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Jul- 13, 2006 2:53PM Advanced GeoEnvironmental No. 5480. P. 1 <br /> DATE ktt:tly>=U cHQ Lu��ivUU�ER <br /> ;..� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor; Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd 7 <br /> PUBLIC RECORDS RELEASE APPLICATION � <br /> APPLICANT: V t1 60 ,�,�// BUSINESS/AGENCY: C1) <br /> ADDRESS: r'/� 1 b Q S��-tc. 0 I J �y p (� /r <br /> PHONE(1):�6 L - 7 i ��Q PHONE(2): 0 1 ; f7� FACSIMILE: G! — 7 <br /> kj <br /> TENTATIVE*APPOINTMENT DATE: g JO ty 406 Time: �� ►- �lr�,� <br /> (Please allow 14 business days from date of application submittal-'TentaflA only-must be confirmed) (r— re-a� <br /> CHECK EOX TO EXPEDITE:R EtiT•j9390 FEE(C OR C ECK ONLY)-REQUEST PROCESSED IN�3y E INES``DAYS <br /> SIG TURE OF APPLICANT DATE <br /> UNITDISTRIBUTION © 'Unit 1 n0nit 2 ❑ Unit 3 0 Unit 4 ❑Unit 6 Cl Unit 6 171 Other(electronlcllIstslmaps) <br /> FILE ADDRESS EHD US ONLY <br /> Stmet If Sheet Name Ci <br /> �. as aSX <br /> 2. JI k I <br /> 3. t} ►t �t t le <br /> 4. <br /> 5, a ,t0 <br /> 6. s, V <br /> 7. 1"t1 L C <br /> 8. a. Irl �'i`• n <br /> }V,Speo fic Data Range of Info oration Requested:From loo a / <br /> n�:�TC Dnl� ENVIRONMENTAL HEALTH DEPARTMENT FILES ' �- <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOF) 13 HOUSING ABATEMENT 17 SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEAN41P SITE(NON-LOP) D FOOD FACILITY ❑WA rE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOYAL) Q DOG KENNEL Q DAIRY <br /> HAZARt)ou3 WASTE GENErFLATOR ❑CHICKEN RANCH ❑WfwrEWATtiR TREAT6IHNT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL �0 PUMPER TRUGWYARDIOHEM TOILETS <br /> 11TATTOWMaY PIERCING 13POOUSPA 'VLAND U9c APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) O <br /> WELL MID SEPTIC 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses;contact <br /> the EHD.Applications received alter 3:00 pin will be processed the next business day. <br /> 2. The EHD,,viii notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days sifter receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being%votk:ed on by EHD staff may not be immediately available for review. A new <br /> application r`bay 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 Elie <br /> applicant. Future file reviews by the sante applicant may require a$93.00 deposit prior to review. <br /> EHD 4&W-006 <br /> 111MW <br />