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Jan. 9. 7007 10:52AManced GeoEnvironmental No. 7743 P. i <br /> [} EHD LOG NUMBER <br /> ®R SAN JOAQUIN COUNTY <br /> .10 a 8 2007ENVIRONMENTAL HEALTH DEYARTWNT <br /> 304 East Weber Avenue,3 Floor,Stockton,CA 95202-2708 , OC) <br /> /chdor <br /> ov <br /> sj <br /> Web:0139 W <br /> 464 <br /> 249 <br /> F <br /> Telephone:(209)468-3420 ax:( ) - e :www. g . g <br /> E�VIR0�11'�Ef�l► HEALTH1 <br /> 2e <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: c' BUSINESSIAGENCY: Abcwise� - ee rid•ranMe�i�� <br /> ADORES$: S-r0e-V_ j6JA <br /> PHONE(1): &Of -3SLI / PHONE(2): ____._FACSIMILE.FACSIMILE. <br /> TENTATIVE"APPOINTMENT DATE. 01_ 02;)-2'00_? _Time: /4 <br /> (Pion allow 10 business days from data of application submittei••Tentod"only-must be eanti mad) <br /> 13 CHECK BOX TO EXPEDITE RE 95.00 FEE CiRSR R CHECK ONLY}-REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑Map Desef1ptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street* Street Name City ❑ . <br /> F3. <br /> 2 r _ © unit3 <br /> 5. ❑ U04 <br /> Is, <br /> 7. ❑ Unit 5 <br /> 8. <br /> ❑ Unit 8 <br /> 18. <br /> Specific Date Range of Information Requested:From o t30 S to aQ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> E3 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 11 SOLID WASTE FAcjtIYYNEHIci.E <br /> El OTHER CLEANUP SITE(NON-LOP) 17 FOOD FACIL.M E3 WASTE TIRE <br /> M1� .d UNDERMIOUNDTANK(MON[TORJIN01REMOVAL) 13 DOG KENNEL M DAIRY <br /> I 0 HAZARD=WASTE GENERATOR M CHICKEN RANCH 0 WASTEWATER TREATIVIENT PLANT <br /> 0 TIERED PERMITTED FAduTY <br /> 13 MOTELIHoTEL 13 PUMPER T'RUCKNYARDICHEIR TOILETS <br /> 17 TATT001BODY PIERCINO d POQLI$PA L Ad# <br /> E3 M ewcAL WASTE FACa1TY <br /> WELL AND SEPTIC PERMIT RECOR09 ARE AYblLABLE FOR fil:V[EW• MONOAT FIanAY 8:00 AMS 00PM Exctuom HoIJUAY8 <br /> 1. List up to ten addresses In the space above. Select the type(o)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall 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 /> 9:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant H any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of appllcatlon. The files will be hold for a maximum of five business days for review. Appointments <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 new application may be <br /> aubmitted when the fila 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 applicant. <br /> Future file reviews by the same applicant may require a$85.00 deposit prior to review. <br /> EHD USE ONLY <br /> k <br /> I <br /> F,F[D 16A6 8l13f2006 . <br />