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01/20/2005 15:01 916-371-1809 RANEY GEOTECHN;,CAL PAGE, �1/0 <br /> QED <br /> F_HD LOG NUMBER <br /> DATE RECEIVED SAr4 JOAQ>uTIN COUNT'' - _. .. JAN ?' 9 ZN5 - <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304,;'ast Webc: Avenue,3`"i�loo.r,Stockton,CA 95202-2708 �NIREWI ISE"GESN <br /> Telephone:(209)469-3420 Fax:(209)464-0138 Web:www.5j90V-0-glchd ����� <br /> PLICAMN 1�6 <br /> PiJBLIC RTCORDS RELEASE A,�' _ <br /> -- BuslNFssrnv ncY: <br /> APPLICANT: �b v+f• � a �� <br /> ADDRESS: O 2.�t�o C�. 2 G <br /> PHONP-0): IpHONE(x): FACSIMILr: I ` O <br /> �.GC7� <br /> TENTATIVE"APPOI"F_NT DATE: G v'u •+' Tl-*' f <br /> (Pleape allow to t;uslness days from data of mppllcatlo subT"I I-"Tontavvo only�mtp; ba contiTmedl <br /> 0 CHECK 13OX TO EXPEDITE REQU -$9 CASH OR CHECK ONM-REQUEST PROCESSEo IN S BUSINESS DAYS <br /> SIGNATURE C71=APPLICANT —DATE Zaa� <br /> UN IT DISTRIBUTION UIIlt f u uric ` nn3 kn11.4 M Un s d Unit4 41h+;r(electronitl:istslnapb) <br /> FILE ADDRESS- H USE ONLY <br /> Street Stmat Name CNy <br /> uST�Efi _ trA .. �� v'ac_ 5�G <br /> LlSTHam. . <br /> �tS � <br /> 7 N 6. <br /> S T <br /> 7. I <br /> 9. - <br /> Specific Date Lange of Information Requested:Vrom to Cfe5 re <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGRoUND TANK(UST)CLCAMM$ITC(LOP! M Housiucc A9AwmENT 4 SOLID WASTE FACILITY/VZHICLE <br /> OTHER CLFANua ant(NON-LOP) El PCOD FACILITY 0 WASTE TYRE <br /> UNmRORoUND TANK(MCNRORINcmEmavAp E3 Do*KENNEL ❑PARRY <br /> HAZARDOUS WAM GENERATOR 0 CHICKEN RAmcR a WAsTewATm TREATMENT PLANT <br /> 7)eaPn PFRMffTM r-Qrn rry IJ NloTsi_MoTm E3 PumFER TRu0KfYARDICHEM T0gLFTs <br /> 0 TATTOOMODY PIERCING 0 POWSPA LJ 1,AND USE APPLICATMN SITES <br /> I3 MEMCAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RMORDS AM AYAN.ABLE FoR REmw - MONDAY•FRlbAY 8,00 AM•B:OOPM - FX(;LUDING HOLIDAYS. <br /> 1. List up to tan addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate bpx(as). At least one.flie type MUST be selected, FaX to(209)464-013.8_or "I to the addr�8� <br /> indicated above. Address ranges will not ba accepted–for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 prn will be processed the next business day. <br /> 2. The EHV will notify the applicant if any EHD files exist. An appointment for review will be canflrmed <br /> approximately ten(70)days after receipt of application. The files will be held for a Iltliaximum of five 111.01ness <br /> days for review. Appointments should be scheduled accordingly. <br /> 1 A His that is actively being worked on by EHD staff may not be immediately available for review. A now <br /> appliCAOnn r";ov ho arihmHfarl when the iilp iC PvsiilAhlp, <br /> 4. Any file not returncd°r,ti»�: ",)-tditlon as released will be reorganized by EHD staff at the expense of the <br /> appltGafl�. tiiUl� �1; , pr�er,:s uy uEc dlliCapp;icaj.1"say jj tqu ha a ss'-.000 C'apori:prior to reYiew. <br /> EMD 41142.006 w <br /> 1rl4roe <br />