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-APR-21-2008(MON) 08: 39 Sale-Engineering-Group, Inc (F07 )90c 06a35 P '001/001 <br /> EMD LOG NUMBER <br /> DATE fEGFIY S JOA vnv COUNTY <br /> `J ;a5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> 468-3420 Rax: 209 4640138 Web:WWW-S' 0V,0r eh <br /> f[ Telephone: (209) ( ) J!� l� . <br /> T kt <br /> T� I1� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: i a r BU91N@891AOt?NCY:SA er+� +iwerrfv�� _. <br /> ADDRESS: '.SQA Ff"t el a! n, QS Lot a, G/� 17dd <br /> PHONE(1): 07 0_6 y,i s" PHONE(2): t 1 __FACSIM. IEE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (?louse allow 10 business days from data of applicatlon submittal-*Tentative Only,must be conflrmod) <br /> -CHECK BOX TO EXPEDITE REQU ST- 98. FEE(CASH Oft CHECK ONLY)-Rt5(lUEBT PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE a O <br /> Electronic Information: ❑ List©Map-Description: <br /> FILE ADDRESS EMD USE ONLY- 111 <br /> �}JJsttr"t a ems )) Ity unit 1 <br /> F2. <br /> ns,n raeal4iA taA.La7aelC m. 11 A-A CA a T lir ill . ai rtl�f��rl - Y� i ❑'Unit2 <br /> 1 <br /> 4. [�aEnit 3 1 <br /> Unit 4 <br /> 7. p Untt 6 <br /> 9. p unit a <br /> 11>f, <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES l <br /> pj UNDERGROUNA TANK(UST)CLEANUP SITE(LOP) CS HOUSING ABATEMENT 0 SOLID WASTE FACILITYN@HICLC j <br /> OTHER CLEANUP SITE(NON-LOP) 0 F000 FACILITY CI WASTE nRE <br /> IM UNDERQ'POUND TANK(MONITORINGIREMOYAL) G DOCS KENNET. 13 DAIRY 1 <br /> ❑HAZARDOUS WASTE GENERATOR C CHPLANT, <br /> CHICKEN RANCH 0 WAsTEWATPk TREATMENT ANT <br /> C3 T19REDPERMITTED FACILITY ❑MoTEL/HOTEL 0 PUMPERTRucKIYARDICHr=M.T01LET9 3 <br /> M TATTOOIBODY PIERCING In POOVSPA C1 LAND USE APPLICATION SITES i <br /> t5 WDICAL WABTE-FACILITY 0 OTHER(PLEASE SPECIFY} <br /> WELL'AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REMEW-MONnAY• FunAv 8:00 AM-6:00PM -EXCLUDING HOLIDAYS. <br /> i <br /> 1. List up to tan addresses In the space 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, mail to.the ad Address <br /> ranges will not be accepted-for additional assistance with file add rosses,contact the EHD?.Appf(cationa received after <br /> 3,00 pm will be proceased the next business day. <br /> 2. The EHD'wIII1 notl the applicant If any EHD files exist. An ointment for review will be confirmed a roxlmatel tsar 10 <br /> fY RA y appointment RR Y ( 1 <br /> days after recelpt of application. The files will be hold for s maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 8. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be { <br /> submitted when the file Is avallable. <br /> 4. Any file not r+etumed in the same Condition as raleased 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 /> RIM seas web 816120 <br /> i <br /> 1 <br />