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04/24/2007 06:56 5302445. LAWRENCE ASSOCIATES PAGE 01 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH AEPA.RTMF,NT <br /> 600 E. Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ d �VJ J <br /> PUBLIC RECORDS RELEASE APPLICATION ` r <br /> APPLICANT: UGINES AGENCY: ri {'� ce '}- /! r( S <br /> ADDRESS:- 2-00 MAr' CA <br /> PHONE(1): 57�0"_ PHONE(2): SIMILE: J{-s0^ZLf f—_q07 / <br /> TENTATIVE*APPOINTMENT DATE: 5-13/t-)7 e: j G Ci.rh } ZP.A`- <br /> (Please allow 10 business days from date of appl cation a _ e my.must be confined) r� <br /> f 7 L([S <br /> CHECK BOX TO EXPEDITE REQ ST-$95.0 CASH O -REQUEST PROCESSED IN 3 BUSINESS DAYS G.Jw.tc b(1_ <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑ Lis Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroel N �y��tStreet Name City ❑ unit i <br /> J Fir <br /> 2. 10 81{7,. n �. �,I ?runN 2 1 �� <br /> 3. 105,00 IL 3 \ <br /> .t <br /> 4' 10 Unit 3 <br /> 6. 3 50 �� Unit a <br /> (e <br /> T. II r rI <br /> ❑ unit <br /> ZJ-9 50L <br /> tat. _ Cyy Unita <br /> •-. <br /> Specific Date Range Of Information Requested:From to <br /> �r ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> y�UNVERGROUND TANK(UST)CLEANUP SUE(LOP) 0 HOUSING ABATEMENT R'�2rSOUD WASTE FACIL.ITYWEHICLE <br /> ./l,10T IM CLEANUP SITE(NON-LOP) O FOoo FActury r WASTE TRE <br /> ZUNDEROROUND TANK(MONITORINOIREMOVAL) 17 DOG KENNEL .a-DAIRY <br /> �./X�./HASARDOU8 WAStE GENERATOR 0CHICKEN RANCH FZMASTEWATER TREATMENT PLANT <br /> ) T1ERED PERMITTED FACILITY 0MOTEL/HOTEL O PUMPER TRUCKIYARO/CHEM TOILETS <br /> 0 TATMolBoDy PIERCING 0 POOLISPA 0 LANDSE PPLICATION Sli <br /> 173MEDICALWASTE FACKrtt )?1OTHER(PLEASESPECIFYi D-C 14 , dr- 9�ow'K� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AMS:OOPM - EXCLUDING HOLIDAYS. <br /> I. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(208)464.0138 or mail to the address indicated above Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pen will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD riles exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> 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 application may be <br /> submitted when the file is available. <br /> A. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the sama applicant may require a 595.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHorene W1v2 .� <br />