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06/24/2008 14:45 9168510 APEX ENVIP,OTECH • PAGE 02/02 <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> l �u ENVIRONMENTAL HEALTH DEPARTMENT <br /> JuN 2 4 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgo .or <br /> ENVIRC)NMENT HEALTH <br /> pEn!�IIT/SESNIGES PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT: 0,, L<nj o� BUSINESSIAGENCY: Apo aPVi&EeLH' INC <br /> ADDRESS: NZ-1 r 'y Kt e5 ft (y Coln (Z�uEKICA °I5(a'�d <br /> PHONE(1): 51-0j-14 PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: J LL� Time:• l�Vl <br /> (Please allow ten business days from date of application submittal•`Tentative only-must be confirmed) <br /> M CHECK BOX TO EXPEDITE REQUF,8'( 98. E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �( rr J _ DATE <br /> Electronic Information: ❑List 0 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Un(t t <br /> 1. O'S W- 6tftzNeiL `T_ LADI 7� . pUnk2 <br /> 2. <br /> 3. nit 3 <br /> 4. <br /> 5. <br /> nit 4 <br /> 6. <br /> In 7. <br /> Unit 5 <br /> 8. <br /> 9. <br /> ❑unrc 5 <br /> 10, <br /> Specific Date Range of Information Requested: From ALL to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE ❑HOUSING ABATEMENT C)SOLIO WASTE FACILITYMNICLE <br /> ,,s <br /> OTHER CLEANUP SITE(MON-LOP) 17 FOOD FACILITY WASTE TIRE <br /> 0UNDEROROUND TANK(MONITORINGIREMOVAL) ❑Doo KENNEL 0DAIRY <br /> XHAZARDOUS WASTE GENERATOR ID CHICKEN RANCH 11 WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY C MOTEL/HOTEL M PUMPER TRUCKIYARD/CHEM TOILETS <br /> 177 TATTOOIBODY PIERCING ❑ POOUSPA O LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAnLE POR REVIEW- MONDAY-FRIDAY 3:00 AM-5:OOPM -EXCLUDING HOUDAYS. <br /> 1. List up to ten 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 he selected. Fax to 464-0,130 r mall to the <br /> I will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3.00 pm w <br /> 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 <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 the EHD staff may not be immediately available for review. A new application <br /> 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 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 /> •- Pep,IC PrrnRn?PCI ,Agr APP FnPw <br />