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FEB. 8. 2006 9: 16AM CONP EARTH TECH - N0. 5527 P. 2/2 <br /> �d EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENviRoNmENTAL HEALTH DEPARTMENT <br /> FE,R - 8 2006 304 East Weber Avenue,P door, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web;vwrw.sjgov.org/ehd <br /> ENVIRONMENT t-!EALTH <br /> PERMIT;/SE=RVICES PUBLIC RECORDS RELEASE <br /> � APPLICATION <br /> APPLICANT. A-SA JPtj aoddIme <br /> ADDRESS: I r1zAwL_ • Ale e- <br /> T CA <br /> .,d <br /> PHONE(1): L� 9 -43 "05_19 PHONE(Z):,n0q-�-' 1 SQ-1jy'A= FACSIWLE 09-o��""��a6 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days tram d of application submittal-•TenLabW only-must be confirmed) <br /> CHECK BOX TO EXPEPN RE EST-$93.00 F ( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUS <br /> SIGNATURE OF APPLICA T DATE D <br /> 4 <br /> NIT DISTRIBUTION 0 Unit 1 D Unit 2 Unit 3 G Unit 4 D Unit 6 D Unit 9 G Other(eledronldrestslmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Stlset# Sheet Name city <br /> 1. 3MA <br /> 2. 560 WAm <br /> 3. IJ <br /> 4. p( i, <br /> 5. <br /> in <br /> 7. , IUA <br /> s. (c� ,�, <br /> 10- Z. Ott e"N t <br /> Specific Date Range of infonTtation Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1gDERGROUNo TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT 11 sOLID WASTE FACIuTYNEHICLE <br /> ptHER CLEANUP SITE(NON-LOP) OD FACILITY D WASTE TIRE <br /> UNDERGROUND TANK(MoNrToRtNGff;MmovAL)jAW 0G KENNEL E3 DAIRY <br /> D HAZARDOUS WASTE GENERATOR HICKEN RANCH D WASTEWATER TREATM9NT PLANT <br /> t3 TIERED PERMITTED FACILITYcl FIIOTEUHOTEL ,0 PUMPERTRUCKtYARD/CHEM TDI <br /> D TATTOO/BODY PIERCING D P ooLISPA sly LAND USE APPLICAMON SITES <br /> D MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-PR10AY 8:00 AM-6:OOPM - 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 <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 /> s ti^•��b� <br /> ENO da-02.006 <br /> 1/14% <br />