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05/18/2007 14:46 __ 9497231854_ FREY ENVIRONMENTAL PAGE 02/02 <br /> ENVIRONMENTAL HEALTh,� PAGE 01 <br /> 10/17/2006 11:22 4640138 ''� ItHutuuNuMHtk <br /> VAItKCl.tIVCU SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH. MPART1V1 F - <br /> 304 fast Weber Avenue,3"Floor, Stockton,C.A.95202-270$ <br /> Telephone: (209)468-3420 FALX: (209)464-0138 Web:www.5j90v.0rg/er <br /> PUBLIC RUCORASRELEASE APPLICATION <br /> + BUSINESSIAGENCY: <br /> AII'PLIbAKF X21'.Al ,?, .l2 o I G °1266 3 <br /> ADDRESS: �- �77 L� <br /> FAC31M1LIE. 2L3 5 y <br /> PHONE(1): a� 7Z3' 6 PHONE(2): <br /> TENTATIVE"APPOINTMENT DATE: <br /> (Please allow 10 business days from date of application submittal-"Tpntat(ve only-must be cOnfirined) <br /> ❑ CHECK 130X TO EXPEDITE REQUEST�$95.00 FIEK(CASH OR CHECK ONLY)-REQUEST PRO ATSBf3 IN U i I YS <br /> SIGNATURE OF APPLICANT <br /> E(ectronlc (I List[]Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> StrEOt Name <br /> 0 Unit 1 <br /> street# City <br /> �. 2132 etr Csti �- S�-ockb a p Unite <br /> 2. 0 o a. . 3 `\ <br /> 3. Unit 3 J <br /> 4. �. <br /> -414 <br /> 6. <br /> U Unit'6 <br /> T. <br /> 8. <br /> Q Units <br /> 9. <br /> 18. <br /> to <br /> Specific Date Range of information Requested:From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑HOUsINA ABATEMENT Q SOLID WASTE FACILITYNEHIOLE <br /> NOERGROUND TANK(UST)CLEANUP SITE(LOP) Q FOOD FACILITY C3 WASTE TIRE <br /> �V'kcTHER CLEANUP SITE(NON-LOP) [I Doo KENNQL n DAILYaR64 0TANK(MONITORINC1REMOVAL) (�GNICkEN RANCN O WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTE GENERATOR I1 OmicKENMOTFLIRAN C3 pumpeRTRucrJYARpjcNEM To11 ETS <br /> ©Tiamo PERMITTED FACILITY Q POOLJSPA to LAND USE fWPLICATION SITES <br /> •TATTOOreODY PlaRCING 0 OTHER(PLEASE SPECIFY) <br /> ❑MEDICAL.WASTE FAOIL.ITY DOPM - ExcLUO1Na HOLIDAYS. <br /> WELL ANO sEPT10 PERMIT RECORDS ARE AVAILABLE FOR R"w- MoNOAY-FRIDAYhe l AM S; the approbate <br /> to ten addrosses in the space above. Select the type(s)of flies from the fist above by checking <br /> 1. List up MUST trA selected. Fax to x09 4 -0138 or all o t g address in ICaronsrecaived afters$ <br /> box(es). At least one file type <br /> ranges will not be accepted-^for additional assistance with file addresses,contact the EHD.Ap <br /> 3:00 pm will be processed the next business day. be confirmed <br /> I aintrnant for review 2. The END will notify the applicant ff any CO wiflil les <br /> held for maximum of five bus neslsl days for review.App Appointments <br /> (10) <br /> oxistnts <br /> days after receipt of application. The files <br /> should be scheduled accordingly. <br /> 3. A fila that is actively being worked on by EHD staff may not be immediately available for ravtew• Anew application may e <br /> submitted whon the file is available. y END staff licant. <br /> 4. Any file not returned in fte a same <br /> a applicant may reequlre a$95 OQ deposit priorleased will be reorganized is review at the expense of the app <br /> Future file reviews by END USE ONLY <br /> Fr+n A9.ne 9119(2066 <br />