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f <br /> 04/28/2009 11:06 SIERRDELTA CONSULTANTS LLC 3 12094640138 N0.961 Dal <br /> J DD <br /> EHDLOG NUMBER <br /> W�� 11 ESAN JOAQUIN C UNTY <br /> ENVIRONMENTAL HEALT DEPARTMENT <br /> APR 2 8 2009 304 Cast Weber Avenue, 3'L Floor, St ckton,CA 95202-270 <br /> 4VIRONMENT HEALTH <br /> TolophIme.- <br /> (209)468-3420 Fax:(209)464-0138 Web. www.sjgov.org hd <br /> ZIZ <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: U` BUSINEMAGENCY; <br /> ADDRESS: I `T� <br /> 24 -3 09 <br /> PHbNE(2): FACS[MILE: <br /> TENTATIVE"APPOINTMENT DATE: Tlma: <br /> (Pler<as allow 10 business days from dtKe of ttpplitatigA sub I"A' '7errfedve only muxt bo ea�rmeti) <br /> C3 CHECK BOX TO EXPEDITE REQUEST.$93.00 FEE L�A�H CH ONLY}-REQUEST PROCESSED IN 3 USfNFEE DAYS <br /> SIGNATURE OF APPLICANT �/( DATE <br /> UNIT fl DISTRIBUTION Unit 1 O Unit 2 O LIARS O Unit d C UntlIS O Unit 5 A Other(alernvnlrJtistsGnapti) <br /> FILE ADDRESS EHD USE ONLY <br /> street* Street Name Cisy _ <br /> 2. <br /> 4. I - <br /> 7. <br /> 8. <br /> 9. <br /> 10, <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DE ARTMENT FILES <br /> u"OEROROUND TANK(UST)CLEANUP SITE(LOP) (3 HousING ABATEMENT I3 SOLIO WASTE FACILITYIVEHICLE <br /> O HER CLEANUP SITE(NON�OP) p FOOD FACILITY WASTE TIrtE <br /> 1JNDFRaROUND TANK(MONITORINWRI MOVAL) Q DOG KENNEL 0 DAIRY <br /> l7 HAZAFOQl15 wAATE GENERATOR a t'i1tICKEN RANCH <br /> .11_ 171WASTEWATER YREATMENT PLANT <br /> •TIERED PERMITTE4 FACILITY Q MOTt:L[H OTEL Cy Pu MPGR TItuCMIYARfiICHEM TOILETS <br /> G TATTDDIBODY PIERCING 0 P000SPA 13 LAND USE APPLICATION SITES <br /> M MEDICAL WASTE FACII_Iry 0 OTHER(PLDASE SPE Fr) <br /> WELL AND SEPTIC Przkma RECORDS ARD AVAItA91-E FOR R@VIEW- MON AY•FRIDAY B:OD AM-5:00PM - 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 464-01 18 or mail to the address <br /> indicated abm. Address ranges will not be accepted—for 3ddiflonal assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be process d the next business day. <br /> 2. The EHD will notify the applicant if any END files exist. Ana 3pointment 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 accord ngly. <br /> 3. A file that Is actively being worked on by EHD staff may not I so 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 t a reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may rec wire a$93.01)deposit prior to review. <br /> 7=F10 Li-62mi <br /> �n�bs <br />