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Mar. 16. 2001 2:08PM ATS GROUP SERVICES INC, No, (1089 P. 1 <br /> C)A- ARE �1-1 EHD LOG NUMBER <br /> (J� � J�%�[�:�U� SAKI JOAQUIPi COUNTY <br /> ENV1R0N:MF NT.-kL HEA,J T.0 DEPART LATENT <br /> i,? s304 East Weber Avenue, 3'd Floor,Stockton, CA 95-20.2-27082 07 Telephone: (209)468-3420 Fax: (209)464-0138 Web: til-mvsjgov,org%ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Alm oo k iV1 mi 5USINeSS1AGF.14CY: AZ ftSp o ake s <br /> ADORESS: 1111 LLs�/� g Q 0 �y <br /> PHONE(1):�LWIIJI'1�L.GL.�_ . .. _ PHONE(2 �tJ I): ���nn �n FACSIMILE: rr���Oa �7 1� •���r.7 <br /> TENTATIVE' APPOINTMENT DATE:MRrch U01 Tima: 'VO <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU -S93 0 FEE ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE P92 <br /> UNIT DISTRI13LMON ❑ Unit 1 n Unit 2 ❑ Unit 3 0 Unit 4 C Unit 5 ❑ Unit 6 ❑ Other(efectronicMsWmaps) <br /> FILE ADDRESS EHD USE NLY <br /> stroot lr Stroot Name City <br /> 1. V1 <br /> 2. I k TS MAL_ ST. RtoC oh I <br /> 3. c [Z to _ 1 I V1 Al F"I <br /> 4. 1o S. d i Worn <br /> 6. g. <br /> I i <br /> 9. i <br /> Speclflc Date Range of Information Requested:From AUL- AVMA. SLS to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �UNDEROROUND TANK(UST)CLEANUP 517E(LOP) b HOUSING AZIATEAIENT C1SDLm WASTE FAcnrryN CLE <br /> WOTHeR CLEANUP STra(NON-LOP) ❑FOOD FAcuml ❑WASTE TIRE <br /> 1r UNDERI3ROUN0 TANK(MoulToRING/REMOVAL) ❑DOG KENNEL O DAIRY <br /> rb(HAZARDOUS WASTE GINCRATOR ❑CHtcKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> I'TIERED PEm TEn FAcu1rY 17 MOTWHOM ❑Pumpm TRUCKIYARD/CNEM To1LETs <br /> a TATTOOBODY PIERCING 13 POOLISPA In LAND Use APPLICATION SITES <br /> In MEDICAL WASTE FACILrTY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERKT PECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:OOPM - 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 oLM II to the address <br /> Indicated abov_ . 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 /> 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 game 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 /> EHD Aaa2a04 <br /> inuos <br /> i <br />