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JAN 22 1990 00:36 FP TO °' 2094840138 P.01/01 <br />END LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Telephone: (209) 468-3420 Fax: (209) 464-0158 Web: www.sjgov.o /eh 661 600 East Main Street, Stockton, CA 95202-3029 <br />-qvIS <br />APPLICANT: ts-VLirva-- -.1-61-AAAAL Cz7N— BUSINESS/AGENCY: —ra k'cc"----T7Z.c.- k <br />ADDRESS: el 0 Of 111- amAYA.L\ _I-3 4-L .L ' /I q eLi , <br />PHONE (1): 1-47.5/2oSro 11,31. PHONE (2): I •I-Z5 - 1-167 - 7452— FACSIMILE : 11 Z5 -HU.- -7v-3 L- <br />TENTATIVE* APPOINTMENT CATE: _ <br />(Please allow ten business days from date of application submittal -•Tentat/ye only - must be confirmed) <br />0 CHECK BOX TO EXPEDITE RE UEST - $98.00 FEE H OR CHECK ONLY) • REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT An-4,-14— -4-- DATE 6°— Z — 'q:5 <br /> fM•l ple11111110 .. <br />Lactronlc Information: — <br />0 List 0 Map - Description: <br />— ..-------.=.—'-- '''—^""--- <br />Street # <br /> Street Name <br />2. <br />T=5)1pAT -7?P,197F,.. <br />AN 0 2 2008 <br />ENVIR01\ilvIEN .f HEALFH <br />9\i'inFQ. <br />PUBLIC RECORDS RELEASE APPLICATION <br />2‘52.(r AstAN <br />FILE ADDRESS <br />• <br />City <br />araz-Vt*--1 <br />END USE ONLY <br />0 Unit <br />Unit 2 <br />3. nit 3 <br />4. <br />Unit 4 5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />Specific Date Range of Information Requested: From to — <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />'13C,uNeseGaouNs TANK (UST) CLEANUP SITE (LOP) El HOuSING ABATEMENT 0 SOLID WASTE FAcILITYNERICLE <br />00 WDAASIRTE TIRE 121 <br /> <br />fOTHER CLEANUP SITE (NON-LOP) CI FOOD FACILITY <br />Y <br /> <br />UNDERGROUND TANK (moNrrortifio/REmovAL) GLR3 KENNEL <br />El HAZARDOUS WASTE GENERATOR a CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT O <br />El TIERED PERMITTED FACILITY 0 MoTEL/HOTEL 0 PUMPER TRUCKNARD/CHEm TOILETS <br />ri TATT00/130Dy PIERCING ‘171.POIDLISPA i Ill-AND lin APPLICATION SrrEs <br />0 MEDICAL WASTE FACILITY ;KOTHER (PLEASE <br />WELL AND <br />AND 5ERTic PERMIT RECORDS ARE AVAILABLE FOR REVIEW • MONDAY-FRIDAY 8:00 AM-5:00Em • EXCLUDING HOLIDAYS. <br /> — <br />List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (2O9I,.44135 or mail to above ddre . Address ranges will <br />not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will <br />be processed the next business day. <br />The END will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten <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 />A the that is actively being worked on by the EI-ID staff may not be immediately available for review. A new application <br />may be submitted when the file Is available. <br />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 />EH° USE ONLY <br />0 Unit 5 <br />0 Unit 6 <br />PUBLIC RECORDS RELEASE APP FORM <br />** TOTAL PAGE.01 ** <br />EtiO 48-08 igt21107