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02/10/2006 11:54 5592715198 SECOR FRESNO r PAGE 02/02 <br /> I---/ Nl_..' <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPART MENT <br /> 304 East Weber Avenue, 3'd floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420.Fax: (209)464-0138 Web:www.sigov.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 /> PHONE(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 /> 12 CHECK BOX 70 EXPEDITE RE T-$93.00 FF (CASH OR K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE D 4(n <br /> UNIT DISTRIBUTION ❑ Unit 1 ❑ Unit 2 ❑Unit 3 ❑Unit 4 ❑ Unit 5 ❑ Unit 6 ❑ Other(electranicnistswmaps) — <br /> FILE ADDRESS EHD USE ONLY <br /> Street N Stram Name City <br /> 1. 8660 Lower Sacramento Road Stockton <br /> 2. 9 South Center Street Stockton <br /> Y7 575 West Grant Line Road Tracy <br /> 4. 3775 Tracy Blvd racy <br /> 5. <br /> 6. <br /> 7. �. <br /> 8. 4Y.: v <br /> 10. 1 - '_ <br /> Specific Date Range of Information Requested:From o <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLR u <br /> D OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> 10 UNDERGROUND TANK(MO NITORINGIREMOVAL) CI DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> IM TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKtYARDICHrm TOILETS <br /> ❑TATToo/BooY PIERCING O POOL/SPA ❑LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ®OTHER(PLEASE SPECIFY)Well permits <br /> WELL AND SEPTIC PERMIT RECORDS APF AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8;00 AM-5:00PM - ExcLUDINO HOLIDAYS. <br /> 1. Lest 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 least one file type MUST be selected. Fax to 09 464.0138 or all to the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHO.Applications received after 3:00 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 be confirmed <br /> approximately ten(10) days after receipt of application. The files will be held 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 /> EHD4saz-0os <br /> ff14f06 <br />