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07/25/2007 14:29 510-434--7676 PSI INC PAGE 02/02 <br /> OAT"YP <br /> iTYEMD LOG NUMBER <br /> ')EP <br /> _1 :i �'/;'T­i j SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENF�oj <br /> Lc i 0 0 7 304 East Weber Avenue,3d Floor, Stockton,C.A.952O2-A8 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www_sjg6V 9 <br /> () <br /> E N,' lu! <br /> PUBLIC R-ECORDSRELEARE APPLICATION <br /> j <br /> APPLICANT: Lky-A&U, cm,eA42_.�a BUSINESSIAGENCY. <br /> ADDRESS: 'T'kkg'Aqr 'Ll <br /> PHONE(1):W'3 434 97.00 E)j 13 PHONE(2): FACSIMILE:510 1404w <br /> .# r <br /> TENTATIVE*APPOINTMENT DATE: &1-14 h-,LV.+ wed. Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confl1_rTmeWd) _ <br /> CHECK BOX TO EXPEDITE REQUEST.$93.00 FEA(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAY <br /> SIGNATURE OF APPLICANT Mt &,,� DATE <br /> UNIT DISTRIBUTION Q Unit 1 C3 Unit 2 0 Unit 3 0 Unit 4 C3 Unit 5 0 Unit 6 0 Other(electronic/lIaWmps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City <br /> 1. 2-1 -R_a C T_ <br /> 2. d f <br /> A-4 <br /> 4- 2,6 T-1 -rruolpos_ <br /> 5, Ll E. MAI <br /> g, .. _A <br /> L'7 ALF.F <br /> 8 <br /> 8. <br /> 9 9 <br /> < <br /> _io. <br /> 10. <br /> Specific Date Range of Information Requested,From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> InNDERGROUN D TANK(UST)CI-FANUP SITE(LOP) 0 1`101.13INr,ABATEMENT E3 SOLID WASTE FACILITY/VEHICLE <br /> Cl OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 0 WASTE-TIRE <br /> ;�54INDFRGROUND TANK(MONFtORINGIREMOVAL) 0 Doo KENNEL CI DAIRY <br /> '27-MAZARDOUS WASTE GENERATOR M CHICKEN RANCH C3 WASTEWATER TREATMENT PLANT <br /> M TIERED PERMITTED FAC4LITY 13 MOTELIHOTEL 0 PUMPER TRUCKNARDICHEmTotLETS <br /> 0 TATToolBoDy PIERCING 13 POOLISPA M LAND USE AppucmtoNi SITES <br /> 0 MEDICAL WASTE FAcLrry E3 OTHER(PLEASE SPEC] <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM4:00PM - 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)454-0138 or mail to the addre' <br /> ..Ls <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 hold for a maximum of five business <br /> days for review. Appointments 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 <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 /> EM 44-02406 <br /> IM4105 <br />