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May. 11. 1009 3:52PM ATC GROUP SERVICES INC. No. 4365, P. 1 <br /> DATE RECEIVED 0 SAN JOAQUIN COUNTY 40 CHDLWNUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main StreFax: (, Stockton, 38 Web: ww. / � 3151 Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.o d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: -7�0AC� Y,4orwCK BUSINESS/AGENCY: RTL I{5S15Ct0I1ES <br /> ADDRESS: /I17 Lor[ Pi1L.'7 6v6 ru,-re a Clty/Statemp GA. ?-r"T S-/ <br /> PHONE(1): 579 222 1 PHONE(2): _ 5-7 66Z 0899 FACSIMILE: C79 X 2 2 S <br /> TENTATIVE"APPOINTMENT DATE: X�3/0 Time: ANY <br /> �� (Please allow 10 business days from�ddte of pplication submittal.'Tentative only-must be confirmed) <br /> L7 CHECK BOX TO EXPEDITE REQUEST- 10 FEE(C CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE r o <br /> Electronic Information: ❑ List❑ Map—Description: ! <br /> FILE ADDRESS E ONLY <br /> Str et# Strw Name city <br /> �• C di�[o Ek' LANA ❑ Unit <br /> Z' sy$ �✓. C.Vh47E,.G (..r A S�3C�mN ❑ Unit2 \ \� <br /> 3. ea/ rN� ✓E i o c .3.� \�\ <br /> 4. nit s <br /> 5. <br /> 6. <br /> 9. <br /> ❑ Unite <br /> 1D. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 01UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP BITE(MON-LOP) M FOOD FACILITY ❑WASTE TIRE <br /> E3 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> 13 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY 13 MOTELIHOTEL O PUMPER TRUCKNARD/CKEM TOILETS <br /> IM TATTOOIBODY PIERCING O POOLISPA O LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6:00 AM-S:ODPM - 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 appropriate <br /> box(es). At least one file gyps MUST be selected. Fax to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 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 approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <br /> 3. Afile that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file i9 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$106 deposit prior to review, <br /> EHD USE ONLY <br />