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Apr. 26. 2001 8:43AM A�'­nced Geolnvirormental No. 8405 P. 1 <br /> DATE RECEIVED e� vw EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor,Stockton, CA 95202-2708 <br /> C�I�phone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.orgi d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Hemer-son BUSINESSIAGENCY: <br /> JPO 4>a11A 11LQL��'}�(�LVII"D11N11QI1�' <br /> ADDRESS: O.77 3 rJ'GQ7Q C <br /> 7to \ a '/'•�y <br /> Ot <br /> PHONE(1): ALO ' - /00(0 PHONE A �4�M FACSIM ILE:OV <br /> AL6 <br /> TENTATIVE"APPOINTMENT DATE: L"&V Time: <br /> (Please allow 10 bus irises days from date of ap P licaftion submittal-'7entati✓e only-must be con mod) <br /> CH ED BOX TO EXPEDITE RF6U1FST-S95.00 FEE(CA X HECV ONLY)-REQUEST PROCESSED IN3B SINES DAYS <br /> SIG AT OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City C3 unit <br /> 2C7 tUrati <br /> 8. L111- 7 ast' <br /> 7. _ ❑ Unit5 <br /> 8. <br /> 9. AVLA-0v If <br /> ❑ Units <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t¢UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FAGLITYfVEHICLE <br /> fQ OTHER CLEANUP SITE(NON-LOP) C1 FOOD FACILITY ❑WASTE TIRE <br /> ,�I UNDERGROUND TANK(MONITORINGIREMOVAL) 13 DOG KENNEL El DAIRY <br /> t9+HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ElMOTEUHOTEL PUMPERTRUCK/YARD/CHEM TOILETS <br /> TATTOOIBODY PIERCING 73POOUSPA 0yLANDUSEAPPLICATONSUES — ye-S <br /> 0 MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) , 1 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAY 8:00 AM-6:00PM - EXCLUDING HOLIDAYS. <br /> 7. List up to ten addresses in the space above. Seiect the type(s)of flies 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 mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications recelved after <br /> 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 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 rile reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> E1104"o P/192006 <br />