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08/09/2007 THU 15:04 FAX 201 '999 SJC PUBLIC WORKS 001/006 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEAum DEPARTMENT <br /> 304 E Weber Ave 3`a Floor Stockton,CA 95205 <br /> (209)468-3420 Fax:(209) 464-01.38 Web: www.co.san-joaquin.c . i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:__Maudia Cember,l,ing BUSINESSIAGENCY: 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: Tlmo: <br /> (Please allow 10 business days from data of application submittal) <br /> r <br /> El CHECK BOX TO EXPEDITE REQUEST•$93,00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATUREOFAPPLICANT (� lc. LCc DATE <br /> Department Use Only <br /> _ _ _ FILE ADDRESS UNIT <br /> ,. sawcaD 5 ,111 i4 4 U! S�; cityJ>' <br /> (� i d ❑ Unit 1 - <br /> x. sven� <br /> 9. S. ob too _._. city -),.2Unit 2 n <br /> c 0 Unit 3 (n <br /> -,00 <br /> " 1 <br /> 7- G-e, Ep 011 aty <br /> e, avast <br /> Unit 4 <br /> city © Unit 5 <br /> j F" <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES , <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 4 FOOD FACILITY SOLID WASTE VEHICLE A 7 cc� <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR 17 CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOOIBODY PIERCING ❑ POOtISPA t7 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q 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)464-0138 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 some 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 /> _Applications-received-after3:00 pm wilt-be - day.--.--- <br /> Croce-ssedthe next business <br /> GQN., �t I EDAPPOINTIkI�MT pt�TE <br /> _. �'°ET1tAlr <br /> DATE,GQNFIf MEa PHONE FAX 0lYfAl.S <br /> REVIEWED YDS.. R ice/ 18 <br /> �, Ty. <br /> UiD 4"2-WG <br /> Ei0Rav3 <br />