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05/16/2868 69:54 31644b3803 MUTT PAGE 01 <br /> "./ 11-4 <br /> DATE R CEIVED SAN ,JOAQUIN COUNTY EHp LOU NUMBER <br /> 1 ENVIRONMENTAL HEALTH DEPARTMENT �}r <br /> I 600 East Main Street, Stoc fin, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0136 Web: www.sjgov.org/e d <br /> PUBLIC RECORDS RELEASE APPLICATION „y <br /> ' <br /> ;Yt <br /> APPLICANT: !� >�A��(✓ 13USINE$SlAOENCY• ��LT1g F�s� 'I- L, A ' '-fit-� <br /> ADDRESS: 7 ZEEy.QLI'?=.�U W�� ��2rg�"r<�✓/�? .,., _ G�:.,,_..��a'f�,.,,._.....,__._,....,..-- �'L��. <br /> PHONE(1): y!L 'ILk 6 3.?'C)3 PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE:_ 5-2q_Ue Time: q '3LJ fl^? <br /> (Please allow tan business days fTorn date of application submittal-'Tentative only-must be confirmed) <br /> © <br /> CHECK BOX 70 EXPEDITE REQUEST-$S 00FEE ASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 62 I))ATE -5 <br /> Electronic Information: ❑ List[ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street+ Street Name ---- I OUniti <br /> fad (- 6V :5 - 6 /o <br /> 2. 1 Y P. YU5�nLm fiV�uE �MAN�CIQ 13150—G1 _ � / _'7� ❑Unit 2 <br /> 4. ) w "r Ql c7Q ii&9 Cir' Unita <br /> b. <br /> 8. ... 12tnr Irit> Q Unit4 <br /> 7. r I yy G r 1 �_ ` / <br /> 8. rt ��! VJ'!Y J ruC I CXR! hoc.S (� ! Unit 5 <br /> 9. I <br /> 10I If —�--._--. O Unit& <br /> Specific Date Range of Information Requested:From to .0 ll2e5&j <br /> ry�,� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATFMENT 0 SOLID WASTE FACILITYlVERICLE <br /> OTHER CLEANUP SITE(NoN-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> .W UNDERGROUND TANK IMONITORINWREMOVAL) 0 DW KENNEL C DAIRY <br /> HAZARDOUS WASTE GENERATOR In CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MZ)TELIHOTEL M PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOO/BODY PIERCING C7 POOL JPA t,..�� TI LAND USE APPLICATION rtes% <br /> 11MED4CAL WASTE FACILUY D ONER(PLEASESPECIFY)�Z!lR(N(!' 12";-O - �] r�Tt n <br /> C,,�VE <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVAEw - MONOAY•FMDAY 8:00 AM-6:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one flie type MUST be selected. Fax to(2091464-0138 or mail to the ahQve address. Address ranges will <br /> not be accepted-for Additlonal assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> be processed the next business day. <br /> Z The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by the EHD staff may not be Immediately available for review. A new application <br /> 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 applicant. <br /> Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br /> EHD USE ONLY <br /> exo 49-06 t D129167 - <br /> PUBLIC RECORDS RELEASE APA ROPm <br />