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08/09/2007 THE 15;04 FAX 209999 SIC PUBLIC WORKS X001/006 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN,TOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3`d Floor Stockton,CA 95205 <br /> (�09)468-3420 Fax:(209)464-0138 Web: www.co.san-joaqu,11311 <br /> 192 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Claudia Gemberl.ing BUSINESS/AGENCY- San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, California 95205 <br /> PHONE; 953-7624 FACSIMILE; 468-2999 <br /> TENTATIVE"APPOINTMENT DATE: Tim: r <br /> (Please allow 10 business days from data of application submittal) <br /> T <br /> El <br /> CHECK BOX TO EXPEDITE REQUEST-393.00 FEE—REQUEST <br /> PROCESSED IN 3 BUSINESS DAYS Q <br /> SIGNATURE OF APPLICANT /! lt, JK.JG�/IfCI Z✓� DATE <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> sav D5 Jif SfDQ LV Sf <br /> CRY <br /> ❑ Unit 1 <br /> i a <br /> J. sear. e1 •F' Unit \/)` <br /> ,. swa a-0&-OGr7 .� O t/ <br /> s. sanercz 0 et c _ / t� <br /> e. svew D i? Unit 3 \ <br /> r <br /> Unit4 <br /> 8. 94eN Ci <br /> s. sa.ar aa3 cel � © Unit 5 <br /> ,c, auear d a 30 2 F7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY T <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR ID CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL O PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOOIBODY PIERCING IJ POOLISPA ❑ 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)464-0136 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 ; <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new, <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 /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 0. IimUonw-m 1t bvvrot e§sedAHi Yte-A business day. <br /> �i�1V ED?A'FLI�FIk�T�iIENT'9S�1TJ~- .�� <br /> as <br /> PATE WNFIRMEEI PH#3t1E E47C M11" <br /> RIE14Elfl(ER XE,S iwSi 12EViEtlil ll3E <br /> y0.�nv3 <br />