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05/02/2007 15: 15 91648'f268 HUANG ASSOCIAT PAGE 01 <br /> UAI E RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR <br /> 304 East Weber Avenue, 3rd FIDor, Stockton, CA 952 S3 <br /> Tetephoae: (209)468-3420 Fax: (209)464.0138 W sjgov.or <br /> MAY (0 2 2007 <br /> EPUBLIC RECORDS RELEASE APPLICATION Gar <br /> NVI c p+aa 7�s <br /> DEPT BUSINeSSIAOENCY: mai y-qa4 Cll�sa�//t <br /> ADDRESS: z'��/ po.,y �{.riy ilial CITY C4X')'VI� STATE C �' <br /> PHONE(l): .__1 /46 �0i `933 PHONE(21:' FACSIMILE:-( ,?/o 4,03 <br /> TENTATIVE'APPOINTMENT DATE:_. 57 S't '/0 :2 -o /p/(Plass*allow 70 baslmaa days from date of application lubm�Tanteays only-must be cconnrmed) <br /> HECK BOX TO EXPEDITE REQUEST{(�.DO FE ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-I` <br /> rromank <br /> NforlRadoll 0 Ust 0 Mop.Do" <br /> ripeon <br /> FILE ADDRESS EMD USE ONLY <br /> sbeet a atrM Name city <br /> s. El Unit 1 <br /> 4.3. <br /> I ❑ Unit 2 <br /> 4. <br /> 6. nit 3 <br /> s. <br /> Orr 7. nit 4 <br /> e ❑ Unit 5 <br /> 9. M <br /> 10• 1 ❑ Unit 6 <br /> Specific Data Range of Information kusated: rcm �9elos (D �— <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �UNDEReRp1F0 TANK(UST)CLEANUP One(LOP) O HDusma ABATEMENT 0 SOLID WASTe FActurymm cLs <br /> a(aK.D''TN6R CLEA.erre(NON-LOP) 0 FOOD FAcs.ITY CI WAITE TRE <br /> XUNDEROROUND TANK(MONIT OLMOIRlMwAL) 0 Dot KENNEL 0 DAIRY <br /> 0 HAZARDOUS WAITE O[NRRATOR 0 CHICKEN RANCH 0 WA$TEwATeR TREATMENT PLANT <br /> O TERM PERMITTED FACILI" rI MOTELMOTEL ❑PUMPER TRUCKrYARWCNEWCAL TOILETU <br /> O TATTOOIBODY PINMRO O POOtISPA O LAID USE APPLICATION SITES <br /> 0 MEDICAL WAs TE FACKJTY ❑OTHER(PLEASE,SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAILE FOR REVIEW -MONDAY-FRIDAY 8:00 AM-5:OOPM - EZCLumNe HOLIDAYS. <br /> �. 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)484-018 or mall to the address <br /> Indicate 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 EMD will notify the applicant H any EHD files exist. An appointment for review will be confirmed <br /> approximately len (10)days atter 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. A now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the some 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 /> 3 01 �ea2� � f 4L <br /> IND UW <br /> IMII 5 <br />