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FROM : Ground Zero Analysis PHONE NO. :, 209 838 9883 Jun. 28 2005 10:OGAM P1 <br />DATE RECEIVED END LOG NUMBER <br />SAN JOAQUiN COUNTY <br />ENVIRONMENTAL HEALTia DEPARTMENT <br />304 E Weber Ave 3`d floor Stockton, CA 95205 <br />(209) 468-3420 Fax: (209) 464-0138 Web: WWW.Co.san joaquin.cams/chd <br />PUBLIC RECORDS RELEASE APPLICATION <br />. l <br />APPLICANT: Tnhn T.ane BUSINESS/AGENCY:_f1round - Tarn Ana 1 <br />ADDRESS: 1914 Main St rept a Fr3Ca lion' CA 95320 <br />PHONE: F209) 818-9888 FAcalniLru_(209) 830-968-3 <br />TENTATIVE* APPOINTMENT DATE: ,,, Ju l- v -.12 , 2005 Time: <br />(Please allow 10 business days from date df applIcation submittal) <br />In CHECK BOX TO EXPEDITE REQUEST - $93.qQ F - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT V, DATE <br />T-? j -�AvJ <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 13 HOUSING ASAII:MENT o SOLID WASTE FACILITY <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br />❑ UNDERGROUND TANK (MONI TORINCAV3iOVAL) G DOG KENNEL 0 DAIRY <br />�& HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKC,, TREATMENT PLANT <br />II TIERED PERMITTED FACILITY ❑ MOTUMOTEL /� _` O PUMPER TRUCK/YARD/CHEM TOILta'YS <br />❑ TATTOO/BODY PIERCING Q POOLISPA t"` ❑ LAA�D USS APPLtCA N Y; <br />0 MEDICAL. WASTE FACILITY OTHER (PLEASE SPECIFY) UW 4 L-• t <br />1 • List up to ten addresses In the space above, Select the type(s) of fides from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to 209) 464-0130 or mail to the . <br />address indicated above. <br />2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after mceipt of application. The files <br />will be hold for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. 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 <br />of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />5. *TENTATIVE appointment dues must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONSWED APPOINTMENT <br />REVIEWEDDATE CONFIRMED PHONE FAX INITIALS <br />YES NO REVIEW DATE <br />