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12 / 29 / 2005 13 : 22 FAX 925 943 1 Morgan Miller Blair 1& 002 / 002 <br /> DATE REGEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 1 LLE , - LQ0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> FI'J`JI II 1 "d l `1U1%,L71i 304 East Weber Avenue, 3rl Floor, Stocl.7on, CA 95202-2708 <br /> PL � I . : : I ? J VICES Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wwwsjgov.orglend <br /> PUBLIC RECORDS RELEASE APPLICATION ISZ7 <br /> APPLICANT: Andrea Friedinan 9USINESSIAOBNOY: . MOM0Miller Blair <br /> ADDRESS: 1676 N. California Blvd., Ste, 200, Walnut Creek• CA 9459(, <br /> PHONE (1): (925) 979-3366 (direct nn )_ PHONE (2): (925) 937-3600 (main no.) ,FACSIMILE: (90)5) 943,, 1106 11�` <br /> TENTATIVE' APPOINTMENT DATE: Wim•• Jana 4 Time: - <br /> (Please allow 10 business days nom date or application submittal • 'Tan(athe only - must be confirmed) .y <br /> HECK BOX TO EXPEDITE REQUEST 483.00 FEE (CASf�M CHECK ONLY) - REQUEST PROCESSED IN 3 6USIN S <br /> SIGNATURE OF APPLICANT DATE l)ecETnber 29. 2005 <br /> UNIT DISTRIBUTION I ❑ Unit 1 0 Unit 2 Unit a Knit 4 ❑ unit a O Unit 6 O Other (eiectronldllstsrmaps) <br /> PA <br /> � <br /> FILE ADDRESS - EHD USE ONLY J <br /> reetN Street Name _ City -tIf <br /> i • _ Fremont Stret Fline ton �w ~ <nrjro <br /> 2. am.&butte <br /> 3. " <br /> 4. - <br /> 0. <br /> 8. <br /> 10. -- <br /> Specific Date Range of Information Requested : From 1/1/00 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W NDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ Housma ABATEMENT 0 SOLID WASTE FACILmrNEHICLE <br /> M TNER CLEANUP SITE (NON-LOP) ❑ FOOD FACILITY OWASTE TIRE <br /> IB NueROROUND TANK (MONITORINGIREMOVAL) O DOG KENNEL O DAIRY <br /> AZARDOUS WASTE GeNERATOR O CHICKEN RANCH O WASTIWATER TREATMENT PLANT <br /> TER® PERMITTED FACILIY ❑ MOTELIMOTEL - O PUMPER TRVCK/YARDICHEM TOILETS <br /> Ci 7ATTOO)80DY PIEROIND ri POOIISSPA G Wo USE APPLICAToN SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECI") <br /> WELL AND SEPTIC PERMIT RECORDS ARE AYMUSLE FOR REVIEW - MONDAYFRIDAY 0:00 AM,6:00 PM - EACLuOING HOLIDAYS. <br /> t . List up to ten 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. Fax to (209) 464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted — for additional assistance with file 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 after 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 some applicant may require a $93,00 deposit prior to review. <br /> [c nan fie made for either a document <br /> review o: having a cony service copy all Ibe dl QUjaCa c TBe .."3:.ORCh=k hasalre;tArbeen jrsrumcl and Tvill be provided at <br /> _ <br /> apMintment above ' Thanks for Your assistance/Gall if aOLqucsiioL _ <br /> EHD4M-M <br /> 111m <br />