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08/09/2007 THU 15.05 FAX 2094682999 SJC PUBLIC WORKS - 0004/006 <br /> DATE.RECEIVED SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 304 E Weber Ave 3rd Floor Stockton,CA 952051 �WT—j <br /> (209)468-3420 Fax: (209)464-0138 Web:www.co.sanyoaquin. • .us/ T <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Claudia Gemberling BUSINESSIAGENCY: San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. ttatelton Avenue, Stockton, California 95205 <br /> PHONE; 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from dabs of appiioation submitwl) �[ <br /> 13 CHECK BOX TO EXPEDITE REOUES)j-03.00 Fr;E -REQUEST <br /> �PROCESS D IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT liC.l(.(.-d�k Ay[.,t�+t. az DATE <br /> Oopanmcnt Uso Only <br /> FILE ADDRESS UNIT <br /> i'Zft WA CoS <br /> \I bem G 9' no b !!I C] Unitt <br /> z - <br /> O`~ 61- screw .'L. '� 1 ', 1 N [� Unit 2 <br /> ole .. s . 0 t a i J <br /> it 3 <br /> Un <br /> c. ser 1 Ni til Sf . .\� <br /> \ � e <br /> s 2 — b b /� Unit 4 <br /> �O e. <br /> o Kswe 2-'9Q0. <br /> I <br /> ❑ Unit 5 <br /> lo. seen �. O o <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 'Er UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACT TY <br /> OTHER CLEANUP SITE(Nom-Lop) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGfREMOVAL) ❑ DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH PKG TREATMENT PLANT <br /> bS.TIERED PERMITTED FACILITY ❑ MOTELIHOTEL I PUMPER TRUCK(YARDICHEM TOILETS <br /> 66 TATTOOBODY PIERCING ❑ POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY O 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(209)464-0135 or mail to the <br /> address indicated above. <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 v <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A nein <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 /> S. '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 /> f)F27Bi?bNh'IRNIf SS l owe, <br /> awuN <br />