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05/31/2006 WED 10:44 FAX 550 r17 2886 BSK EnTironmental 0002/0(I� <br /> DA \J Ir`-L� �V/� I�LD) SAN JOAQUIN C�OLTNTY EHE)LOG NUNIEE <br /> 1J L� ENVURONMENTAL HEALTH DEPARTMENT <br /> 3 1 2006 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 <br /> ENVIRONMENT HJLVone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/elid 3 q3 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAW. (�11�E 1 �t 11 17 BUSINESS/AGGENCY: W k A s-'6c'jAr(jj__� <br /> ADDRESS:_ 0 W NAW Aucpvc 51,1 ro L/1EStiD i CA /37QY _ ---- <br /> PHONE(7):_J 5JY. '/77.2,iT6 Cali 127 PHONE(2): 15*59. V751, 12r— FACSII 4LIF: :'>J . 427, <br /> TENTATIVE*APPOINTMENT DATE: (O�y/O Co <br /> (Please allow 10 business clays from elate of application submhtal-"Tentative only-must be cwlfirmed) <br /> 17 CHECK BOX TO EXPEDITERES -$93.00 E H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> NT <br /> SIGNATURE OF APPLICAVI. _DATE _-�L2d 4 <br /> UNIT DISTRIBUTION M Unit 1 ❑Un CfUnit 3 O Unit c 17 Unit 6 11 Unk 6 Other(Elacbvnic7isft+tmps) <br /> FILE ADDRESS _-EHD.US — ------ <br /> fr4i meIty -- <br /> ... ._:.� -3.--sols= ._.._11�Y c'?�L�.>�._..---•----- -.S~i-rs•.. e.. _---- ------------- ------.:..- - -• -- --...- -- <br /> 7. <br /> � <br /> 28 35 Q✓Y_ �6' STou�C7 0_ - — <br /> 9. <br /> 10. <br /> Spyzcific pate Range of Information Requested:From �/"Y4 to _- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUtID TANK(UST)CLEANUP SITI2(LOP) ❑HOUSING ABATEMENT 13 SOLm WASTE FAtmjTYlVEHICLF <br /> OTHER CLEANUP SM(N01410P) C F000 FACIt rrY 0 WASTE TIPS <br /> UNDERGRCUND TANK(MCNTMRINGIREMOVAL) b D00 KENNEL DAIRY <br /> HAZARDOUS WASTE GENrrAmrt CHICKEN RANCH 0 Wm.TrwATERTRJITMEN:PLAN'.' <br /> TIERED PErmirmD FACILITY ❑MOTELMOTEL M Pum PER TRUCK/YAROICHEN TOu-ETs <br /> I]TATTOO/BODY PIERaNG POOL/'SPA ❑LANO USC:APPLC ArON Srrm <br /> C3 MEDICAL VVA3TE FACILITY Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEFric PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-VRIDAY 3:09 AM-$:00PM - EXCI.UDIN0 HOLIDAYS. _ <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 mall to the ad -3 <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses,cont'tet <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The I_HD will notify the applicant if any EHD tiles exist_ An appointment for review will t*conflrmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five tusiners <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A fila that is actively being wonted 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 END 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 /> {!{ `',:! <br /> EHD 4an2-C 06 <br /> 7/1•A5 <br />