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Mar. 16, 2001 2: 08PM A-4- JR0UP SERVICES INC. • No. 0089 P. 1 <br /> Dq4�-� <br /> I I��I�� EHD LOG NUMBER <br /> u U ;� 1�WE V SAN JOAQUIN COUNTY <br /> V ENVIRONMENTAL HEALTH DEPARTNTFNT <br /> 2007 304 East Weber Avenue, 3d Floor, Stockton,CA 95202-2703 <br /> Fp,;lfj I Telephone: (209)468.3420 Fax; (209)464-0138 Web: wmv.sjgov.orvehd <br /> ur�rv,�rdr �;�Aiti - <br /> `I `'"%?/S(:Rt 10r- PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: /�Y111�i MIVIdWII nuslNESS/AGENCY: ATf�C(OL•in4AC <br /> AOORE39: II Llyn Aye, O ��j y ry <br /> PHONE(1): � j -1 y<�,I PHONE((2I): ���//�� �yn��•.-�}'1�7�•�t FACSIMILE: 2�� q�-Z-Z_ZIG <br /> TENTATIVE`APPOINTMENT DATE:MG1YG{1 30 1 .�{1V 1 Tlaw 'D� <br /> (Please allow 70 business days from date of application submittal•'Tentative only-must tie confirmed) E <br /> ❑ CHECK BOX TO EXPEDITE REOU •$93 0 FEE ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUST E99 DAYS <br /> SIGNATURE OF APPLICANT DATE UPJ <br /> UNIT DISTWUV nON 0 Unit O Unit C Unita 0 Unit 0 Units C1 Unite 0 other(eteclronicNlsts/map9) <br /> FILE ADDRESS <br /> o street r at est Name Cay EHD USE NLY Cp <br /> z. I 2 In oc Dh cow3. s�{ Z(o 1 >d� <br /> 4. D S. C) ( i tpvt <br /> G. <br /> 7. 1 1 I <br /> S. i <br /> 10. <br /> Specific Date Range of Information Requested:From ALL AVAII.q$Lr. to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �I�UNDERGROUND TANK(UST)CLEANUP Srrr(LOP) 0 HOUSING AmTeMENT M SOLID WASTE F=e /V CLE <br /> OTNER CLEANUP SITE(NON-LOP) ❑FOOD FAcum 12 WASTE TIRE <br /> 91'UNDERDRDDNa TANK(MONIroRINWRE40VAL) ❑DOG KENNEL 0 DAIRY <br /> dHPSARDM WASTE GEN"ATOR 0CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERurrrEn FAcu " ❑MOTFi1HOTEL O PUMPER TRUCKlYARDICHEM TOILETS <br /> C TATTOCIBOOY PIERCING ET POOLISPA 13 LANG USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW• MONDAY-FRIDAY 8:00 AM.S: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 <br /> appropriate box(es). At least one file type MUST be selected. Faxto(2091464 0138 or mall Sq the address <br /> Indicated a Address ranges will net be accepted-far additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> T. 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 business <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 /> I <br /> END eea2a00 <br /> Tn.ros j <br /> i <br /> I <br />