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From : 08/211F 17 : 07 9729 P. 001 / 001 <br /> 205464@136 ENVIRpNMENTAL HEALTH PAGE 01/ 01 <br /> IIJLtP{YIiT�� L <br /> SAN JOAQUIN COUNTY EHD LUG NUMBER <br /> AUG 2 2 2007 ENVIRONMENTAL HEALTH nCA9DEPARTMENT202 � <br /> 600 East Main Street, Skockton, CA 95202 <br /> ENVIRCNItiIENT 'll' ALTfiefephone: (209) 466.3420 Fax: (209) 464-0136 Web: www.sjgov,o <br /> PERMIMERVIHS <br /> / PUBLIC RECORDS RELEASE APPLICATION <br /> ARPLICANT: _ L _ V;", �'�^ �. J BUSINESSIAGENCY_ <br /> ADDRESS: ,, . O <br /> PHONE (1): �V `� 3 �n /3 I (z): 2v : .s�3, -- L) y S Z < :�e <br /> TENTATIVE` APPOINTMENT DATE' Time- <br /> (Plaase allow 18 business days from date of application submittal - `TentaOYe only - muconA me <br /> CHECK BOX TO EXPEDITE REQUES sarpn FEE (IP H O CHECK ONLY) • REQUEST PROCESSED IN3 BUSINESS UAYS �ry <br /> SIG ATURE OF APPLICANT DATE t L� f� <br /> Electronic information: © List ❑ Map — Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> street # _ Street Name CityL) Unif 1 <br /> 2, tPcro 2957 0 unitz <br /> / <br /> s. �� )� � �� Unit 3 <br /> 5. ,0,7 . ..D"t'�-G r' ic_ . ✓7-V ' ON <br /> ❑ Unit s <br /> 8. . <br /> . . t I c sc�. /$� c f� I F <br /> 9. JCS i _ 1co!!\\fir .�{✓ © Units <br /> 10. 6 <br /> Specific Date Range. of Information Requested: From to OR <br /> ENVIRONMENTAL HEALTH DEPARTMENT Fi S <br /> �121U ERaROUNO TANK (UST) CLEANUP SITE (LOP) E3 HDUvNe ABATEMENT m WASTE FACILITY/VEHICLE <br /> ,2.55NER CLEANUP SITE (MON-LOP) 17 F00o FACILUY TO TIRE <br /> ��QQJJ UNDERCROUNO TANK (MONITORINGIREMOYAL) ❑ 'Doe KENNEL DAIRY <br /> ' d HAZARDOUS WASTE GENERATOR 11CHICKEN ❑ WASTEWATER TREATMENT PLA <br /> M TIERED PERMITTED FA91UTY ❑ Moral ❑ PUMPISR TRUCKIYARDICHEM TOILET£ <br /> C1 TATT061ECOV PIERCINO ❑ POOLISPA O LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER {PL SE SPECIFY) <br /> WELL ANO SEPric PERMmRECORDs ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:08 AM-5.8UPn - 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 12091404.0133 or mail to the address indicated above Address <br /> ranges will not be accepted — for additional assistance with NMe addrossas, contact the EHE). Applications received atter <br /> 3:00 pm will be processed the next businaas day. <br /> 2. The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten (10) <br /> days after recaipt of application. The files will behold for a maximum of five business days for review, Appointments <br /> should be scheduled accordingly. _ <br /> 3. A Nle that is actively being worked on by EHD staff may not be immediately available for review. Anew application maybe <br /> submitted when the file is available. <br /> 4, Any file not returned 4n tha samn condition as released will he roorpanixad by EHD start at the expense of the applicant. <br /> Future fife reviews by the same sppltcant may require a 655.00 deposit prior to review. <br /> EHD USE ONLY <br />