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02/08/2008 16: 15 FAX 415 882 92:' ' URS CORP-221 MAIN ST. Z 003/003 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTiVIENT <br /> 1 <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> FES Telephone: (209)468-3420 Far: (209)464-0138 Web: www.sjgov.org i <br /> 04 <br /> H�A.P PUBLIC RECORDS RELEASE APPLICATION <br /> �PPLICANT: �a19 �pq / BUSINESSIAGENCY: UIQ$ ('VVPO/af500 <br /> ADDRESS: e?P?i fLlaN� 6fyee!, 5U"A 4.+00 SQL., vu�c�4(cy C>9 44145 <br /> PHONE(1): PHONE(2): Y15-03 3155 FACSIMILE: 415.aha-9a�I <br /> TENTATIVE"APPOINTMENT DATE: 02,12210-1 Time: /l:OU OM <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$96.00'FES(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � .. �ZV�o-C�' DATE (01011/0-- <br /> Electronic Information: ❑ List❑ Map—Description: G Pemviq La is 'r Cr L4 it V, <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City ❑ Unit 1 <br /> 2, %{G`CJ I �C�1 L�y 4't r E�(i �1," j�/�C'�' �p ❑ unit z <br /> 3. �'� <br /> - -- -- Unit 3 <br /> --4 <br /> 5. <br /> 6. rnit 4 <br /> 7. <br /> -_ ____ -. ❑ Unit15 <br /> 8. <br /> 9- ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From I`f'i<U to x001 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 19 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) 17 FOOD FACILITY ❑WASTE TIRE <br /> C'4 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DpG KENNEL O DAIRY <br /> ®HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> *TIERED PERMITTED FACILITY 0 MOTEL/HOTEL C3 PUMPER TRUCKIYARDICHEm TOILETS <br /> ❑TATTOO/BODY PIERCING 0 POOLISPA 11 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPM PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten 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. Fax to(209)464-0138 or mail to the address indicated above_ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END 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 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 returned In the same condltlon 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 /> EHD 48.06 WEB S/WO07 w <br />