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06/12/2007 10:33 CL.AYT LEASANTON 4 12094640138 NO.975 <br /> ©00! <br /> 0 EHD LOG NUMBER <br /> �� f �LLJ)' SAN JOAQUIN C UNTY <br /> ENVIRONMENTAL REALTif DEPARTI►IENT <br /> j w N 1 2007 304 East Weber Avenue, 3`d Floor, Siockton, CA 95202-270 <br /> Telepban.e:(209)468-34201?ax:(209)464-0135 Web:WWW_Sjgov_or d <br /> FINVIRCINIOEN i HEA[jH F5 2o <br /> PERMIT SERVICES PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT:Yetw_mv Wlls.vn .�: . BUSINESSIAGENCY. B it Vim/• c <br /> ADDRESS: ll Rn 'kw AP611 9 -5 t. <br /> PHONE(1): � 7,5-y�o,2•(0 70 PHONE(2): <br /> FACSIMILE: <br /> J`tLb- 010 b <br /> TENTATNE"APPOINTMENT DATE: -2•a 0 I Time:.Qv°e r) <br /> (Pto"o allow 10 business days from data of app!lwdon suh nittal-'Tantadve only-must by confirmed) <br /> © CHECK BOX TO ECPEorm REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE (j—12-09 <br /> UNIT DISTRIBUTION d Unit 1 M Unit 2 d Unit 3 C7 Untt 4 l3 Unit 5 ❑ UMI$ ❑ Other(aloctrenlrlllstalmmm) <br /> FILE ADDRESS EHD USE CVLY <br /> Strome Street Name elty <br /> 1. l3 b 6 in9as ,k S Disr 4M� S�a�i~-fae <br /> 2• I <br /> 4. <br /> s. <br /> 7 I ,. <br /> 10. � <br /> Specific Date Range of Information requested:From 41t to 0.7 4116 I <br /> i ENVIRONMENTAL HEALTH DEPAFITMENT FILES <br /> UNDERGROUNI)TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ARATF_NENT KL SOLIDWASH FACLIWIVEHICL.E <br /> i OTHER CLEANUP SITE(NON-LOP) ❑FOOD rACIUTY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONNORING ENIOVAL) ❑Doc KENNEL 0 DAIRY <br /> 17LHALARDous WASTE GENERATOR Q CHicKEN RANCH ❑WASTEWATER TmATmEmr PLANT <br /> 9k TIERED PERNIITTEO FAauTr d MOTEUHO"LEL O PUMPER TRucrJYARDICHEm TOILETS <br /> FJ TATroomouy.PtERciw 0 POOLISPA 11 LA►maUsEAPFUr.ATION SIM <br /> ❑MEDICAL WAam FACILITY ❑OTtIER(PI_eAse SPEcE _SLA As-r. Lt;-r J�u�Mv+% f•e-twrd s <br /> WrLL ANO SCIMt PERMIT RECORDS ARE AYAiLAaL.E FOR REVIEW- MONQ Y-F aOAY 9:00 AMI-:OOPMt - EXcLUIMNG HOLIpAY$.•�_ . <br /> f. 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(2091464-0138 or mail to the address <br /> indicatedabove. 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 apipointment for review will be confirmed <br /> approximately ten (10)days after receipt of application. The files will be held for a maxurium of five business <br /> days for review. Appointments should be slrheduled accordi4y. <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 /> applir^ant. Future file reviews by the same applicant may requtre at$93.00 deposit prior to' revlew- <br /> I <br /> r <br /> �r r�i •\ ��i l <br /> I <br /> i EH049WAH - - <br /> 111Qftl6 <br /> 1 <br />