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Mar. 21. 2006 1 : 12PM �nced GeoEnvironmental No. 4299EHD� 1/1ABER <br /> DATE ICV lWCU SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ' "- s[� <br /> LA 304 East Weber Avenue, 3d Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:WWw.sjgov.org/�1)Lt <br /> (�22 <br /> PUBLIC RECORDS ��','I WRELEASM I0x,, <br /> APPLICANT: U �r n �• OI^1 ,,B`USINE$�S( G\�V�,1(i <br /> ADDRESS: 3 1!/'� Sry O Q S�`O CJ��O!V Fl �}l <br /> PHONE(1): pq• 7� / 'lD�tO PHONE(2): O - Ivc'"'h f7 FACSIMILE: O(D I ' 7IP /`III <br /> TENTATIVE*APPOINTMENT DATE:F�(hati Qr ;4 Tlme: X0 _ <br /> (Please allow 10 business days from date of ap lication submlMal-*Tentative only•must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RfGiST-$93.00 FE C SHO CHECK ONLY)•REQUEST PROCESSED IN 3B SINES DAYS,,,,+ <br /> SIGNATURE OF APPLICANT DATE W'I <br /> UNITDISTRIBUTION ❑ UnR1 ❑ Un@2 ❑ Unit3 ❑ Unit4 ❑ Units ❑ Uni[E ❑ Other(electronlcillstsimaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street$ street Na City <br /> �K 1. 5 <br /> 4. • $ <br /> o� 5. R �aa4 <br /> E . cm-pnjer <br /> 7. oa a4i�� <br /> 0 <br /> e. q <br /> 9. U <br /> 1 U. <br /> Specific Date Range of Information Requested:From toD <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES D <br /> f0T,HER <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITYNEHICLE <br /> CLEANUF 81TE(NON-LOP) ❑FOoOFAGILITY 0WASTE TIRE <br /> ERGROUN0 TA NK(MONRORMWREMOVAL) ❑DOG KENNEL ❑DAIRYnn 2006 <br /> DOUSWASTEGENERATORQ CHICKEN RANCH n WASTEWATER TREATMEN IIERED PERMITTED FACILITY M MOTEUHOTEL PUMPER TRUCKII'ARdCRENTOlLETS <br /> 0 TAT700(BODY PIERCING E3 POOUSPA yy W,.`2_- LANp USE y�7�_P�LICATK)N S <br /> 171 MEWCALWASTEFACILITY AOTHER(PLEASESPECIFY) `YQ 1]t�a17T61Ya3�'�-L��entl IDR M <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:80 AM-5:0OPM - EXCLU61NG HbLIDAYS. 1 <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)464-0138 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 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. Anew <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 /> EHD 4"2a 5 <br /> V14e0 <br />