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MRR.10.2005 10:59AN APF" ENVIROTECH,INC. NO.289 P.1 <br /> DATE RECEIVED 0 a EHD LOG NUMBER <br /> � SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3`d Floor, Stockton, CA 95202-2708 <br /> MAR 1 0 2005 Telephone:(209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd I W ...sss��� <br /> E 1R0NMENT HEALTH PUBLIC RECORDS RELEASE APPLICATIONA WWWW <br /> UWAT: BUSINESSIAGENCYI �+•l•�"'� <br /> ADDRESS: Z"i� ���f^t°'�ti- nrt r +flQ�. gr3'eR- <br /> PHONE(1): 21At PHONE(2): Tal r—Y6 —ab '42L_FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: *4*I k Time: C4� <br /> (Please allow 10 business days from date of application submittat-'Tentatiye only•must be confirmed) <br /> O CHECK BOX TO EXPEDITE REQUEST.$93.00 FEE(CASH OR CHECK ONLY).REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT lL'^-v*-✓N" DATE 3�tQ�D Jr <br /> UNIT DISTRIBUTION GUnit 1 ❑Unit2 13Un43• Unit4 jFijnit5 M Unitti Et Other(otoctrontallistalmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1. ( bl uvn LKt S �cK "i `• i ' ;n .T,%07 <br /> z. Ut <br /> 3. or�iSo^ Sack zr" STUD <br /> a. tVB�v ek �w. 4 ro '.s i <br /> 5. Sf f <br /> s. <br /> 7. 4.`I4 lCc wa.r w l s1i ' <br /> B. 103 SS_cq , rwl- <br /> 10. -w/2-1 Ccsp%}aP 4,< <br /> Specific Data Range of Information Requested:From VCZiQ t to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> XUNDERGROuNO TANK(UST)CLEANUP SITE(LOP) O HWSINGABATEMENT P SOLID WASTE rAC0.ITYNEMCLE <br /> D OTHER CLEANDPSITE(NON-LOP) O FOOD FACILITY O WASTE TIRE <br /> Q UNDERGROUND TANK(MONITOPANOIREMOVAL) M DOG KENNET. ' 0 DAIRY <br /> Cl HAURDOUS WASTE GENERATOR M CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY C3 MOTEUHOTEL 17 PUMPER TRUcRIYAROICHEM TOILETS <br /> 17 TATTOo1B00Y PIERCING 0 POOLISPA C1 LAND USE APPLICATION SITES <br /> *MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> WELLAND SEPnC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY0:00AM�5:001`14 - EXCLUDINGHOWOAYS. <br /> 1, List up to tan addresses in the space above, Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464.0738 or mail to the address <br /> indicated above. Address ranges Will not be accepted-for additional assistance With file addresses,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 a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> S. 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 /> r'L - <br /> 17, <br /> EHo asozaoe <br /> ureas <br />