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01/10/2006 09:49 FAX 1 209 234 � STOCKTON 10002 <br /> 01/10/2006 09:34 4640138 ENVIRONMENTAL HE# PAGE 01 <br /> T1A I t KCI:CIvtU cnu LV numocr <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> d 204clephonet(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ENVIRUia:^,L' l r1}=A�rPUBLIC RECORDS RELEASE APPLICATION <br /> APPLIC i ak \�'- S f BUSINESSU1 GENCY: 0.k( ,.�•-i d`A S s oc. <br /> ADDRESS: 34 10 W lac w,„„ lame. �u +�F CITY SVV.,, STATE_ cA _ <br /> PHONE(l): 23y-77 ZZ PHONE(2): FAcalmILE: 2:34-77-27 <br /> TENTATIVE'APPOINTMENT DATE: r"8: <br /> (Plano allow 10 business days from date of applicafim submittal-Titrate only-m ust be Co <br /> ( CHECK BOX TO EXPEDITE REQ -p/�3�00/�E/E/� H OR CHECK ONLY)-REQUEST PROCESSED I S ' <br /> SIGNATURE OF APPLICANT M/ G�� � DATE I 0 <br /> Electronic ❑ Ult.O Map-DnCrIpffon <br /> Inlormatbn <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name city <br /> 1. , ;.- ❑ 4dnit 9 S <br /> 2 00 E. PoR, RJ Pt <br /> 3. El Unit 2 <br /> 4' <br /> s. / Unit 3 <br /> 6. JeUnit 4 <br /> 7. <br /> fill <br /> S. Unit 5 <br /> 9. <br /> 1a. Unit 6 <br /> Specific Date Range of Information Requested:From r~. ``+ '� to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ;I UNDERGROUND TANK(1ST)CLEANUP SITE(LOP) {t HOUSING ARATEMeNT SOLID WASTE FACILRTNEHK:LE <br /> IQ OTHER CLEANUP SITE(Non-LOP) O FOOD FACILITY Wan:TRE <br /> TIL UNDERGROUND TANK(MON FORINWREMOVAL) 11 DOG KENNEL ❑DAIRY <br /> K HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 11TIERED PERmTW FACILITY ❑MOTELIHOTEL 11 PUMPER TRUCKNMWCHEAVCAL Toium <br /> -TAT moBODY PIERom 13 POOLISFA L rD USE APPLICATION SITES <br /> 020ACAL WASTE FACILITY 0 OTHER OLwr SPECFY) Ah �1„ 1 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 6:00 .S-NPM - E=LUDMC 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address <br /> Indicated above. 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 H 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 some condition as released will be reorganized by EHD staff atthe expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> �•K 1'• L: <br /> eIID u-ac <br /> Ienlnms <br />