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02/10/2006 11:54 5592715x.08 SECOR FRESNO PAGE 02/02 <br /> � d <br /> DATE RECEIVED � ' EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3"d floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420.Fax: (209)464-01.38 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Stephanie FUrgal. BUSINESSIAGENCY: SECOR International Inc. <br /> ADDRESS: 3475 West Shaw Ave.,Suite 104, Fresno, CA 93711 <br /> PHONP(1):559-271-2650 PHONE(2)-559-259-3987 - FACSIMILE;559-271-5108 <br /> TENTATIVE*APPOINTMENT DATE: 2/16/06 Time: 9:00 AM <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ISJ CHECK BpX TO EXPEDITE RE T-$93,00 FEE,(CASH OR K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ � DATE d(—(— <br /> UNIT DISTRIBUTION ❑ Unit 1 C3 Unit 2 ❑Unit 3 0 Unit 4 ❑Unit 5 ❑ Unit 6 C3 Other(alectronie i-sts/maps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1. 8660 Lower Sacramento Road Stockton <br /> 2. 9 South Center-Street Stockton <br /> 3, 575 West Grant Line Road Tracy z , <br /> --w.-3775 Tracy Blvd racy <br /> 5. <br /> 6. 11 <br /> 7. Alp <br /> 8. Aw4mlila Aft <br /> 9. M ; <br /> 10. <br /> Specific pate Range of Information Requested:From to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES z <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HousiNo ABATEMENT ❑SOLID WASTE FACILrrylVEHICLE <br /> C3 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY C3 WASTE TIRE <br /> W UNDERGROUND TANK(MONITORING/REMOVAL) 13 DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR C]CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> E7 TIERED PERMITTED FACILITY M MOTEUMOTEL O PUMPER TRUCKIYARD/CHEM TOILETS <br /> C3 TATToo/Booy PIERCING 0 POOL/SPA In LAND UsE APPLICATION Sams <br /> Ci MEDICAL WASTE FACILrrY ®OTHER(PLEASE SPECIFY)Well permits <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> I. List up to ten addresses In the space above. Select the type(S)Of files from the list above by'checking the <br /> appropriate box(es). At feast one file type MUST be selected, Fax to 09 464.0138 or all to the address <br /> I -dle—t—d above. Address ranges will not be accepted—for addltlonal assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day, <br /> 2. The!_HO will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will behold for a maximum of five business <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 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 of the <br /> applicant. Future file reviews by the same applicant may require a$93,00 deposit prior to review. <br /> 7-7 <br /> EHD U-OZ,as <br /> tl1aros <br />