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/14/2005 16:11 916-371 RANEY GEOTECHNIO PAGE 01/0 <br /> RE9*4 D SAN 7OAQUIN COUNTY EHO'L'OG NUMBER <br /> APR 1 5 2009 ENv1RONMENTAL HEALTH DEPARTMENT A q ,3 <br /> 304 Bast Weber Avenue,3rd Floor,Stockton,CA 95202-2708 <br /> ENVIRONMENT NEALT11 Telephone: (209)468-3420 Fax: (209)464-0138 Web:wwwsjgov.org/chd <br /> PERMITISET;rlrEg <br /> PUBLI�CC RECORDS RELEASE APPLICATION 1 <br /> APPLICANT: wAL IU Gh t.0. 3� r! n".CAA BUSINESSIAGENCY; Nf i0_td 1.1(. <br /> ADDRESS: ��� Ln"�:>ec� ront�d1 ti 45T �r� sLrrr��yG <br /> PHONE N) �"2` � �-'��sa t� PHONEAA(2): -'-" FACSINILE:.. .H i tn"'r-1 1^l S'aq <br /> TENTATIVE'APPOINTMENT DATE:_M.T�r i S 2,7-, 2,00'S Time; I D ALA <br /> (Please allow 10 bussii-n"aa days from data of application submittal-'Tentative only-Must be confhmad) <br /> 13 CHECK BOX TO EXPEDITenrQUEST-$93100 FEE(CASRQU gMCK ONLY)•REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��F l i r �Zth rrr DATE _*/' c <br /> UNDISTRIBO710N ❑Unit <br /> Unit 2 Ila nn 4 o UnK s nn e ❑ Other(etectranfc latatmepa) S/ <br /> FILE ADDRESS EHD USE ONLY <br /> StmetIf Streat Name city <br /> a. X075 <br /> VZZO <br /> 6. 32S G L ecJ c, <br /> z . .l�92.... . <br /> 771 10. <br /> Specific Date Range Of InformaTlon Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNOPRaROUNO TANK(UST)CLEANUP SITE(LOP) 0 HOVOMO AaATEMENT SQUV WASTE FAC )VEHICLE <br /> tJrNER CLEAN UP SnE(N0N-LOP) C7 Foot;FAcnm WASTETmE <br /> UNOEROR tTANK(NIONna�R GMMWAL) 0Doc KENNEL 'AIRY <br /> HAzaa00113 WASTE GENERATOR 0CHICKEN RANCH V_WASTEWATER TREATMENT PLANT <br /> BRED PERMITTED FACIUW 0 MOTELMOTEL G PUMPER TRUCKIYmaICHEM To1LET5 <br /> 13 ArrO0IBO0Y PieRCINO 0 POOLISPA O LAND USE APPLICATION$rMe <br /> f(WINCAL WASTE FACIL"Y ❑OTHER(PLEASE SPECIFY) <br /> WELL AMO SEPTIC PERMIT RECORDS AREAYAILAgLE FM RENEW - MONDAY-FRIDAY 5:00 AM-5:00PN - EXCLUDING HOMAYS. <br /> 1. hist up to ten addresses In the space above. Select Ute 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 fila 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 atter 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. <br /> 4. Any file not returned In the same 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 /> EHo.aa O <br /> 114 a6 <br />