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03/14/2007 12:28 2093345'374 WGR SOUTHWEST NOTAL PAGE 02/02 <br /> ,a <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 'r' <br /> 20,07 ENVIRONMENTAL HEALTH DEPARTNZNT <br /> [,j V! - .-- 304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br /> P) �l�fti:n !`d i hi Eli L-fH Te)cphone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/chd <br /> T� t <br /> v <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Steve Bru,nm BUSINESSIAGENCY: WGR Southwest, Inc- <br /> ADDRESS: 315 W. Pine Street suite 8 LOdi CA 95240 <br /> PHONE(1): 209-334-5363 x205 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: ASAP <br /> Tlmv: AM <br /> (Please allow 10 business days from date of application submittAl-"Tentative only.must be cvnfl <br /> ® CHECK BOX TO EXPEDITE;REQUEST-$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN U s D , <br /> SIGNATURE OF APPLICANT BATE March 14,V4t <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name Clty <br /> 1. 2711 Navy Drive Unit <br /> Stockton <br /> 2. <br /> ❑ Unit 2 <br /> 3. <br /> 4. Unit 3 <br /> 5. <br /> B• <br /> 7. <br /> $. ❑ Unit 5 <br /> 1 <br /> 9. 019 <br /> 10. unks <br /> specific Date Range of Information Requested:From <br /> All, t0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IM UNDERGROUND TANK(UST)CLEANUP SrTE(LOP) ❑HOUSING ABATEMENT <br /> X OTHER CLEANUP SrrE(NON-LOP) 0 -ro WASTE FACILITY/VEHICLE FACILITY <br /> D,,�1IUNDEROROUND TANK(MoNITORING/REMpvAL) WASTE TIRE <br /> ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> K ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY a MOTF-L(HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING 0 POOL/SPALAND USE APP4GATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILADLE FOR REVIEW- MONDAY-FRIDAY 8:00 AMS: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)464-0136or mall 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 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 behold 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 condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the some applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD"-oe BM3rz0-0-0 _q <br />