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qug 02 2012 8: 21AM HP '�SERJET FAX - P. 2 <br /> DATE RECEIVED END LOG NUMBER <br /> RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG Q 201 800 East Main St. Stockton, CA 95202-3028 <br /> efephone: (209)488-3420 Fax: (209) 464-0136 Web:www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BasEnvironmental, Inc. <br /> %6 412th stm-4 <br /> 8U81NESSIAGENCYa PAPI-JAIIN" 1bv* 1 <br /> ADDRESS: Oakland Callfomla CrrWSTATe21P: <br /> PHONE (1): 49 0 190&,t `i o 9n PHONE(2): FACSIMILE: 4510, <br /> TENTATIVE`APPOINTMENT to ? 22 Time: ►Ia a--ot- <br /> (Please allow 10 bus y date of appllwtion submittal-•Tinratrw only•must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE 12 EE(CASH OR CHECK ONLY)=REQUEST PROCESSED IN 3 BU IN 8 DAYS <br /> SIGNATURE OF APPLICANT DATE- <9 Z• 'tr <br /> Electron;Intonation: ❑List❑ Description: <br /> FIL ADDRESS EHD USE ONLY <br /> Eb+aet* Street Name City Unit 1 <br /> F,. <br /> 3. Unit 2 <br /> 4. <br /> 4. Unit 3 �V <br /> li e, Noe <br /> 7 t tlrr CI-111 Unit 4 <br /> 6. <br /> (l1. Unit 6 <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Raquealad: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UN GROUND TANK(UST)CLEANUP SITE(LOP) []HOU$INO ABATEMENT LID WASTE FACIUTYNEHICLE <br /> ER CLEANUP SITE(NoN•LOP) FOOD FACILITY &WAsTE TIRE <br /> NDEROROUND TANK(MOWTORINB/REMOVAL) �]Doe KENNEL DAIRY <br /> EgirAZARDOU6WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> [911-SED PERMMTTED FAcuTY MalIELMOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATT00/SODY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑MEOCAL WASTE FACILITY 2COE MPLAtNT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTI:PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FFUDAY B:00 AM-6:OOPIA(F-xcLUDINo HOLIDAYS) <br /> I. List up to tan Ads mum In the space above. Select the type(*)of flies from the IIT Above by checking the a pproprlate <br /> rrangeslw will notsbe acce tfileadfor addlNoMUST be nal Ass stance with le addresses,contact the END, Applications received sftsr. F&xto(20j14N4jjjkormalI9 d"address Indicated above., a <br /> 3:00 pm will be prot:eeaed the next business day. <br /> 2. The END will notify the applicant It any EMD files exist. An appointment for review will be confirmed approximately tan (10) <br /> days after receipt of application. The flies will behold for a maximum of five business days for review. Appolnirnents <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 now 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 END staff at the expense of the applicant. <br /> Future fife reviews by the same applicant may require a $126 deposit prior to roview. <br /> Fa 1r,uSr=ONLY <br /> IL <br /> F„LRece i v e d Time-Aug, 2. --2012- 9:41AM-No. 0712 Omni <br />