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NOV-05-2009(THU) 11 : 37 Salem Engineering Group, Inc U HU 9099806435 P. 001/001 <br /> SAN JoAQ�rrnr COUNTY EHD LOG N <br /> 5 ZOOS ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRUNNIENT HEALTfjelephone:(209)468-3420 Fax: (209)464-0138 Web: wwiv,sjgov,org/ebd <br /> PERMIMERVICES PUBLIC RECORDS RELEASE APPLICATION UMBER <br /> APPLICANT: 7ar-� 000 BUSINESSIAGENCY: —Wet- <br /> ADDRESS: <br /> et�'M <br /> //�� 11� ,+� / ��77 pp inti%nu�I>1ti G=r,;�,� <br /> ADDRESS:_�� pjIff;oh /G'K 6lr"v r 7t4 �V� l�Rn o �ucrcMcn�,r CA flRjo <br /> PHONE(1): dt 'Q.'�y f f PHONE(2): �YC� ISd.__, �--�,_ FACSIMILE; W-605- <br /> TENTATIVE"APPOINTMENT DATE: �y✓ Time: 10,'9'67 <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE ES S .00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I r Oy <br /> Electronic Information: ❑ List❑ Map—Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city 1:17U <br /> 1. ji;l *(CcC et Avle, /Y�an�aca <br /> 2. <br /> 3 <br /> 4. Unit3 <br /> 6 unlit 4 <br /> 7. <br /> ❑ Unit 6 <br /> 8. <br /> 8. <br /> O ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to rercn' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDIMGRoUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL 0 DAIRY <br /> )1Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH CI WASTEWATER TREATMENT PLANT <br /> 11 TIERED PERMITTED FACIUTY ❑MoTeL/HOTEL ❑PUMPER TRUCKIYAROICHEM TOILETS <br /> Q TATTOWBODY PIERCING ❑POOLJSPA rI LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - M0N0AY-FR11)AY 87011 AM-6:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(g)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 Dr 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 /> 3:00 pm wlil be processed the next business day. <br /> 2. The EHD will notify the appllCant If any EHO flies exist. An appointment for review will be confirmed approximately ton(10) <br /> days after reCelpt of appllcatlon. The files will behold for a maximum of flva business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that la actively being worked on by EHD staff may not be immedlatsly 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 EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> "/2007 <br />