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,� 4/ 14/ 2005 16 : 11 916- 373 109 RANEY GEOTECHNIr - PAGE 01 / 0 <br /> Kk <br /> n �� Io, I [J/ EHD LOG NUMBER <br /> H (v SAN JOAQUIN COUNTY <br /> APR j 5 M9 <br /> ENVIRONMENTAL Avenue, <br /> 3 HEALTH DE , CA 952 NT <br /> 304 East Weber Avenue, 3 Floor, Stockton, CA 95202-2708 A/ <br /> ENVlRONMEN] { cALI ' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/chd <br /> FERNiIT/` E"":'! TES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: JAL1L1GhY` 0. CLr Y C ` aUSINESWAGENCYi kMqZCLMqe <br /> ADDRESS: -.� ( � a ..? t47. CQn 1t/[LI W5 .'rT• �' fr MSF LY(io C• <br /> PHONE (1): _CTI��,IZ,. 1 X041 t/ PHONE (2): - FACSIMILE:- - C? f l a " Swff� H ErQ-% <br /> TENTATIVE' APPOINTMENT DATE: Time; I C) & IIA <br /> (Please allow 10 business daay's'from date of applicatlon submittal • "Tentative only - most bU confimred) <br /> El CHECK BOX TO EXPEDI ` QUEST <br /> E - $9, . 0 ME (CAS K ONLY) • REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � � � i� A��� " h rr* DATE <br /> UNIT DISTRIDU7ION t7 Unn1 Unit2 Ila MAtt4 0Una5 ins OOlher (DIeD[ronirJllstetmspe) <br /> FILE ADDRESS EHO USE ONLY <br /> Streets Street Name city <br /> 4. <br /> yak <br /> /r1 <br /> 6. 32 S G AoioP4,4vw G, 61 <br /> 7• . 3le92 - Ali ' I or J — <br /> 8. <br /> 1o. <br /> Specific Date Range of Infonnatlan Requested: From to <br /> ENVIRONMENTAL HEALTFI DEPARTMENT 777F7....I///(LES <br /> UNDERDRDUNn TANK (UST) CLEANUPSITE (LOP) 0 HOUemO ADATEMENT ?�,SoLIDWA EFACAmNEHICLE <br /> OTHERCLLAt1UP anE (NON-LOP) CiF000 FAcany T�3i+kWPXM71RE <br /> UNOERDROUND TAW (MONROWGIREMovA ) 0 boa KENNEL y A <br /> 'HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH KWU WATER TREATMENT PLANt <br /> Pt7IERED PERMnTEo FACILITY 11MOTELIHOTEL Q PUMPERTRUCKIYAROICREM TOILETS <br /> OTATTOOM00Y PIERMHO 13 PDOUSPA O LANG USE APPLICATION smSe <br /> -hilt 10AL WADTE FAGLIrY Q OTHER (PLEASE SPECIFY) <br /> WELL ANO SEPTIC PERMIT RECORDS ARE AVMLARQE FOR REWEW • MONDAY-FRIDAY 8:00 AMA:00FM • ExCLUUMG HOL®AYS. <br /> 1s list up to ten addresses In the space above. Select the type(s) of Tiles from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to (2091464-0198 or mail to thoaddmss <br /> indicated above. Address ranges will not be accepted — for additional assistance with file addressee, contact <br /> the EHD. Applications received after 3:00 pm will be 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 <br /> approximately ten (10) days after receipt of application. The files will be held for at maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> mwaR. P <br /> ass <br />