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0511312009 12: 32 916371 Q,99 RAMEY SEOTECHHIC41-, PAGE 01/63 <br /> r <br /> DATE REGF-WED <br /> EHEI LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEATH DEPARTMENT <br /> 5100 East Main Street, Stockton, CIS,05202-3029 <br /> .33 <br /> Z00 Telephone: (209)468-3420 Fait: {200}464-0138 Web: www,sjgov.orgte <br /> i 3 ? <br /> PUBLIC RECORDS RELEASE APPLICATION Pale 1 of 3 <br /> t t <br /> Ran Geeohnu, <br /> _�ca1, In <br /> eft Showalter SLISINESSIAGENCY; x os <br /> ` 3.1.40 Beacon Blvd City/Stata/zI test Sacramento CA 95691 <br /> ADDRESS: p <br /> PHONE(1): 916-3 71-04 3 4 PHONE(2): FACSIMILE: 9:1.6--371_1809 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please atiow'10 business days from data of application submittal-'Tentative only.must be confirmed) <br /> i� CHECK BOX TO EXP8DITE UEST-8105 F H OR CHECK ONLY) REQUEST PROCESSED IN 3 BLIPINESP DAYS <br /> SIGNATURE OF APPLICANT GATE <br /> Electronic infortnatiOn: ❑ List O Map-Description: <br /> i <br /> FILE ADDRESS EHD USE ONLY <br /> _ strut# Street Name <br /> 4 elp Unit 1 <br /> 1 — 310 S American St Stockton j� <br /> 2. 990 S. California St 0 Unit2 <br /> 3. 323 S. 9t;anislau;s St 1) <br /> 327 is <br /> _ 4 <br /> 5. - 343 j) !1 <br /> nit 4 <br /> 8. 41.3 <br /> 7. 419 <br /> _ M ® unit 5 <br /> 8. 42'7 <br /> 9. <br /> 433 " �'� r ❑ Unit s <br /> 10. 439 <br /> Specific Date Rank of Information Requested:From to <br /> i <br /> ENVIRONMENTAL HFAL.TH DEPARTMENT FiL,ES <br /> UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) M HOUSING ABATEMENT d SOLID WASTE FACILITY/VEHiCLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACIi.ITY C)WASTE TIRE <br /> IJN02RGROUNo TANK(MONITORINC+IREMOVAL,) DOG KENNEL DAIRY <br /> AHAZAROOV$WASTE GENERATOR M C14ICKEN RANCH WASTEWATER TREATMENT PLIANT <br /> 171 TIERED PERMITTED FACILITY CI MQTPL/HOTEL PUMPER TRUCK/YARD/CHEM TOiLETS <br /> TATTOOIBODY PIERCING 0 POOL/SPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:04 AIN-5:ObPM - EXCI.VDING HOLiDAYS, <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to-{20s1 Bfi�f•0131f or mail to the_address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the appilcant If any EHD 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 EHD 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 EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$106 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-04 8104108 PUBLIC RECORD$RELEASE APP FORM <br /> 1 <br />