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MAR. 20, 2008 10: 32AM PAIRSONS-925-979-081 r N0. 6701 P. I <br /> EHD L06 NUMBER <br /> L)I <br /> SAN JOAQUIN COUNTY MAR 2.0 2008 <br /> ENVIRONMENTAL IkALTH D9PARTMENT <br /> 2 G, 20018 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (20)468-3420 Fax: (209)464-0138 Web;www-,qjg6v.o e <br /> (3v 0 <br /> P".li f. PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT, BUSINESSIAGENCY; <br /> ADDRESS: C GALrj&,rP' 7�G <br /> PHONE(1): <br /> PHONE(2): -FACSIMILE; <br /> TENTATIVE*APPOINTMENT DATE: Time; <br /> (Please allow 10 business days from date of application submittal-'Tentative only-mum be confirmed). <br /> M(CMECK BOX TO EXPEDITE REQUEST-$98,00 FEE(CASH t3 CHECK ONLY)-REQUEST PROCESSED IN 3 USIN SS DA <br /> SIGNATURE OF APPLICANT DATE <br /> Electron lc' Information: List Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Unit I <br /> 09 rAn4j, 12 1j /'P <br /> Unit 2 <br /> 3, <br /> Unit 3 <br /> 4, COCOA/ <br /> 7. — Am 171 Unit 6 <br /> 8. 9 3 Z2 <br /> [3 Unite <br /> Specific Vale Range of Information Requested;From /feeTs to .Ig-IT" <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> nlumbERGR6UND TANK(UST)CLEANUP SITE(LOP) 0 HoustN'a ABATEMENT 0 SOLID WASTE FACiLITY1VEHtCLF <br /> 0VTHeR CLEANUP$me(NON-LOP) C3 Foqo FACILITY 0 WASTE-TIRE <br /> U"ERGROUND TANK(MONITORINGIREMOVAL) E3 DW KENNEL 11 DxKy <br /> 0 HAZAPDOUG WASTE GEN'ERAYORr 13 CHICKEN RANCH I=WA$TEwAircR TREATMENT PLANT <br /> C3 TIERED PERMITTED FACILITY 0 MOTEL[HoTri- C1 PUMPER TRUCKIYARDICHEM TOILETS <br /> C3 TATTOO/80DY PIERCING 9JOOLtSPA 0 SEAPPLICA-DON 81 <br /> C3 MEDICAL WASTE FACILITY HOMER(PLEASE SIJECIIFY)Ciwa, Mka"� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR ReviEw - MoNoAy-FRmAy 8:00 AM-5:00pm -EXCLUDING HOLIDAY& <br /> I List up to ten addresses In the spac.e 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. Eqx to(209)464-QI38 or mail to thLjddre s Indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications recelved after <br /> 3:00 pm will he 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 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 an by EHD staff may not be immediately available for review. A now 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 /> EKDAS-08WEB BWO07 <br />