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FEB. 8. 2006 9: 16AM CONnnR EARTH TECH NO. 5527 P. 2/2 <br /> ll!I- [DJ SAN JO.A.QUrN COUNTY _ EHD LOG NUMBER <br /> _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> ��.R 0 2006 304 East Weber Avenue,3'd door, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ENVIROIVPy !,qj I-IEALTH <br /> PERMIT'SERVICES PUBLIC RECORDS PULEASE APPLICATION <br /> APPLICANT: I+SA jC7.-J!F65 BUSINESSIAGENCY: (i0►1 <br /> ADDRESS: C R e. ( A <br /> PHONE(1): POE(2:�O9 501x 9� FACSIMILE: 46 n W <br /> SM <br /> " Tg H � <br /> TENTATIVE"APPO("ENT DATE: Tom: <br /> (Please allow 10 buslnsas days from d of application submittal-•TentabW only-must be confirmed) <br /> Abib- <br /> CHECK SOX TO EXP RE EST-$93.00 F ( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUS 5 <br /> SIGNATURE OF APPLICA T DATE D <br /> UNIT DISTRIBUTION O <br /> Unit 1 ❑Unit 2Unit 3 ❑Unit 4 ❑Unit 5 O Unit 6 C Other(eiectronlc/lists/maps) <br /> FILE ADDRESS EHD USE ONLY <br /> Strset# Street Name City <br /> 1. <br /> 2. rrl <br /> 3. . <br /> 4. <br /> 7. �a 1 <br /> 9. <br /> Specific Date Range of Information Requested:From to <br /> ,,..�� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �r Ur+DERGROUND TANK(US'1)CLEANUP SITE(LOP) HOUSING ABATEMENT 8 Soul WASTE FAquTYMEHICLE <br /> f'THER CLEANUP SITE(NON-LAP) OOD FAcILrry O WA-TTE I)RE <br /> UNDERGROUND TANK(MON17TORMIFtEMOVAL) OG KENNEL []DAIRY <br /> HAZARDOUS WASTE GENERATOR HICKEN RANCH O WASTEWATER TREAT'IAENT PLANT <br /> M TIERED PERMITTED FACILITY b M!�OTELIHOTEL ❑POI IFERTRUCKIYARDICNEM TOIL <br /> ❑TATT00/SODY PIERCINC3 <br /> POOL/SPA �LANO USE APPLICATION S[ES <br /> MEDICAL WA8TE FACILITY [7 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC R CORDS ARE AVAILABLE FOR Review- MONDAY-FRIDAY 0:00 AM-6:00PM - EXCLuD7NG 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled 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 of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> END 48-02.006 <br /> 11140E <br />