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09/11/2009 16:57 415-344-3162 FLACK + KURTZ PAGE 01 <br /> SAN JOAQUIN COUNTY .-. EHDLOG NLM4BE <br /> SEP 1 0 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> ENVIROMIL T HEALTITelephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ah <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Nicole Persaud BUSINESS/AGENCY: Delta Consultants <br /> ADDRESS: 2300 Contra Costa Blvd, Suite 500 CITY/STATE/ZIP: Pleasant Hill, CA 94523 <br /> PHONE (1): (92 6) 265.8266 PHONE (2): (40.7) 758 -3426 FACSIMILE: <br /> TENTATIVEWPOINTMENT DATE: Time: A N Y <br /> (Plows allow 10 business days Norm eppllcaeon subm - rsnraffm only-must be cunflmled) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$115 FEE(CASH OR CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE O <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> /�✓ Street a Street Norm city Unit i <br /> 942 S Stockton Ave Ripon 5 1�I <br /> 2. , I <br /> nit 2 <br /> 3. <br /> 4. <br /> 3 <br /> 5. <br /> 6. <br /> na4 <br /> r. <br /> 6. <br /> 9 ❑Una 5 <br /> 10. <br /> nit 5 <br /> Specific Dab Range of IMometion Requested: From ALL DATES AVAILABLE to ALL DATES AIALE <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> SgJp WASTE rACILI1YND5ClE <br /> OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY SOUDWIRE �"� „„ <br /> UNDERfrTt011Nb TANK(MONITOR01G/REMOVAL) ❑DOG KENNEL El DAIRY / Itil� 1-3 <br /> HAZARDOUS WASTE GFNERATOR ❑CHICKEN RANCH CkWASTENATER TREATWNT PLANTj <br /> TIERED PERMTTED FACILITY ❑MOIEU [j11MM <br /> HOTEL PPERTRUCK/YdCHEMCAL TOILETS p// (k� <br /> ITATTWBODY PIERCING ❑POOL/SPA BLAND U SE APMUT10N SITES <br /> ❑ MEDICAL WASTE rAauTY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Ust LIP 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 Mb type MUST be selected, 209 j6!U138 or DyU to tho oddress Indicated above, Address <br /> ranges will not be accepted•for additional assistance with file address",contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant N any END flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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 END staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the as"applicant may require a$115 deposit prior to review. <br /> 5. It you need further assistance,phase contact Diane Martinez,at(209)486-3425, <br /> 9 © mousff v <br /> (�m r <br /> EHO�8-0B <br /> YTrml <br />