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TERRRCON - RENO 775-351-2423 Rug 12 2010:31 P.01 <br /> on?e iaecervao <br /> ENO LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> h O,i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> IA STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT JOS 1 Q.-GC BUSINESSIAGENCY � E'(_"C_0tj <br /> ADDRESS 13 go C-R e6 .S'( *2373 se4iz-t s NV E94 V:) 1 <br /> PHONE — 3S"I — 2.YOO FACSIMILE — 3 S-1— 7_ /2.7 <br /> TENTATIVE"APPOINTMENT DATE �/za TIME q <br /> (Please give 7 to 10 bu ness days from data of application submittal) <br /> Er <br /> oii ,� <br /> 2� 6, <br /> E CHECK BOX TO EXPEDITE REQUEST•$933.0�00,,F��EE-REQUEESS,TP,ROCEE1,5ED IN 3 BUSINESS DAYS 1 .,��(nSI(N� <br /> SIGNATURE OF APPLICANT I^ l J , / ' cam DATE IL 0-7 `v <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> t c_ t� u C <br /> sl I ✓ <br /> s z <br /> lmmm <br /> t <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) In HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINOlREMOVAL) ❑ DOG KENNEL 13 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTEL In PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING 0 POOL/SPA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to f209)484-0138 or mail to the <br /> ;address indicated abpve <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> 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 <br /> of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3;00 pm Will be processed the next business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAL <br /> REVIEWED YES NO <br /> END aeca REVIEW DATE <br /> arnaso.a <br />