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03-07-'07 10:58 FROM -CO A COSTA BAR 1-925-686-9867 T-220 P001/001 F-812 <br />DATE RECEIVED SAN JOAQUIN COUNTY <br />REC EH0 LOG NUMBER <br />OVEDD FNVIRONMNTAL HEALTia DEPARTmENT Adft <br />304 East Weber Avenue, 3d Floor, Stock -ton, CA 95202-2708 <br />MAR 0 7 2007 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd e <br />ENVIRoNfOiENT HEALTH UBLIC RIECORDS RIEL]EASIE APPLICATION <br />PPMA41112MI, Es <br />1-1110111---a <br />APPLICANT: 0 1;1 e _ Mor fis L4 BUSINESSIAGENCY: <br />ADDRESS: ?-o-10X.1&1o(-t rg qq66S <br />PHONE (1): &MM -WI ff I I PHONE (2): —FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: M PfR r- 14 20 Titne: I# <br />(Please allow 10 business days from date of application suine.ittal -'Tantafift only - mutt be aonfiMod) <br />0 CHECK BOX TO EXPEDITE REAUEST - 95.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE Z-19-7_0*7 <br />Electronic Information: Ej List El Map - Description: <br />Street N Street Name city 11 Unit I <br />1.yqq Wes+ 6virAviv, V,04 UP1401 <br />2. C.yL 0 Unit2 <br />3. <br />4. 0 Unit 3 <br />❑ 'UnIt4 <br />7. E) unit 5 <br />9. <br />, I P11 <br />10. <br />Specific Date Range of information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />13 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT 13 SOLID WASTE FACILrryNEHICLE <br />13 OTHER CLEANUP SITE (NON -LOP) 0 Fool) FACILITY 0 WASTE TIRE <br />13 UNDERGROUND TANK(MONITORINGIREMOVAL) M DOG KENNEL 0 DAIRY <br />13 HAmRoous WASTE GENERATOR XcwcKr:N RANCH 0 WASTEWATER TREATMENT PLANT <br />13TIERED PERMITTED FACILITY CI MOTEJHOYgL 13 PUMPERTRUCKIYARPfCHEM TOILETS <br />13 TATTOO/BODY PIERCING E3 POOL/SPA C3 LAND USE APPLICATION SITES <br />C3 MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPEOIFY) <br />WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 Am-6:00rm - EXCLUDING 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 appropriate <br />box(es). At least one file type MUST be selected. Fax to(2 ) 464-0130 or mail to.thood0vit4 indicated above. Address <br />ranges will not be accepted —for additional assistance teeth 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 EHO files exist. An appointment for review will be confirmed approximately ton (10) <br />days after receipt of application. The files will behold fora maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />i 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 EMD 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 />EHO48-H BMW= <br />