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04/24/2007 08:56 5302445021 LAWRENCE ASSOCIA S PAGE 01 <br /> PATE RECEIVED - G NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DuA.RTM.ENT <br /> 600 E. Main Street, Stockton,CA 95202-3029 <br /> j +"Telephone: (209)468-3420 Fax: (209)464-01.38 Web:www.sjgov.org/ ..d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: a& AGENCY: Ltl.-) �4'- A-s SO �IT�s <br /> ADDRESS:_`2,0®l �r USINES 4 - t 00! <br /> PHONE(1):5YY --M4-'11.0 1 PHC QACSI MILE! <br /> TENTATIVE*APPOINTMENT DATE: J� 3 f 21.A— <br /> (Please <br /> (Piease allow 10 business days from date of appl cation sub 1 ust be confirmed) — <br /> CHECK BOX TO EXPEDITE REQ ST-$95. CASH O N EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT IP DATE <br /> Electronic Information. ❑ LitMap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street snit NaArm city 47t 02 0 unit 1 <br /> $ 1 10 y <br /> 2. fit? ,p'q 2- 9 0Unft2 <br /> O.SO Icy a A pt tit � '� <br /> 4" {a"�p7�1t3 u7� e� UAtI#3 / <br /> Unit 4 <br /> ❑ units <br /> Unit 6 <br /> 10. til 8io. w Ski t;ICT[ <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP C1SITE(LOP) 0 HOUSING ABATEMENT �SMID WASTE FAC1UTYfViRmtcLE <br /> niER CLEANUP SITE(NON4-OP) C3 FOOD FAcury r�/"WASTE TIRE <br /> 5WUNDER0ROUNO TAW(MONITORiNGIREMOVAL) D Doo KENNET. )a-DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 C}IICKEN RANCH .2°'WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEUHOTEL ♦ 0 PUMPER TRUddYARDICHEM TOILETS <br /> 13 TATroolbooY PIERCING M POOUSPA 0404-, <br /> +, ❑LAND sE�6r noN Sm;9 <br /> 0 MEDICALWASTE FACILITY ,i OTHER(PLEASE SPECIFY) �I-, ^+1j{P _ <br /> WCL, ANS SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AIN-5:00PM - EXOLUDINO HOUDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of fifes from the list above by checking tha appropriate <br /> box(es). At least one file type MUST be selected. Fax t01209)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 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 E.HO 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 /> END 48-ft 811 "b <br />