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I. I <br />APR 04,2007 06:55A <br />DATE RECEIVED <br />APR - 4 ZON <br />e" N i t1�ALN <br />10 91-65431379 <br />page 2 <br />SAN JOAQM COUNTY EMD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, P Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION _ <br />EIUSINESWAGENCY: Environ I Resolutions Ino <br />ADDRESS; 1 orth McDowell Boulasv Petaluma Cellfomie 949 <br />,54 PHONE (1): 707 33&8016 PHONE (2): L071766-2000 <br />FACSIMILE: 191B) 543-1379 <br />TENTATIVE` APPOINTMENT DATE: April 13. 2007 Tinm 01 <br />(Please allow 10 bUalness days l.,., date of application Submittal • `taaP!ffi!Wp pry y must be confirmed) <br />arta <br />C3 CHECK 13OX TO EXPEDITE REQUEU:.t96.00 F (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3U INE88 DAYS <br />SIGNATURE OF APPLICANT �ra- <br />DATE 3 U <br />_ - ---....._............ ..�yuna.uess: rrpm w m <br />to <br />2007 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />OWUNDMGMUND BANK (UST) CLEANUP SITE (LOP) 0 HOUSNo ASATMNT <br />0 ❑$pup WASTE FAClLlTYtVEHlCLE <br />OTHER CLEANUP SM (HON�L.oP) M FOOD FACILITY <br />NOEROROUNO TANK (MoNrToRjNMEV0VAL) CI DOG KENNEL 0 WASTE TRE <br />HmAmm WASTE GENERA" 0 DAIRY <br />0 TIERED PERMITTED FAcLriy ❑ t:HICKEN tiANCN 0 WASTRWATER TREATMENT PLANT <br />0 TATT001500Y PIERCING 0 MOTELIHOTIL t3 PUMPER T"KIYARWCNEM TOILET$ <br />❑ MEDICAL WASTE FACILITY 0 POOLISPA CI LAND USP APPUC&-n0N SITES <br />0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECQRoS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY &-WAM-d;QDPM . <br />1. List up to ten addresses; in the space above. Select the ExCLtxNNe Houoays. <br />box(es). At least one file type(s) of files from the Ilat above by checking the appropriatetype MUST be selected. Fax Ig faR38 r q teas indi 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 />The EHO will <br />the <br />If <br />2 days after receipt notify apRAcattont The fl ea w I be held %r gSHO files exist An appointment for r x mum of five review business days for revi�appr ximately ten (10) <br />should be scheduled accordingly. ys Appointments <br />3. A file that Is actively being worked on by EHD staff may not be Immediately avallable for review. A new application may be <br />submitted when the file le available. <br />4. Any file not returned In the some condition as released will be reorganized by EHD staff at the expense of the applicant <br />Future 010 reviews by the same applicant may require a $96.00 deposit prior to review. <br />