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02/10/2006 11:54 5592715108 SECOR FRESNO PAGE02/02 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENvmoNMENTAL HEALTH DuARTmENT <br /> 304 East Weber Avenue, 3'd Mor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420.Fax: (209)464-0138 Web:'www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION, <br /> APPLICANT:Stephanie Furgai. SUSINESSIAGENCY: SECOR International Inc. <br /> ADDkESS:3475 West Shaw Ave.,Suite 104, Fresno, CA 93711 <br /> PHONE(1):559-271-2650 _ PHONE(2)-!559-259-3987 - FACSIMILE:559-271-5108 <br /> TENTATIVE"APPOINTMENT DATE:-2/16106 Tinle• 9:00 AM <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK RQX TO EXPEDITE RE T-593,00 FE (CASH OR K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS. <br /> SIGNATURE OF APPLICANT _ PATE D <br /> UNIT DISTRISUTION ❑ <br /> Unit 1 D Unit 2 G] Unit 3 G Unit 4 ❑ Unit 5 ❑ Unit 6 C1 Other(aiectronieliNtalmapa) <br /> FILE ADDRESS EHD usl;ONLY <br /> Street ii! Stroat Name city <br /> 8660 Trower Sacramento Road Stockton <br /> 2. <br /> 1. 9 $Duch Center Street tockton <br /> F3. 575 West Grant Line Road Tracy <br /> ,j'._3775 Tracy Blvd Tracy <br /> 6. <br /> 7. AM EOM AV <br /> 10. <br /> Specift Date Range of Information Requested.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HouSWO AnATEmENT 17 SOLID WAM FACILnYIVEHICLE <br /> E3 OTHER Ci.eaNup srrE(NON-LOP) C]FOOD FACILnY C7 WASTE TIRE <br /> UNDERGROUND TANK(MONrroRIN®1REMovAL) ❑DOG I(ENNEt >7 DAIRY <br /> ©HAZARDOUS WASTE GENERATOR [7 CHICKEN RANCH ❑WASTV0ATERTREATuENT PLANT <br /> k la TIERED PERMITTED PACILITY in MOTELIHOTEL 0 PUMPER TRUCK/YAnD1CHEm TOILETS <br /> r ❑TATTOOtAMY PIERCING A POOLISPA D LANs U9E APPLICATION SrTes <br /> ❑MEDICAL WASTE FACILITY la OTHER(PLEASE$PEQWY)1lVell permits <br /> E WELL AND SEPTIC PERmff RECORDS ARA AvAILAOLE POR REYIM - MONDAY-FRIDAY 0:0()AM-S:GDPM - E.KCLUDING 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 <br /> appropriate box(es). At least one flie type MUST be selected. Fax to 09 4644139 or Mail to the address <br /> Indl tecl above. Address ranges will not be accepted—for additional aSsistance with file addresses,contact <br /> the E"D.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The I_HD will notify the applicant If any EHD files exist_ An appointment for review will be confirmed <br /> approximately ten(10) days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled.accordingly. <br /> 3. A file that is actively being worked on by'EHD staff-may not be Immediately available for revle'w. A new <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposlt prior to review. <br /> EHD 48.02405 <br /> - �rtaroc C <br />