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06/25/2010 11:53 92574 AEI CONSULTANT FILEGE CD <br /> 1 <br /> lIL <br /> i` L._,Li 11 I`�` SAN JOAQUIN COUNTY EHb LOG NUMBER <br /> ��; �, `� LU I J ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: ( )4683420 Fax <br /> �_ �'Y;�; wi�'`,.•••:r_;' rii::«-��-5 T� eP 209 (209)464-0138 Web:vwvw.slgay.org/eh <br /> ;< `•:`�_(, '_ "lI s�`� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: l/Y1 j � , yl <br /> BUS(NESSJAGEMCY; <br /> aodRl=ss: , 5� C to/Q ctTY/srATEtzIP: lJc�ln�r f ,rte <br /> PHONE(1) �'q{p`IPC PHONE(2): $ZS ,f <br /> TENTATIVE*APPOINTMENT DATE: <br /> � ����� FACSIMILE, ( $ �-�(p0c � <br /> (F'Igase allow 10 business days frome <br /> m date of applicatiQn submittal--renfauva only-mu I bo confkmed) <br /> CHECK BOX TO EXPEDITE REgUE$T•$115 F E(GASH QR CHECK ONLY) REQUEST PROGESSCD IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑List[] Map,Descrip ion: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City — <br /> 1. <br /> 81146- --SQY tE I D c CI-t — unit 9 <br /> a. 455 cfaa� rvIt.K In t <br /> _ 3, Unit 2 <br /> 4. <br /> Unit 3 r <br /> 6. <br /> 7. Unit 4 <br /> 8. <br /> 9• _ — ❑Unit 5 <br /> Specific Date Range of information Requested: From to <br /> L HEAunit 6 <br /> ENVIRONMENTALTH DEPARTMENT FILES <br /> 1Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ACATEMENTA P� <br /> to OTHER CLEANUP SITE(NON�LOP) SOLID WASTE FAG <br /> ILITYIVEHICLE 'V " <br /> Ej UNDERGROUND TANK(MONiTORINGIREMOVAL 0 FOOD FACILITY WASTE TIRE <br /> �]C HA7ARDOUS WASTE GENERATOR 0 DOG KENNEL DAIRY <br /> TIERED PFRMrrTED FACILITY d CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TATTOQI$ODY PIERCING 0 MOTEUHOTEL PUMPER TRUCKIYARD/CHEMICAL TOILET$ <br /> ® MEDICAL WASTE FACILrrY ❑POOLI^sPA I� ,AND USE APPLICATION SITE;$ <br /> El OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT R,EcoRDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS <br /> 1, List ua tD ten adgre_ sses in the space above. Select the type(s)of files from the list above b checkin theappropriate <br /> box(es). At least one file type MUST be selected. Fax to(70g}gg4•n Egg or mail to t„e addre1g <br /> a Indic * d aba Addr®ss <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. <br /> 3:00 pm will be processed the next business day_ Applications received after <br /> he <br /> If any El-41)fileS exist. An appointment for <br /> 2. days after will notify <br /> of application. The files will be held for a maximum of five businessll be days fors review. Appointments <br /> is (10) <br /> should be scheduled accardingly. <br /> 3. A file that Is actively being worked on by END staff may not be Immediately available for review. A new 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-34,25. <br /> EHD U$Q ONLY <br /> EHD d8-OE <br /> 0IZ7109 <br />