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X19/2006 THU I;55' . FAI 20071"2999 SJC PUBLIC WORKS �� C�00114Q1 <br /> EHO LAG NUMBER <br /> [ <br /> hro SAN JOA.QUIN COUNTY <br /> j ���7� <br /> ' ENVIRONMENTAL HEALTU DEPARTMENT <br /> l .: <br /> ddb 304 H Weber A,vC P Floor Stockton,CA 95205 <br /> MA "gQtj G8-3420 PAY,:(209)46"138 Web:www.co.san Joaquin-ca.us/ehd <br /> H <br /> ENv1R� � �RViC�S PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT: Claudia Gemberling HUSIN SS1gGf^NGY• $an Joaquin County Public Works Department <br /> i A,aotaESS 1810 E.::Hazelton Avenue, Stockton, Califach a 95205 <br /> Pima. 953-7624 FAC3lMtLE: 468-2999 ; <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business Jars from date of application sub) w <br /> i <br /> CHECK BOX TO EXPEDITE REQUE$r-Ss3.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> ` DATE �A <br /> Leperbnerd Use OH,ly <br /> FILE ADDRESS I!N!T <br /> ,. weer 65 Al ❑ lfnit 4 <br /> {� <br /> a. were d :i• VA <br /> a Brad cAVC fty. r 1 <br /> 7D. 9teM 17• Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROuNo TANK NST;CLEANUP$ITE(LOP) t] HOUSING A6AT9V 8NT jK-SOUD WASTE FAMLrTY <br /> OTHM CLEANUP SITE(NON•-OP) 0 FOOD FACR-IrY O SOLID WASTE VEMLE <br /> t�rUNDERGROUNO TANK(MONITORINGIREMOVAL) 0 OM KERNEL. ❑ DAIRY <br /> D;L HAZARDOUS WASTE GENERATOR 0 CIOC1"RANCH 0 PKG TREATMENT PLANT <br /> j=TIERED FERiMIT[ED FACILITY 0 MOTELIHOTEL 13 PUMPER TRUCK/YARD/CHEM TO&M <br /> Q TArrOMODYPIEtCING ❑ POOLISPA Cl LAND USE APPUCATION SITES <br /> a MEDICAL WASTE FACILrTY a OTHER(PLEASE SPECIFY) <br /> i. List up to'ten addresses in the space above. Select the types)of files from the list above by cheeldng v <br /> the appropriate box(es). At least one file"a MUST be$elected. Fax to(209)4Sd-0738 or mail to the <br /> dress Indicated above. <br /> 2. EHD will notify the applicant if any END files exist An appointment for review will be Confirmed ' <br /> approximately five business days but no later than ten(10)days after receipt of application-The files <br /> will be Weld for a maximum offive business days for review, Appointments should be scheduled IV <br /> accordingly. V <br /> 3.: A file that is actively being wotkiad on by END staff may not be immediately available for review. A new <br /> applicstipn 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 <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> *TENTATPJE appointment dates must be confirmed with END staff. <br /> 6.' Applications received after 3:00 pm will be processed the next business day. <br /> : <br /> E(8R90.7 <br />