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07/312006 11:05 CLAYTON PLEASANTON 4 12094640138 <br />MMWED0 <br />• SAN JoA4unv COUNTY <br />ENVMONN[EN FAL HEALTH AEPARTMIENT <br />.KIL j 1 2006 304 Fast Weber Avenue, 3x1 Floor, Stockton, CA 45202-2708 <br />Telephenc: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />ENVIRONMENT HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE ,APPLICATION <br />APPUCANT. _X_i't 1 rl C <br />ADGRCSS: <br />PHONE (1):. <br />N0.217 P001 <br />EHD LOG NUMBER <br />T <br />TENTATIVE` APPOINTMENT DATE:10, Z®o(a Time: /of 3aE(.AAd- <br />(Piaaso allow to business days frau daQ�f applicildon submittal -'Tentative only - must be eonllamQd) <br />r7 CHECK BOX TO 4[F'EDITE REQU / T -i .De FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS GAYS <br />SIGNATURE OF APPLICANT ^"1 A�^-- DATE_I / dG <br />LINrr DIsTIUUUSTON <br />rd Un&1 0Uoit2 ZUnItS D UnitE M Otherlol-aaronidlstsllnaps) <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />lir, Uiag;REr UND TAH(UST) CLEAN'W, Srre (LOP) ❑ Hama AsATrmE1cr <br />O SODU WASTE FACU-17YNEHICLE <br />®i OrT ER LLE, mT SITE (r1ON-1-01P) 11 Fow FAQLITY <br />m <br />street 3 <br />FILE ADDRESS EHD USE ONLY <br />Sired Name <br />❑DaRY <br />* HAZARDOUS WASTE GENERATOR O CNCIQ RANCH <br />Q WASLEWATErtT HeAmENT PLANT <br />*TIMED PERWM-0 FACILITY C3 MO LrrlurEL <br />6 PwrvRTHuclWArm(CNEN Tat <br />❑ TATroolsow NERaNO 0PWLIWA <br />O LAND USE APPLICATION ENTER <br />0 NWML WASTE FAMM O OTHER (PLEASE SPECIFY) <br />—... <br />G�� <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE Pat REVIEW • MONDAY -FRIDAY 8:00 AIAd:OaPM - EXCLUDING HODDAY'.i:_ <br />-- <br />tL.jqZ, <br />o <br />_ <br />f. <br />-- <br />7. <br />AKIOL <br />--- <br />8. <br />I <br />--- <br />Speck Data Ftoruge of InfamtaWn Requested: From A603 <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />lir, Uiag;REr UND TAH(UST) CLEAN'W, Srre (LOP) ❑ Hama AsATrmE1cr <br />O SODU WASTE FACU-17YNEHICLE <br />®i OrT ER LLE, mT SITE (r1ON-1-01P) 11 Fow FAQLITY <br />O WASTE TIRE <br />Rr UraX Noum TANIc(MoNITTMCNGIRainvAL) 11 DOG KENNEL <br />❑DaRY <br />* HAZARDOUS WASTE GENERATOR O CNCIQ RANCH <br />Q WASLEWATErtT HeAmENT PLANT <br />*TIMED PERWM-0 FACILITY C3 MO LrrlurEL <br />6 PwrvRTHuclWArm(CNEN Tat <br />❑ TATroolsow NERaNO 0PWLIWA <br />O LAND USE APPLICATION ENTER <br />0 NWML WASTE FAMM O OTHER (PLEASE SPECIFY) <br />—... <br />G�� <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE Pat REVIEW • MONDAY -FRIDAY 8:00 AIAd:OaPM - EXCLUDING HODDAY'.i:_ <br />1. list up to ton addresses In the space above. Select the type(s) of files from the list above by checking the <br />approprtate box(es). At least ane file type MUST be selected. Fax to (209) 464-0938 or mail to the address <br />Indicated ahove. Address ranges will not be accepted —for additional assistance with file addresses, contac$ <br />the EHD. Applications receivied after 3:00 pm will be processed the next businew day. <br />2. The EHD Vill notify the applicant If any EHD Tiles WsL An appointment for review will ba confirmed <br />approAmately ten (10) days after receipt of application. The files will be held for a maximum of five businesx <br />days for review. Appointments should be scheduled accordingly. <br />3. A file that Is, actively being worlood on by EHD staff may not be immediately available for review. A new <br />application may be submMad when the file is available. <br />4. Any file not returned in the same condition as released will be reorganized by EHEI staff at the expense of th3 <br />applicant Future file reviews: by the some applicant may require a $93.00 deposit prior to review. <br />EH04LOLM <br />v1Ym <br />