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10/21/2007 21:04 9259324 TRE:CONSULTINGI* PAGE 02/02 <br />�L_ <br />DATE RFCEIVEb <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL REALTu DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.or el <br />PUBLIC RECORDS RELEASE APPLICATION 111 <br />EHO LOG NUMBER <br />747 <br />TENTATIVE' APPOINTMENT DATE; _„M_ <br />(Pleas allow 10 business days from date <br />le: /0' OD/m <br />must W confimred) <br />CHECK BOX TO EXPEDITE REQUEST- ,00 FE ASH O eCK ONLY) - REQUEST PROCESSED IN 8 BUSINESS DAYS <br />DATE O <br />SIGNATURE OF APPLICANT "f <br />Electronic Information: ❑ List ❑ Map — Description: <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT FILES <br />�(/,l. <br />r.�JJNIIERHNODNOYANK JUST) CLEANUP SITE (LOP) <br />FILE ADDRESS <br />QIQIQI-�ER CLEANUP SITE (NON -LOP) <br />EHD USE. ONLY <br />❑ Unit 1 <br />r s s r -vw wC4-1(4'6 <br />UNDERGROUND TANK(MONITOPoHWREMOVAL) <br />Street a <br />Street Nams <br />city <br />1. <br />1731 <br />Sir <br />'5 or7 <br />-2• <br />2.�2-Jr <br />c�'�� <br />usrw) - des�OI) ❑ unit <br />3. <br />XUnh 3 <br />4 <br />S. <br />na4 <br />�U <br />6. <br />7. <br />❑ Units <br />B <br />9. <br />dUnit 8 <br />1D <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT FILES <br />�(/,l. <br />r.�JJNIIERHNODNOYANK JUST) CLEANUP SITE (LOP) <br />GROUSING ABA)@MFN7 UDWASTE FACWWNEH'CLE <br />QIQIQI-�ER CLEANUP SITE (NON -LOP) <br />G FOW FAgUTY A8TE TIRE <br />UNDERGROUND TANK(MONITOPoHWREMOVAL) <br />ri Doo KENNEL ❑DAIRT <br />9�.r/r^�>'��'RDOUS WASTE GENERATOR <br />G CHICKEN RANCH G WASTEWATER TREATMENT PLANT <br />0-ticREO PenMITreD FAciuTY <br />O MOTELMOTEL G PUMPER Tp="ARDfCHEM TOILETS <br />to TATmO/BODT PieRQrxi <br />13 MEDICAL WASTE FACILM <br />G�P��� PA G LAND USE APPLICATION SITs �A- � <br />Q OTHER IPLEASE SPECIFY) Am AG Z wino nm tWl V�i.& <br />ARE AVAnARLE FOR REVIEW - <br />E=LuoiN <br />1. List up to tan addresses in the space above. Select the types) of Nies from the list shove by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to 1209) 484-0138 or mall tO the address Indicated. above. Address <br />ranges will not be accepted — for additional assistance with fide addresses, Contact the EHD. Applications received aftar <br />3:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of appllcaUon. The files will be held for a maximum of ave business days for revlow. Appointments <br />should be scheduled accordingly. <br />S. A file that is actively being worked on by EHO staff may not be Immediately available for review. A new application may be <br />submitted when the Nle 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 />Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br />EHD USE ONLY <br />