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---07i16i2007 15:08 MAT 'COPE INC 4 12094640138 NO.092 P02 <br /> 07/16/2007 15:8 209b✓O138 ENVIRONMENTAL�tALTH PAGE 01/01 <br /> DATE RECEIVED <br /> SAN JOAQGCN COUNTY EHD LOG NUtJeER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202 <br /> Telephone: (209) 468.3420 Fax: (209)4&1-0138 vN'cb: wv��x.sj�oti.or¢/ehd 3 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT J1 n1 f1 - (, �� BUSINESS/AGENCY: <br /> ADDRESS: A G!7 Jr� <br /> PHONE(1): -6 D0 PHONE(2): FACSIMILE: 41� -��S-YJ 7 Z <br /> TENTATIVE'APPOINTMENT DATE: <br /> (Please allow 10 business day,-from PP TI- <br /> Y- Om date of a IIr,7tion r uprnittal 'rentalfvr onty- <br /> mus;be cOnfirrned) <br /> O CtiFCK BOX TO EXPEDITE REQUEST-$95.00 F E(CASH OR CHL-CK ONLY)-REQUEST PROCESSED IN 3 BUS(NESS PAYS <br /> SIGNATURE OF APPLICANT <br /> DATE /6 0 <br /> Electronic Information: ❑ List L Map- Description: <br /> FILE ADDRESS — EHD USE ONLY <br /> Street is Street Name City <br /> I - ElUnit 1 <br /> 2:; 222ani � o�� � R o ok ►1_ <br /> 17Y' (A � i`' r I Gph <br /> 3. M4 i <br /> e d Z, <br /> 4. .2 5-0 C—,r + G J F nit 3 <br /> DD 7-tifie-re <br /> Untr 4 <br /> 7. -- <br /> $. --- _ unit 5 <br /> 10. -- - - ❑ Unit 6 <br /> I <br /> Specific Date Range of Information Requested: From to <br /> f� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 'NOERCROUNc TANK(UST)CLEANUP SITE(LOP) r� NOUSiNG A$ATEMENT G Sofro WAST,FocILmNIEMICLE <br /> OTNGR CLEANUPS im(NON-LOP) 7 Foop FACILI-Y 0 WASTE TIRE <br /> 0"UNDERGROUNo TGNK(MONITORING/REMOVAL) Q DCO KENNEL ❑ DAIRY <br /> CARDOLIS WASTt GENCRATOR ] HICKEN RANCH Z WASTEWATEATREATMENT PLANT <br /> REo PERm7TF.D FAci�sY ! MCTEtJHom �0/gUmPER TRUCK/YA;VCHEM TOLLETs <br /> D TATTtx?IBapY P(t+gCING to P00USPA Lei LAND USE AoPtIC aT1ON SITES <br /> MECIICA�WASTE FACILITY 0 OTK♦R(PLEASE SPeCIPY) <br /> WELL AND SEPTIC PEkMIT RECORDS ArRt AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AlA-5:00PM • EKCLUDLNG HOLIDAYS. <br /> 1. List up to ten addresses in the spaco above, Select the type(s) of fifes from the Its,above by Checking the appropriate <br /> box(es). At least one filo type MUST bo selecteo. f a2c to(209) 464.0135 or mail to the address Indicated above Address <br /> ranges will not be accepted—for edditional nr>lstar,ce with file addresses,contact the EHD. - Pllcailons received after <br /> 3.00 pm Will be pracnssad the next business day. <br /> 2. The EHO will notify the applicant If any EHD fil85 exist. An appointment for review will be confirmed approximately ten(10) <br /> daya afler receipt of applloatlon. The files will be held for a maxlrnUm 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 flit is available, <br /> 4. Any file not raturned in the came condition ;ii5 released will be reorganized by EHD staff at the cxpense of the applicant. <br /> Future file reviews by the same applicant may require a$85.00 deposit prioTto review. <br /> EHD USE ONLY <br /> CN;Ii•06 $�1E700� <br />