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07/16/2008 ENVIRONMENTAL HE -1 PAGE 01/04 <br /> DATE RECEIVED G EHD LOC-NUMBER <br /> J SAN JOAQUIN COUNTY <br /> F -VIRONAIENTAL HEALTH DEPARTMENT <br /> CI 08 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fam(209)464-0138 Web.www.-,jgov.or <br /> PUBLIC RECORDS RLLEASE APPLICAIUON <br /> APPLICANT :51 A �ek' BUSINESS/AGENCY; 64 Luoy-K5 <br /> ba 4+- , c§�54�-itrn .. (A 1i-,-*" <br /> 1 1-1-7-7 p — PtioN15(2): rAC$IMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of applicatlon submittal-'Tentathv only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-sgs.00 FEE(CASH OR CHECK ONLY)-PEQur:5TPROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT I%,Ik DATE <br /> Electronic Information: Pj List El Map-Description: 2hoj-6% R—STP STREET_0V"jL" Pg+mr <br /> FILE ADDRESS EHD USE ONLY <br /> Street so -- Street Narna City 0 Unit <br /> WAY 5 ibc*- <br /> 2- 32 JZ 190 f-T L—A fv,..% CI UO2 <br /> 3- <br /> WAjA- (-Tn <br /> /000brift 3 <br /> 4. 0 <br /> A—I <br /> Unit 4 <br /> -3-12-9) k ebj2-T W'1 <br /> Unit 5 <br /> L1 units <br /> A� 7 UJ-4 fb t4 iv" <br /> Specific 11vto Ranoo of Information Raquested- From to361 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ED HOUSING ABATEMENT C3 SOLID WASTE rActLrTTNEHIcLr, <br /> OTHER CLEANUP 5177(NON-LOF) 0 FOOD FACILITY M vvAsTr TIRE <br /> U140CRGROUM TANK(MoNrroRimWRrMQVAL) ID DOG KzNNEL 11 DAIRY <br /> HAZARDOUS WAST[OCNFRATOR CHICKEN RANCH 1;7 WAsT?-twkTcR TPLvArmrNT PLANT <br /> SLTIrRED PQRMMMD FACII-17Y p Mo-rELIHML C1 PUMPER TRUCKfYARDXHEM TOILM <br /> Cl TATTDQ1I300YPIFRCIN5 U PQOU!SPA in LAND Usi!APPLICATION SITES <br /> 0 MEDICAL WA4-rc FACII-n-y El CITHRP.(PLEASE SPECIFY) <br /> (YELL AND SCPTIC PF-qMtr REcoqos Am AvAILAHLF FOR REVIrVY - MONDAY-FRIDAY 8;00 Am-5:00PM -EXCLUDINc.Hoot-Ays. <br /> 1. List up to ton addresses In the space above. Select the typa(s)of files from the list above by checking the appropriate <br /> box(es). At least one file We MUST be selected. Eaxto(209)464.0138 or rnail to the address indicated above.. Address <br /> ranqas will not be act@pled-for additional assistance with Pie addresses,contact the CHO.Applications received after <br /> 3:00 pm will be processed the next bLiginDst,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 bu sine"days for review, Appointments <br /> 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 application may be <br /> submitted when the file Is available. <br /> 4. Any file not retumad In the same condition as released will bo reorginnized by EHD staff at the LhXpensfi of the Applicant, <br /> Future file reviews by the same applicant may require a$98,00 deposit pcjor to review. <br /> EHD USE ONLY <br /> If you should need further ossist=ce pleose contact Diane Martinez e (209>468-3475 directly. Thank You*** <br />