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06/01/2005 17:35 530676 STRATUS ND CAL? PAGE 01/0 <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT / <br /> 304 East Weber Avenue,3d Floor, Stockton,CA 9520 �'I <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:wvnv.sotgld 2mc -, <br /> PUBLIC RECORDS RELEASE APPLICA oADuit <br /> HENT <br /> APPLICANT: G e w r ko 13USINESSlAGENCY: <br /> ADDRESS: <br /> PHONE(t): (SW 1 .76- �QQ)— _ PHONE(2): 530 - FACSIMI_L <br /> TENTATIVE`APPOINTMENT DAT Ime,//�/•'L/' <br /> 1 (Please allow 10 business day r t Yp n subs -'T ' e only-must be confirmed) <br /> CHECK BOX TO EXPEOrrE REQUEST 93.00 F CASH O CHECf O7-Y)- QUEST PROCESSED IN 3 BUSIN SS DAYS / <br /> SIGNATURE OF APPLICANT DATE G 2 O ll <br /> UNIT DISTRIBUT1014 0 Unit t 10 Unit 2 ❑ Unit 3 0 Unit 4 P Unit 5 0 Unit 6 0 Other(elechonic.1 ap <br /> FILE ADDRESS EHD USE ON <br /> Streetk Street Name City <br /> [2. <br /> L_L <br /> 8. <br /> 9. <br /> 10. <br /> Specific Dale Range of Information Requested:From to Fr"a A9- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ND ERGROUNDTANR(UST)CLEANUP SIM LOP) O HOUSING AaATEMENT 0 SOLID WASTE FACILRYNEHICLE <br /> OTHER CLEANUP SITE(NON­LOP) C3FOOD FACILITY C3WASTE TIRE <br /> NDERGROUND WASTE <br /> GENERATOR <br /> 0 CHI KENNEL <br /> RA C AIRY <br /> MIHAZARDOUS WASTE GENERATOR OCHICKEN RANCH OWA9TEWATERTREATMENI'PLANT <br /> O TIERED PERMMD FACILITY 0MOTEUHOTEL 0 PUMPER TRUCK/YAROICHEm TOILM <br /> 171 TAY'DOIBODY PIERCING 0 POOUSPA E3 LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPnO PERMIT RECORDS ARE AVAILARLE FOR REVIEW- MONDAY-FRIOAY S:00 AM-5: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 mail 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 new <br /> application may be submitted when the file is available. 9 <br /> 4. Any file not returned in the same Condition as released will be reorganized by EMD 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 /> EHD N-03-006 <br /> trluss <br />