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Mar. 5. 2007 2:39PM Advanced GeoEnvlronmentdl No, 7828 P. 1 <br /> C <br /> "T ��� <br /> T D' EI-( <br /> )( NUMBER <br /> I- r_NUMBER <br /> I SAN JOAQUIN COUNTY <br /> �� raEa 2007 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> F� <br /> C' 'Telephone: (209)468-3420 Fax: (209)464-0138 Web: w"v.sjgov.org/ehd <br /> ESV R.OM,'; <br /> PER;`fJTjOL�`�110ES <br /> PUBLIC RECORDS RELEASE APPLICATION 2 <br /> APPLICANT: Sigal <br /> p �+ rSV eUSINE$$IAGENCY: dbydACgA& o ►virm AeA l <br /> ADDRESS: O 0 J �j Q/ G � Q �/f��f J <br /> PHONE(1): #?0- t/(/ ! ' /d 06 PHONE(2):ND � 'a� FAC$IMILE:4wI 7,'�!/� I <br /> TENTATIVE`APPOINTMENT DATE: r 6 W Time: we— <br /> (Please allow 10 business from date of appllc on submittal-'TentaVve only-must be c nfirmed) <br /> CHECK BOX TO EXPEDITER VEST-S8S.00 FEE(CASH CHEC NtY)&RQ,,E.ST PROCESSED IN S BUST ESS DAYS <br /> SIG TURF OF APPLICANTDATE <br /> Electronlc Information: ❑List❑ Map-Description: <br /> FILE ADDRESS ERDIUSE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> [4. <br /> w RT30q9 S P 10 <br /> Y! 37-M CV <br /> nkl 5Oe- Unit 3 <br /> Unit 4 <br /> ❑ Unk 5 <br /> ❑ Unit 6 <br /> 10. " <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT d SOLID WASTE FACILITY/VEHICLE <br /> �J OTHER CLEANUP SIVE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ¢ <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) C�DOG KENNEL C2 DAIRY <br /> ',,,...C <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 71 TIERED PERMITTED FAGLITY ❑MOTEUHOTEL PUMPER TRUCK/YARDIGHEM TOILETS <br /> ❑TATTOO/BODY PIERGING ❑POOLISPA LAND USE APPLICATION SITES <br /> El MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AyAII,ABLE FOR REy1Ew- MONDAY-FRIDAY 5:00 AM-5:00PM - 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 appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)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 pm wlll 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 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 /> 4. 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 same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8/132006 <br />