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08/2107 17:07 #729 P-0311001 <br /> From: AD <br /> PAGE 01101 <br /> 2094640130 ENVIRONMENTAL HEALTH EHD LOG N JMnER <br /> na ��l h SAN jOAQUIN COUNTY <br /> AUG 2 2 2007 ENVTRONMENTALHEALTH DEPARTMENT � � <br /> 600 East Main Street,Stockton,CA 95202 ov D <br /> ENVIRCN1II`I 'I,EA!T'telephone;(209)468.3420 Fax:(209)460138 Web: �v 51g <br /> PERM.MI ERIIII PUBLIC RECORDS RELEASE APPLICATION <br /> ,w euSINFSSIAGENCY: <br /> ss;' wG. <br /> APPLICANT: rt S -� �S-� / <br /> ADDRESS: <br /> PHONE(t): Time: <br /> TENTATIVE'APPOINTMENT DATE: only•must be <br /> (Please allow 10 bmir ms days from date of application submittal,`Tenta4Ye <br /> 59 E l con'nne <br /> CHECK BOX To EXPEDITE REPLIES 51! 0 FEH D CHECK ONLY)•REQUEST FR D IN DATE, 3�BUSINESS PAYS <br /> SIG ATUI,E OF APPLICANT K i(, CJ`Cf 1l <br /> Electronic Information: ©List C]Map-Description: <br /> EHD USE ONLY <br /> FILEADDRESS U Units <br /> Street ff <br /> Street Name city � 9 7 <br /> _ —'.'.. II�� <br /> 1. S� U C� INn c ` Gt a19S7 0 Unit z <br /> 2. 9 jClt7 yr) G i `L <br /> _ t /j�- Unit 9 <br /> 3. <br /> 4. ZS0 PiE .'t <br /> Unaa \ <br /> 6. . bf,� j '�'�� ��• -- ❑ Units <br /> 7. (L( <br /> 8. ( � ✓i-Ct���L ..fes"v"<- . ... J.[v © Unit <br /> 9. <br /> to <br /> -Specific Data Range of information Requested:From FA <br /> IS, <br /> HEALTH DEPARTMENT Ft �WASTE FAC0.ITYNEHICLE <br /> HoI ABATEMENT TE TIRE w <br /> ,�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 FOOD FACILITY DA T 111M, - <br /> ER CLEANUP SITE(NON-LOP) ❑Oe0 KENNEL <br /> UNDERORWIto TAW(MONI79RINGIREMOVAU OCHICKEN ❑WASTEWATERTREATMENT PLANT' <br /> ❑HAZARDOUSWAETE GENERATOR 0 MOTEUH ❑PUNPER TRDCK7YARDICHEM TOILETS <br /> M TIERED PERMITTED FACILITY 0 PDOLISPA D tnNd USE APPLICATION SITES <br /> 1]TATTO6I90DY PIERCING r]OTHER(PL SESPECIFY) <br /> 0 MEDICAL WASTc FACILITY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FDR REVIEW• MONDAY-FRIDAY 5:00 Ara-S- Dan ' E%CLUCINC OIAAY . <br /> e s of files from the list above by checking the appropriate <br /> 1. List up to ten addresses in tl,a space above. Select the tYp ( ) <br /> box(es). At Mast one file type MUST be selected. ax l0 209 464-D136 or mail to the add ess indicated s received <br /> Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD•Applications received atter <br /> 3:00 pm will be processed the next business day. be Confirmed <br /> p, The <br /> Y$i after receipt <br /> ipt ofthe apPPcationt if any <br /> film wHO ten <br /> ill be held forles exist. An amaxim m of fppointment ive businesr review s days for review.approximately <br /> (16) <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review. Anew application may be <br /> sUbmitted when the file is available. llcant. <br /> A, Any fila not returned In the same condition as released will be reorganized by END staff at the expense of the epp' <br /> Future file reviews by the same applicant maymquire a E95.D0 deposit prior to review. - <br /> END USE ONLY <br />