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1012112010 15:45 Advanced G�nviromental Inc. <br /> :v) 09 4671118 P.0011001 <br /> EHD LOG NU ER <br /> uu <br /> on <br /> ���Eff, <br /> �) SAN JOAQUIN COUNTY <br /> `J 1=' ENVIRONMENTAL HEALTH DEPARTMENT <br /> UC,1 L 1 L010 600 East Malh St, Stockton, CA 95202-3029 <br /> Tel one: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov. g/e <br /> ENNiRUNM N 1 HFF JH <br /> PUBLIC RECORDS RELEASE APP_LICAT_IO <br /> X331 S�IAGENCY: �/ �,,..� �r�Lkv1'riHA1, y <br /> APPLICANT: � t <br /> ADDRESS: Ska+•' F� , 18lTAT�zIP: <br /> ,,,�., qsa{S <br /> PH <br /> 1}: - (0 -I a0 ONE(2):_��?0' y�� - tGdl FACSIMILE: <br /> PHONE <br /> ( b Time: <br /> TENTATIVE*APPOINTMENT DATE: <br /> (Please allow 10 business days from data of a plication submittal-"Tentaflva only-moat be conilrmotl)/ <br /> CHECK BOX TO EXPEDITE REQUEST-Al E(CVH CHECK ONLY)-REQUEST PROCESSED <br /> IN3 BUSINESS DAYS <br /> I OIu/ <br /> SIGNATURE OF APPLICANT Ut.yl, <br /> Electronic Information: ❑Llat❑Map—Description: <br /> EHD USE ONLY <br /> FILE ADDRESS <br /> Street <br /> street Name city Unit 1 <br /> fl <br /> 7 it2 <br /> 2. 304 ++ dji <br /> s. 22go N G - <br /> t. r nit <br /> 4. Z15 <br /> s. x3�p <br /> nit <br /> 6. M40 <br /> << +� <br /> 7. 2-19t? i <br /> Ll unit a <br /> 8. <br /> �• a <br /> 10. <br /> to <br /> Specifics Date Range of Information Requested: From )_ �Ies 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLIDWASTE FACILVIVEHICLE 1p } , <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ® —' }-° ) <br /> OTHER CLEANUP SITE NON-LOP) ❑FOOD FACILITY O WASTE <br /> TIRE L� l� <br /> D00 KENNEL pv Z�l <br /> UNDERGROUND TANt;jMON[T0RINWREMOVA - CHICKEN FWASTEWATERTREATMENT PLANT <br /> HAZARDOUS WASTE LjENERATORbC ❑ ❑PUMP ERTRUCKIYARDICHEMICALTOILETS <br /> TIERED PERMITTED CILITY % pAf EL LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING SP50IFY) <br /> Fj MEDICALWASTE FACILITY <br /> WELL AND SEP110 PERMIT RECORDS ARE AVAILABLE FOR REVII1fW: MONDAY-FFUDAY 8:00 AM-5:00pM(EXCLUDING HOLIDAY$) <br /> 1. 1 let uR to ken addresses In the spade above, $elect the type(*)of flle4 from the list above by chocking the appropriate <br /> box(ea). At least one file type MUST be selected. Faxto(20R)464-0138o�_. r mall t4 the addro§s Indhtated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Application*received after <br /> 3:00 pm will be processed the next bustnoss day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after recelpt of application. The flies will be held for a maximum of flue business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A now application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Futuro file reviews by the game applicant may require r$u USS22 ONLY prior to review. <br /> Ij 1 10 <br /> 3.20yl <br /> a7/28!10 <br /> EHD"-0B <br />