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Jan, 9. 2007 10;52AM nced GeoEnvironmental No- 7243 P. 1 <br /> ���� `� SAN.!OA UIN COUNTY EHD LOG NUMBER <br /> JAN 0 8 2007 ENVIRONMENTAL HEALTH DEPARDUNT <br /> 304 East Weber Avenue,3rd floor,Stockton,CA 95202-2708 <br /> ENVIRONMENT HEALTH Telephone:(209)468-3420 Fax:(209)464-0138 Web:'www.sjgov.org/ehd <br /> 2, <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT.,_Ckrj nj <br /> c r• BUSINESSIAGENCY: A krAftr ej V.r AMCrn+s,1 <br /> PHONE(1): PHONE(2): 'Y(,7 looce, ..._FAcsimiLE:–'f& 7 11L6 <br /> TENTATIVE* <br /> – <br /> TENTATIYE"APPOINT mENT DATE /— Z'�—2,00? Time: /0 a,o <br /> (Please allow 10 business days from date of application submittal T_60h M only-must b�Sr; <br /> ❑ CHECK BOX TO EXPEDITE RE 55,44 FEE CASH R CkECK ONLY)-REQUEST PROCESSIN <br /> SIGNATURE OF APPLICANT DATE goo-7 <br /> Electronic Information: 0 List 0 Map—Description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street alE Street Name Clty � ❑ �1 <br /> i` 4 a7�rp <br /> 2. .� r <br /> 3. <br /> 4. ❑ unit 3 <br /> 5. - unit 4 <br /> s. <br /> 7. <br /> $, © unit 5 <br /> Unit Q <br /> i0. <br /> Specific Dato Range of Information Requested:From o2 oos- to .100 -7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1:3 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOU61NG ABATEMENT C3 SOuo WASTE FACIUTYWEHIGLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 13 WASTE TIRE <br /> In UNDERGROUND TANK(MONITORINOIRWOVAL) E3 DOG KENNEL E3 DAIRY <br /> t3 HAZARDOUS WASTE GENERATOR 17 CHICKEN RANCH CE WASTEWATERTREATNIENTPLANT <br /> 13 TIERED PERMTTEO FACILITY 0 PAOTEL1HOTEL 13 PVMPER TRUCKIYARDICHtm TOILETS <br /> C3 TATTOolHauYPIERGN4 11 POOLISPA LAriiij <br /> FAcmmy <br /> Q MEDICAL WASTE <br /> AND SEPrLC PERMIT RECOFIDS ARE AVAILABLE FOR REVIEWNt^ i �' '` '. <br /> -, r,. <br /> ONDAY-FRIDAY 8.00 AN-5.�WM EYXLUDM HOLIDAY& <br /> 1. Lust 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 type MUST be selected. F j to 2491464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the END.Applications received after <br /> 9:40 pm will be processed the next business day. <br /> 2. The END will notik the applicant If any END files exist. An appointment for review vAll 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. A file that Is actively being worked on by EFID staff may not be Immediately available for review. A neve application may be <br /> 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 applicant. <br /> Future file reviews by the same applicant may require a$85.00 deposit prior to review. <br /> EHD USE ONLY <br /> IIID ea-ea an�oas . <br />