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From: 08/21CP7 17:07 #729 P.001/001 <br /> %Z: <br /> te( /�§ Z �jj@ t 2094640138 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> I(1��{"IIT�E'IRiE¢_�—'IDD�JI LC EHD LOG NUMBER <br /> SAN.�OAQUW COUNTY <br /> AUG 2 2 2007 ENVII20NMENTA,L HEALTH DEPAIRTMFNT <br /> 600 East Main Street,Stockton CA 95202 r� <br /> ENVIRONN1EIVT HEALTljetephooe;(209)4683420 Fax:(209)464-0I38 Web: www.sjgov,o 1 <br /> PERMITISERVICtS <br /> / PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_ L r,S <br /> (--1-Ia, -B1ESAGEf�NCsY <br /> ADDRESS: 7 (�' <br /> PHONE(1): Z0C7 Ji.3"ThIL ) 4," ZSGE3 <br /> SS/ HG. <br /> 0 Gm <br /> TENTATIVE*APPOINTMENT DATE: Time- <br /> (Plaase allow 10 busirk"t days from date of applleallon submittal,`TernabW only•must be COnfirme <br /> CHECK BOX TO EXPEDITE REOU£S s95,�rlpa FEE(P H O CHECK ONLY)•REQUEST PROCESSED INS BUSINESS PAYS _q <br /> SI6�URE OF APPLICANT h DATE <br /> Z� <br /> Electronic Information: El List Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Sheet# _ Street Name city Ll Unit 1 <br /> ot. US a) <br /> 7 v — .O r �GZ 'rjF�65Z L7 unit <br /> tib- ...4 lea pre �,c U I of 'Gz &I Unit a <br /> AW I <br /> 4111 Un1f4 <br /> .... IJ S _ f .I``t co to 4�E'rv {✓? b ( rto © Unit 0 <br /> 72s ac:d,,t � �/ G I � <br /> Specific Date Range of Information Requested:From to <br /> YENVIRONMENTAL HEALTH DEPARTMENg..,WASTEFAGL1V%C v <br /> ,�'UNDERGRWND TANK(US1]GLEANGP SttE(LOP) HOUSING ABATEMENT <br /> TETum <br /> Y <br /> \v � HAZAaooUS WA$TEGENERATOR fJ CNILKEH ❑WA$Te1VATER TREATMENT PLAN <br /> ` / TIERED PERMITTED FACILITY ❑MOTELRI ❑PU mrv;R TRUCKIYARDIrHEM TOILET$ <br /> \`(\V�- TATT40180GY PIERCING ❑POOL/SPA GLAND USE APPLiCATMN SITES <br /> � MEDICAL WAaTE FACILITY BOTHER IPL $E SPECIFY) <br /> WELL ANDSEPTIC PERMIt RECORDS ARE AVAIIAaLE FOR REVIEW MONDAY•FRIDAY 8:00 AN-5•00PM • EXCLUDDIGHQuDAYS <br /> 1, List up to ten addresses In the apace above. Select the types)of files from th¢Ilst above by checking the appropriate <br /> box(es). At least one filo type MUST be selected. Fax to l20914a4.013B or mail to the address indicated above 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 If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A Ilia that is actively being worked on by EHD staff may not be immediately available for review. A new application may ba <br /> submitted when the fit is available. <br /> 4. Any filo 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 595,00 deposit prior to review. <br /> EHD USE ONLY <br />