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_. _ .. -I . .1_1 <br /> [uy bbf_Vbbb p,) <br /> HDATE RECEIVED: E � 1f SAN J OAQUIN C UNTY , EHD LOG NUMBER <br /> ❑ "O V D'ENVIRONMENTAL HE ALT DEPARTMENT <br /> 304 e: ( Weber Avenue, : (Floor, . 38ckton,W b: 95202 <br /> Utt, 2 Q 2007 Telephone: (209)468-3420 Fax: (209)464. 138 Web:www$' ov. d <br /> ENVIRONMENT HEALTH <br /> PER PUBLIC RECORDS RELEA E APPLICATION <br /> APPLICANT: i \A A.\ Qv^ <br /> ADDRESS: 3tigf o N UoII)L+i S�iil-t- PLA .. & G BUSINESSIAGENCY: <br /> �,rlotK . 4S3g2 <br /> PHONE(1): B�DgCoC ' G97t PHONE(2): <br /> FACSIMILE: ?c-)'T <br /> TENTATIVE"APPOINTMENT DATE: I <br /> (Please allow 10 business days from date of a Time:_ 7U 3� <br /> pplication sub ictal-`Tentative only-mustbeconfirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHEC ONLY)- <br /> SIGNATURE OF APPLICANT (1 w .y`s{�U� REQUEST PROCESSED IN 3 USINESS DAYS <br /> DATE <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street S Street Name <br /> i. '23569 or�� �� ��aa Ci ❑ unit s <br /> 2. <br /> 3 ❑ Unit 2 <br /> 4. <br /> Unk 3 <br /> 5. <br /> 7. <br /> 6- unit s <br /> 10. <br /> ❑ Unit 6 <br /> Specific Date Range of information Requested:From -2003 to <br /> .,,// <br /> ENVIRONMENTAL HEALTH DE ARTMENT FILES <br /> .�, <br /> -euRDERGROUND TANK(USTI CLEANUPSITE(LOP) ❑ HOUSINGABATENEHT Q <br /> 17 OTHER CLEANUP SITE HON�LOP SOLO WASTE FACLITYIVEHICLE <br /> MUNDERGROUND TANK(MONRORWG/REMOVAL 0FOOD FACILITY ❑WASTE TRE <br /> HAZARDO(mS WASTE GENERATOR ) DOG KENNEL ❑DAIRY <br /> TIEREDOUSWAST GENEY 13 CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> I]TIEEDPFk rrTeD FACTCINr E3 MOTEL(HOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> C]MEDICAL WASTE FACILITY PA R LAND USE APPLICATION SITES <br /> (:3 <br /> OTHER(PLEASE SPE y) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAUAaLE FOR REVIEW- MON Y-FRIDAY8:00AM-5:0OPIA • EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type($)of fi s from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464- 38 or mail to the address indicated aboveAddress <br /> ranges will not be accepted—for additional assistance with file add sses,contact the EHD.Applications received 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 appoint ent for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maxima 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 imm diately 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 raor nized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$95.00 dep it prior to review. <br /> EHD USE ONL <br /> ETID 48-06 9/IPJ2pp8 <br />