 10. q q S R <br /> Specific Date Range of Information Requested:From to <br /> 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W UNDERGRDUNDTANK(UST)CLEANUP Sall LOP) O ouamGADAT TENT BOYO WASTC FArAUYNEHIOLE <br /> �❑ TNER CLEANUP SITE(NON-LCF) ❑FOOD FACILITY V V1.1STE TIRE <br /> DERGROUND TANK(MONnORINGIREMOVAL) 13 DOG KENNEL F �PJRY <br /> HAZAROOVS WASTE GENZRATOR ❑CHICKEN RANCH P YIASTEWATE2 TREATMENT PLANT <br /> ❑TIERED PERMnTEO FACILITY ❑MOTEIIHOTEL ❑PUMPER TRuCKIYARDICHEM ToILM <br /> ❑TATTOOIBoOY Pi4RGNG ❑POOUSPA 0 LAND USE APPLICATION SITE: <br /> ❑MEOIC[.L Y/AsT FACILITY ❑OTHER(PLEASE SPECIFY) <br /> wELLAND SUM PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 6:00 AM-5:00Fm - ExOLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type($) of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to f2O9)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <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 reviewwill be confirmed <br /> approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br /> day=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 /> 5r�o.e-c]-o'n <br /> trvaas <br />