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,/26/2007 10:56 FAX 510 839 794n FILICE BROWN Z003 <br /> _ EHD LJG NUMBER <br /> DATE i SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 60 E.Main Street, Stockton, CA 95202-3 <br /> T <br /> elepnoae: (2099)468-3420 Fax: (209)464-0138 Web:wwW.Sw.5jgov.or�/ehd <br /> ,1 ' PUBLIC RECORDS RELEASE APPLICATION! n C <br /> APPLICANT: L NiUSINESSIAGENCY: t 9 wt, FA,,s4-- McLaJ LLP <br /> ADDRESS: 19qi Ha Vzgol. rw� �1 O q <br /> PHONE(1): 610-414-3131_ PHONE(2): S1Q-'C,P7-8�,a3K oS1a FACSIMIL.:/ 2 - .39'-940 <br /> TENTATIVE*APPOINTMENTDATE: " JI '1� aoo7 Time: 3:�4tn <br /> (Please allow 10 business days from date o appllca on aabmlttel-'Tentative only-must We confirmed) 1 <br /> E3 CHECK BOX TO EXPEDITE REQUEST-1195. D FEE( SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU Hqt'DDAAYS <br /> SIGNATURE OF APPLICANT DATE /'4./P07 <br /> .LI <br /> ElectroniC information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY 7UUnk <br /> Striata Street Name City 1 <br /> 1. q Y -Trac __ AL. <br /> T U5 I�N ❑ Unaz <br /> 4. <br /> Unit <br /> T- p ❑ Unit <br /> 10. <br /> I <br /> Specific Data Range of Information Requester _ _ _ to ' t <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I' <br /> 5JN/DERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HQU31NO ABATEMENT 0 SOLID WASTEIFACILITYNEHMLE <br /> r THER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 171 WASTE TIRE Y1 <br /> INDERGROUND TANK(MONnORINWREMOVAL) C3 DOG KENNEL G DAIRY .i <br /> O HAZARDOUS WASTE GENERATOR 171 CHICKEN RANCH 171 WASTEK'ATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY ❑MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOIL..n <br /> O TATTDOn3OOY PIERCING 0 POOLISPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 9:00 AM-6:00PM - EXCLUDING HOUDAr.L <br /> 1- List up to ten addresses in the space above. Select the type(s)of files from the list above by Checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091 464-013B or mail to the addresslindicated abdve:. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant N any EHD files exist. An appointment for review will be contInned approxinu tely ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days fol 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 new 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 thei''axpense of the applicant. <br /> Future file reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> I <br /> ENo.Iaae e1912006 web <br />