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08/09/2007 THU 15;05 FAX 209JU2999 SJC PUBLIC FORKS Zoo 1/006 <br /> �. <br /> DATE RECEIVED [HD LOG NUMBER <br /> JOAQUIN COUNTY <br /> ENVIRONMEN-rAL HEALTH DEPAYcRTMEN <br /> 304 E Weber Ave 3`d Floor Stockton,CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 'Web: www.co_san joaquin.ca.uS1 i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. Claudia Gemberli,ng BUSINESS/AGENCY: San Joaquin County Public Works Department <br /> ADDRESS_ 1.810 E. Hazelton Avenue, Stockton, California 95205 <br /> PHONE, 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE"APPOINTMENT DATE. Time <br /> (Please allow 10 business days from date of application submittal) <br /> +i <br /> CHECK 80x TO EXPEDITE REQUES $9100 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C�C-It(� ���hLt DATE <br /> Department Uso Only <br /> FILE ADDRESS UNIT <br /> 6?&341 (,At) 't.166h, Wo G, S <br /> Unit 1 <br /> .2. city <br /> L7� Unit 2 <br /> a. succi .71701 city <br /> T <br /> Unit 3 <br /> r. sv�w a2 <br /> city Unit 4 <br /> A- wool , <br /> 9. 2 p 0_ C ❑ Unit 5 <br /> ,o. shell 6Z. D <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACT TY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR 4 CHICKEN RANCH PKG TREATMENT PLANT <br /> ¢C TIERED PERMITTED FACILITY ❑ MOTELIHOTEL I PUMPER TRUCK/YARDICHEM TOILETS <br /> TATTOO/BODY PIERCING ❑ POOLISPA 13 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q OTHER(PLEASE SPE(;IFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or-mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD fifes 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 held for a maximum of five business days for review. Appointments should be scheduled v <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A neva <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 dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> DATE NFIRMED ,IL�I1Ta <br /> R 1. - <br /> EHD 4442406 ......-..• ,....,...._... <br /> 8!8@009 <br />