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02/05/2010 15:03 9168610='T0 <br /> • STANTEC 41 PAGE 01/01 <br /> SAN JOAQUIN COUNTY EHD Loc NUMBER <br /> FEB Q 5 2010 <br /> ENVIRONMENTAL ain Stockton,oCg <br /> EAT DEPARTMENT <br /> Telephone: (209) 468-3420 Fax: (209)464-0136 Web: www.s ov,or lehd <br /> ENVIRONMENT THEALTH PUBLIC RECORDS_ RELEASE APPLICATION g <br /> APPLICANT: / 11.1 -, <br /> ADDRESS: �Dl� k BUSINESSIAGENCY: <br /> PHONE(1): „"J LU ONE(2) CITY/STATE/ZIP: 11: ��Ua rA 9 �7L <br /> TENTAT/VE*APPpINTMENTDATEONE(z) FACSIMILE; y/6 <br /> r x$61-D-__y3 D� <br /> (Ploaso allow 10 buslna9S days from da- at;N on Q�_, Time- <br /> CHECK cation eabmlttal-'Tenfeti�e only-mustbeconflrmod) <br /> CFIECK BOX TO EXpEDITF REQUE $c 1 S FEE(CASH OR CHECK ONLYI- <br /> REQUEST PROCESSED IN 3 BU IN.SS DAYS <br /> SIGNATURE OF APPLICANT_ <br /> Electronic Information; Ml /I DATE .1-- (0 <br /> ❑ List❑ ap—Description: <br /> FILE ADDRESS <br /> 3treat7t Stroot Name EHD USE ONLY <br /> e `- h city <br /> !7 '7 �Q'r /1oe OR �-Y �� ❑unit i <br /> Stockton .; ;. . <br /> 4 _Vv_c r1QC/CY OV4_V SfC4� O? T C7 Unit 2 <br /> l <br /> ,.6. ..-� ..�.. Hit3 ©� <br /> 7. <br /> "itd <br /> B, <br /> 9, <br /> �,� ❑units <br /> SPacific Date Range of Information Requested: From <br /> ❑Unita <br /> tvr ENVIRONMENTAL HE LTH DEPARTMENT FILER to r <br /> ,ry UNDERGROUND TANK(UST)CLEANUP SITE(LOP) <br /> L20THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> TANK(MONITORINGIRLMOVAL) EJ Fool)FACILITY E]SOLIDWASTE TIRE <br /> HAZARDOUS WASTE Gff <br /> ENERATOR F1 DOG KENNEL ❑DAIRY <br /> Q TIERED PERMITTED FACILITY ❑CHICKEN RANCH El WASTEWATER TREATMENT PLANT <br /> ❑TATTOOIBODY PIERCING ❑MOTEUHDTEI <br /> ❑POOIJSPA - ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑ MEDICAL WASTE FACILITY ©LAND USE APPLICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE OTR REVIEW HER EMONDA)Y- <br /> 1. List un to ten addresses in the space above. Select the FRIDAY Ba o ve by CheC ing the(EXCLUDINHOLIDAYS) <br /> box(es). At least one file type MUST be selected. Fax types)of fifes from the list above b checkin the appropriate <br /> 20 <br /> ranges will not be accepted-for additional assistance addresses,eontacf the EHD464�01139 ,ail to the ar s <br /> with file addApplications received afters <br /> 3:60 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 a <br /> days after recelpt Of application. The files will be held for a maximum of five business days for review.should be scheduled accordingly, .proximately ten(10) <br /> 3. A file that is actively being worked on b EHD y e Appointments <br /> submitted when y Staff may not be Immediately available for review. Anew application may he <br /> the filen 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$116 deposit prier to review, <br /> 6, ffyou need further assistance,Please contact plane Martinez,at(2.9)468-0425. <br /> EHb b9E ONLY <br /> END 4a•Q6 <br /> eIST/or <br />