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08111712007 09:42 2093345374 WGR SOUTHWEST NOCAL PAGE 01101 <br /> FD-) � D SAN JOAQUIN COUNTY EHD roc NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> AUG 1 7 2007 600 East Main Street, Stockton, CA 95202-3 9 <br />�. Telephone: (209)468-3420 Fax:(20.9)464-0138 Web:www, o eh <br /> 3 <br /> ENVIRONMENT HEALTH <br /> PERMILLERVICES PUBLIC RECORDS RELEASE APPLI ION <br /> APPLICANT: 911 Fit."A d 13USINE551AGEHCY; <br /> ADDRESS:3-I's kJ-' PI;%c PhItAsK -SuLk— R Lpidi 952-10 <br /> PHONE(t):209. 33N 5a&7 <br /> PHONz(2).-310 ` 13.,EFAC$illlt{L8: N � 7� <br /> TENTATIVE*APPA{NTMENT DATE; 1.0-0Time: 9 0 AAA <br /> (Please allow 10 businent pays from date of appllcatioh submittal•*Tentative only.must be confirmed} <br /> d CHECK 13OX TO EXPEDITE REQUEST-$48.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED 1N 8 BUSINES5 DAYS <br /> SIGNATURE of APPLICANT DATE f 7 G <br /> I <br /> Electronlc Irtfdrrrlatlon: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHA USE ONLY <br /> Street# street Name City <br /> 2, <br /> �. ❑ Unit 2 <br /> a. <br /> �t. <br /> Unet a <br /> 7, <br /> $' 0 Unit 5 <br /> 9. <br /> 10. 0 unit e <br /> Specific Data Range of Information Requested:From�"n to <br /> +ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> *NDERGROVND TANK(UST)CLEANUP SITE(LOP) HDUgING ABATEMENT [] <br /> M OTHER CLEANUP SITE(NOR-LOP) SOLID WASTE FACILnYNEMCLE <br /> UNDERGROUND TANK(MONITORlNGIREM4VAL 0 FOOD FACIGTY p WASM.NRE <br /> 0 HAZARDOUS WASTE GENERATOR } �DDG KI'NNEL - 0 DAIRY <br /> 0 TIERED PERMITTED FACILITY Q CHICKEN RANCH 0 WASTEWATr:R TREATMENT PLANT <br /> 0 TATToo/soDY pICRCING MOTELIHOTEL ❑PuMPER TRucK/YARDICHEM TOILETS <br /> 0?AEDICAL WASTE FACILITY 0 POOL/SPA 0 LAND UsF-APPLICATIpN SITES <br /> a OTHER(PLEASE SPECIFY) <br /> WELL AND SP-PTIC PERT RECORDS ARE AvaLABLE FDR REVIEW. MONDAY-FRIDAY 8:00 ARI-5:00Paq -ExcLUDINQ HOLIDAYS. <br /> 1. List up to ten addresses fn the space above, $erect the type(s)Of files from the list above by checkingthe a <br /> box(es). At least one file type MUST be selected. 1`ax to t209)464 38 or appropriate <br /> ranges will not be accepted—for addlttonal assistance with file addresses,contact the EHD. <br /> --'Tiail t0 the address indicated above_ Address <br /> 3:00 pm will be Orocessed the next business day. +4pplicatFons received after <br /> 2. The EHD will n <br /> oft the a PPlicant If any VHD files exiOL An appointment for review will be'confirmed approximately ten(10) <br /> days after recelpt of aRplicatlon. The flies wiu be held for a maximum of five business days far review, Appvinttttants <br /> should be scheduied accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review, A now application may be <br /> submitted when the file is available. <br /> 4- Any file not returned in the some condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the game applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> aMD4"S WEe a Qo� <br />