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FROM : Ground Zero Analysis PHONE NO. : :"'d9 838 9883 . Dec. 01 2005 11:15AM P2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenuc, 3"I Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT: 5-T–_-4kt"L- BUSINESSIAGENCY:C'j�uk�v).5 rcm '9'J A-YSI.f <br /> ADDRESS: '7l�9'33'—?9T3' <br /> M A ev S.7 e`SCf�LU�' Gam" q'Jr J� ZO <br /> PHONE(1): 20 p3S-` 993 PHONE(2): FACSIMILE: g g$3 <br /> TENTATIVE`APPOINTMENT DATE: / -2 � O� Time: I Z : 0 0 <br /> (Please allow 10 business days from date of aplI icatlon submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO HXPEDITE REQUEST-$93.00 PEE(C OR cH K =REQUEST PROCESSED IN 3 B IN DAYS <br /> SIGNATURE OF APPLICANT ��� � DATE0$ <br /> UNIT DISTRIBUTION ❑ Unit 1 0 Unit 2 ❑UINt 3 ❑Unit4 ❑DORS 0 UnitS ❑ Other(electroniclUstslmaps) <br /> FILE ADDRESS . „_ EH USE ONLY <br /> Street Street NAME ...._._City <br /> 1. ! ri W. GbfralC7 g� avfry. - <br /> 3. <br /> 4. _ <br /> 6. <br /> 7. _ -- <br /> Specific Date Range of Information Requested:From 000U* to CVP-RG <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ❑ THER CLEANUP SITE(NON-LDP) 11 FOOD FACILITY ❑WASTE TWE <br /> ❑UNDERGROUND YANH(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR D CHICKEN RANCH 0 WASTEWATFRTREATMENT PLANT <br /> V TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOOBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY In OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY•FRIDAY 8:00 AMd:OOPM . EXCLUDING HOLIDAYS. <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 /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mall to the address <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.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 now <br /> application may be submitted when the file is available_ <br /> 4. Any file not returned in the some 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 /> EIID 42424)09 <br /> VINer <br />