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05/31/2006 OED 10:4 FAI 55W7 2886 BSK Environmental ( 002/002 <br /> DATIz NE " ED SAN JOAQUIN COUny EHD LOG NUMEER <br /> MAI 31 2006EN�rIR.ONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3rd Floor <br /> I Stockton,CA 95202-2708 eip <br /> c - 0 Fax:(209)464-0138 Web:www.s <br /> ENVIRONMENT HE�L�F�hoae: (209)468342jgov.orS/ehd3 q3 <br /> P€RMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APP _ Mneme r,tt�nln.,>.c �T � <br /> ADDREWn-20 BUSINESSIAGENCY: CJ k A u_e_jAT 1�_—_ <br /> W. CuA_s� Ar et ucl S. r { �/ Elco. cA 9370' _— <br /> PHONE(1): 5�j4. `IFS.2.8Sd CKr 1Z7 PHONE(2): 6s , y7 / f <br /> PACSRonE: Pf'--- <br /> TENTATIVE*APPOINTMENT DATE: 6I/S'�O(27 Tom; 1674 <br /> (Please ow ae10 husiness days from dale of application Submittal•'ToftAKI a only-must be conl7rmed) <br /> CHECK BOX 70 EXPEDITER E3 •E93.00 EE H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Gfu .DATE 3 6` <br /> UNIT DISTRI&!TION 6❑ Ur11t1 ❑un Cfunn3 ounce El units ❑ unit ❑ �_-� <br /> Crtbor(e14Choniri7i;lgryB,�iPs) <br /> i=1LE ADDRESS <br /> ma 1l,^aE_0 <br /> 3x13.. — sz <br /> ..2 t4y7 ✓ vu's-- �— <br /> � 4. 3Oe.$ .- .../�/AY,C1�/k -•frartTen/-- --- <br /> 5 2S y/ NA✓YOuue� srK�aa✓ ---- — _ - - --- <br /> _.7.• .2.63J" S7U 4e!erJ - \ o <br /> 9. 9 NA✓Y_ ntiuE N F. – ^SY 4Bio,Qf __ <br /> SPxcifk Date Range of Information Requested:From _/f y0 ,Zooto <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNMRCROIlND TANK(UST)CLEANUP SrFE(LAP) O HOUSING ABAIENWRT p <br /> UrNER CLEANUPSM No"-LOP SOLmWA3TE FA,]IIiYNENICLE <br /> `�,,�UNDERGROUNDTANK(IMONnDmNGIREMOvAL) ❑DF OOONE ❑w�''�n' "{E <br /> Ja <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 13D� <br /> '�]TIERED PERVIMV FACIutY 13 WmATERTKAT ,PLAN,, <br /> O TATTOCIBODY PIERCING ❑MOTEUHOTEL ❑PUMPERTRUCK(YARO/CNEM TOIIFfS <br /> Cl rMEDM WASTE FACILn ❑POGUSPA 0 LAND Use APPucATEON Sn cs <br /> Q OTHER(PLEASE SPEpF11 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY SAD AM-S:aRPM FXCLUDINO HODDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the <br /> tappropriate box(es). At least one file type MUST be selected. Fax to(209)464138 or mall to Applications received after 3th®address <br /> he EHD. above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD. :00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist An appointment for review will tie confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five busine:-,_s <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately avallable 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 END staff at,the expenDe of tits <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> ENP+s-oTsos --� <br />