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05/03/2006 11:34 209-579-2225 MODESTO ATC PAGE 02 - <br /> DATE RECEIVED EHO LOG NUMBER <br /> SAN 3aAQu>?v COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 Bast Weber Avenue, 3e4 Floor, Stockton, CA 95202.-2708 I r <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.oreehd <br /> PUBLIC RECORAS RELEASE .APPLICATION 1 <br /> APPLICANT:tawsleca BUSiNESSIAGENCY: A -Pi A •SGtG. <br /> ADDRESS;-W <br /> PHONE(1):i&I.521 _1-7i1 ' PHONE(2): FACSIMILE:-1-4n'r' . ' Z <br /> TENTATIVE"APPOINTMENT DATE: Time: .AA. — <br /> (Pleaaa Slier 10 business days from dab of application submit l."Tentn6w only-mutt be ccn lmWCq <br /> CHECK BOX TO EXPE R�OO��tt)E/$(1$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU31NE38 DA <br /> SIGNATURE OF APPLICANT "f UD: DATE r <br /> UNIT DIsTRIBUnON O Una t O unit 2 Una a Una 4 D Unn 5 Una 0 0 Other(olaetronlcAlr <br /> I Loll= <br /> FILE ADDRESS EHD USE ONLY <br /> Stmt! Street Name city <br /> 1• 7 E. V-0-rbi, t nw� <br /> 2. 10 <br /> 47.111M- <br /> 4. j 6 <br /> 5. <br /> 6 <br /> 7. <br /> 0. <br /> 9. <br /> 10. <br /> Specific Data Range of Information Requested:From ST to C-N a <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING AaATEMENT XS0LIDWA2iE FACILnTNEmmLE <br /> OWER CLEANUP SITE(NON-LOP) ❑FOOD FAcR ❑WASTE TSIE <br /> 1 UNWHOR GNO TANK(MOWTORIND(RsawNAL) EIDoc KENNEL 13 DAIRY <br /> HAZARDOUS WASTE GENERATOR CI CHICKEN RANCH CI WASTEWATER TREATMENT PLANT <br /> JNTICAED PERMITTED FACsLrY 0Morm/HoTA O PUMPER TRUCKrYAKOICHEM TOILETS <br /> 0 TATTOoSoCrY FIEWNO C3 POOLISPA D LAND URE APPLICATION SITES <br /> '91 MEDICAL WAATE FAciuT 0 OTHER(PLE M SPECNF ) <br /> WELL AHD SEPTIC PERMIT RECORDS ARE AYAILANLE FOR REVIEW - MONDAY-FmOAY 6:00 Am.5;oom - EXCLUDING HOLMAYS. <br /> 1. List up to ten addresses In the space above, Select the type(s)of files from the list above by checking the <br /> appropriate box(ea). At least one file type MUST be selected. Fax to(20$)464-0138 Or mall to the address <br /> indicated above. Address ranges will not be accepted-for addttlonof assistance with file addresses,con4tact <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 ahould 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 rt the Expense of the <br /> applicant Future file reviews by the some applicant may require a$93.00 deposit prior to review. <br /> EHD tassaa <br /> vlaoe <br /> r <br /> Y <br />