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12/07/2006 14:09 2133000505 ENVIRONMENTAL PAGE 01/01 <br /> ���— w row <br /> lng=I�—DD END LOG NUMBER <br /> SAN JOAQUAV COUNTY <br /> DEL 0 7 2006 ENvIRoNmNTALHEALTHDEPARTMENT <br /> ENVIRONMENT HEALTH 304 East Weber Avenue,3d Floor, Stockton,CA 95202-2708 <br /> PERMIT/SERVICES Telephone:(209)468-3420 Fax:(209)464-0138 Web.,www,sjgov.org/ehd ,Y/) <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1 T i A BUSINESSIAGENCY: <br /> ADDRESS: 9ey4070. TCAD <br /> PHONE(1): V3-7910^ OSS r PHONE(2): 7.I5-- 333- 412L4 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business datea(C <br /> cation submittal-'Tenfa0ve only-most be conflrmed) <br /> 173 CHECK BOX 70 EXPEDITE R UE -$ 0 ECHECKONLY)-REOUE5T PROCESSED IN 3 EUSINEDAYS <br /> SIGNATURE OF APPLICANT DATE I Z coc. <br /> 7 JV <br /> Electronic Information: ❑Ust❑ Map-Description: <br /> FILE ADDRESS N, EHD USE ONLY _ <br /> street --- street Name �._ city �l� ❑ unki <br /> ey _- rackstf u) us <br /> 2. 1 ❑ Unft 2 Y <br /> 3. <br /> A. - Unit <br /> ) <br /> T. <br /> & DEC 1 8 20013..... ❑ Unk 5 <br /> 0 <br /> ❑ Unite <br /> Specific Date Range of Information Requested:From to <br /> �,J ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p.UNOERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT 17 SOLID WASTE FACILT'NEHICLE <br /> ���L,,,7rrr OTHER CLEANUP SITE(NON-LOP) 171 F000 FACILITY 13 WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/ReMOVAL) ❑DOG KENNEL n DAIRY <br /> HALARbous WASTEGENERATOR 11 CHICKEN RANCH 17 WASTEWATER TREATMENT PLANT <br /> TIERED PERMDTED FACILITY M MOTEUHOTEL O PUMPER TRUCKWARDICHEN TOILETS <br /> TATTOWBODY PIERCING ❑POOLISPA 0 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 0OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RevlEw. MONDAY-FRIDAY 5:00 AM-5 00PM - EXCLUDING HOLIDAYS <br /> 1. List up to tan addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. 209 464-0139 or ulgil tQ the address indicated above, Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the END.Applications received after <br /> 3.00 pm will be processed the next business day. <br /> 2. The END will notify the applicant N any END files exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by END staff may not be Immediately available for review. A new 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 END staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$96.00 doposit prior to review. <br /> END USE ONLY <br /> EHD YBM 9/tY(pq^ <br />