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e4/14/2005 16:11 916-37 309 RANEY GEOTECHNI' PAGE 01/0 <br /> P E EHO LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> APR I 'i 2no�7) ENVIRONMENTAL HEALTH]DEPARTMENT <br /> 304 East Weber Avenue,3d Floor,Stockton,CA 95202-2708 <br /> E K V 1 Pi 0 N M'_'N"I I i A t Telephone; (209)468-3420 Fax, (209)464-0138 Web:www.sjgov.org/chd <br /> F <br /> 7-0 1 PUBLIC RECORDS RELEASE "PLICATION <br /> APPLICANT:_"_Pb11UCk_nV"0" BUSINESSfAGENCY: Ro'-r'< CIC.Ae—c3 !e-& <br /> ec�'C 0 <br /> ADDRESS, <br /> PHONE(1): C11j4- 2a!—Q'4144 PHONE(2): FACSIMILE: <br /> I 1'-l �Wl <br /> TENTATIVE*APPOINTMENT DATE: L;!,-., Time: i d &1A — <br /> (Please allow 10 business days from dati of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITEREQ�U -_!� FEE(CASH ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 14 DATE <br /> Unll <br /> UNIT DisTRiBirnotA 0 Unit I r 2 It 3 Mnli-4—0 Unit 5 V"It 6 13 Other(electronfullistahnapa) J/ <br /> E <br /> FILE ADDRESS END USE ONLY <br /> Street Name city <br /> 2. <br /> 3. <br /> 4. <br /> 107 15y W., t:5VZ?'0A1 aia r! /n 1 <br /> 6. 1:52.5 G L w <br /> .5 <br /> L.7, <br /> ,2141f Alt <br /> 83/,gw _751 cmekz&�(— A.I.F_ <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> XyNarRartoumn TANK(U"CLEANUP SITE(LOP) 0 li*vewo ASATFmEmT SOLID WASTE FAcRjTy/VE"1GLE <br /> ANMftmmnW� <br /> OTHER CLEANUP SITE(NON-LOP) 171 F000 FAcuff SOLID <br /> TIRE <br /> UNDERGROUND TANK(MONnORINGIREMOVAL) CI DOG KENNEL LAM <br /> HAzmDous WASTE GENERATOR 0 CHICKEN RANCH XWjUiiW_ATER TREATMENT PLANT <br /> FRED PERMITTED FACILITY 13 Moir:LIHOTEL 0 PUMPER TRUCKfYARDICNEm TOILETS <br /> Arroon3ow Pamcm 13 POOLISPA 0 LAND USE APPLICATION SMIS <br /> kMMICAL WASTE FAME 0 OTHER(PLEASE Specwy) <br /> WELL ANO Sep7m PERmrr RECORDS ARE AVAILARLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00ru - ExcLuorNG HOLIDAYS. <br /> 1. List up to ton 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. Pax to(209)464,0138 or mail jQthe Laddress <br /> indicated above. Address ranges will not be ace-opted—for additional assistance with file addresses,contact <br /> the END.Applications deceived after 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately ton(10)days after recelpt of application. The files will be hold for a maximum of five business <br /> days for review. Appointments should he scheduled accordingly. <br /> 3. A file that' Is actively being worked on by END staff may not be Immediately available for review, A new <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br />