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05/31/2006 WED 10;44 FAX 559 "a7 2886 BSR Environmental �00210L+2 <br /> pATk7 LWIt(Ep�� V L5 D EHD LOG NUMSER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MA'( 3 1 2006 304 East Weber Avenue,3d Floor, Stockton,CA 95202-2708 00 <br /> ENVIRONMENT HEI�eHphoae:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd / 3q3j <br /> PERMIT/SERVICES puBLIC RECORDS RELEASE APPLICATION <br /> c ffi� <br /> APPL ICAHT: M 11�e M._f eeT ,L 1C BU5INFMAGENCY: Bs k A.0 jQ_g Zgj____ <br /> ADDRES.•I_56' w ,�&Aw Aucuvc) S/.,re { E&zj ,oA CA 93 2o c/ -- <br /> PRONES,): 554. 9'77.2.9rd 12,1-3 127 PHoNE(2): 559. '/79. 191r FACSBRILE: 45,0'j 497 ZPP <br /> TENTATIVE*APPOINTMENT DATE: f°�l y�OCo Time: MgL79, <br /> (Please a0ow 10 business days from date Df apPlkadon submkn-'TenpWe only-must be c, irmed) <br /> Ct1ECK BOX TO EXPEDITE $93.00 H OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE d <br /> UNIT DIsTmaumN 0Unk1 Una1 Ounit 4 ❑Unna 13 Unita 17 Omer(eWhVniCdffl$ .'maps) <br /> FILE ADDRESS �; <br /> _ m <br /> 2- 4.910 ✓y OAdy4- vr'Aj <br /> -3. 30/S- ... /NAYS'—JJ.O-re/B.Z—'----- -.L-7'b. 7°"--- ------"--. <br /> -- — - — <br /> 4. 3Qe3 /YA✓Y O}AAIl�6_• x, �t✓ _ ` n <br /> 5, 2Sy/ NALAJJ/AGYe ' .sros.w:..✓ \y, <br /> s... 3o rx tIA✓.Y (A-4- . . S1n�EreJ \U <br /> -7. .Z,E 3.Y' n�A✓Y-�!1✓E• STe�?'o __ <br /> /✓A✓v_Qj(!{�E N f - <br /> 9. — <br /> 10. _ <br /> Specific Date Range of Information Requested:From /1�Y0 to '0 __ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNOL]t Mtw TANK(UST)CLEANUP SITE(LOP) ❑HOUSING AaATEMENr 13$CLEC+WAM FAA TA uxtcLE <br /> OTHER CLEANUP SM(NDN10P) a FOOD FACILITY O WA TIRE <br /> `�,..UNOER 0UNDTANK(M0NIMIUNWWNMAL) MDOG KMML 13EwRy <br /> Ja RAZAMOUS WASTE GENERATOR E3 Cjffi N RANCH 13WA£TEWATMTRUT .PLAN" <br /> "❑TIERED PERMITTED FACRM 13 MOTEUHOTEL O RIUFERTR WYMDICHEAI TOILETS <br /> 0 TAT rovn3my PltRlalG 13 poOL/SPA 0 LANG UBE APrLIGAT10N <br /> O MEDICAL WAsm FAcILiW Q OrNEN(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ME AVAILABLE FOR REVIEW-MUNUAY-FRIOAT S:GG AMS:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking the <br /> appropriate box(as). At least one file type MUST be selected. Fax to(2091464-0138 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 reviewwill be ccnflfined <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 /> ENP�a-oi49r <br /> L1W5 <br />