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d <br /> ���r11� anted GenEnviromental Inc. �X09 Afi71118 P.001/001 <br /> ,vll EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> AUG G 4 2010 ENVTRONMENTALHEALTH DEPARTMENT <br /> EfJVIRONrLM1> rpt HEha 600 Bast Main Street, Stockton, CA 95202-2708 <br /> (209)468-3420 Fax: (209)464-0138 Web: wwwsjgov.org/ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: fall t ^ � � <br /> BUSINESS/AGENCY: <br /> ADDRESS: 4b ? S 3-/O <br /> PHONE(1): *Rt*7_100 (,a PHONE(2): FACSIMILE: �a Lp d LZ'a <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> C1 CHECK BOX TO EXPEDITE REQU&S/Tq-A$98.00 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 B INESS YS <br /> �CIk <br /> SIGNATURE OF APPLICANT w .,j , DATE f 122 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS HD USE ONLY <br /> Street k Street Name Clty it 1 <br /> -D- 4l7 <br /> 2. zj J1nit 2 <br /> 3. <br /> 4. Unit 3 <br /> 5. <br /> 8 Unit4 <br /> 8. Ly, Unit 5 <br /> 8. <br /> 9. t8 <br /> 10, <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I Cqq �,(q� <br /> UNOEROROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUsINe ABATEMENT $,SOUS WASTE FACILITYNEHICLE � / n h r 2 <br /> THE CLEANUP 81Ts(NON-LOP) 0 FWD FACILITY Q WASTE TIRE W') <br /> NDERGROUND TANK(MONITORINGIREMOVAQfk �DOG KENNEL 0 DAIRY <br /> AYARDOUS WASTE GENERATOR UCHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY I7 MOTELIHOTEL ❑PURIPERTRUOKINARDICHEMTOILETO <br /> 0 TATTWIBOOY PIERCING ❑PW LISPA M LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY CI OTHER(PLEASE SPEOIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-6:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type($)of riles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications recelved after <br /> 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 approximately ten(10) <br /> days after receipt of application. The flies will behold 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 EHD staff may not be immediately available for review. A now application may be <br /> 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 applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to revlew. <br /> EHD USE ONLY <br /> "** If you should need further assistance Please contact Diane Martinez CD (209)468-3425 directly. Thank You"** <br /> a .ee WIAn s <br />