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Aug 18 07 11:37a <br />ENOP .Olvi A 4r. <br />P 'itT A PUBLIC RECORDS RELEASE APPLICATION <br />APPLICAN IPL70,Z 1-7E—FaB E BUSINESS/AGENCY: kA/6. - SO tA-1-1,1.%0C S <br />ADDRESS: I c PIQe L_DDI , <br />PHONE (1 ) ( ) 4-1 - 3 a PHONE (2): (61 2-S ) 2-Z-- L9Y11 FACSIMILE: ( ZOCi 4- - 31 <br /> <br />TENTATIVE* APPOINTMENT DATE; - — 0 -1- Time: I 0 sa.h-t <br />(Please allow 10 business days from date of applicatinn submittal -*Tpertatflie only - must be confirmed) <br />rl CHECK BOX TO EXPEDITE REQUEST -5400 FEE (CASH OR CHECK ONL - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SAN JOAQUIN COUNTY <br />VeDD ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />G A 6 2007 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.o <br />Marda Tree Herbert (925)947 -3738 P.1 <br />END LOG NUMBER <br />e; ? <br />SIGNATURE OF APPLICANT Ai& DATE 0 - 117 07 mem. <br />[Electronic Information: III List • Map - Description: <br />FILE ADDRESS <br />Street # Street Name City <br />EHD7EyNL Y <br />0 Unit 1 <br />2-C66/ c2-q (i0 0 <br />J-e? {P (--A.- Unit 2 <br />r) 9 Co V / , <br />. -2- 0 +0 W. >t . -1-E,G-k_4-:, VI <br /> -2- II 5- V\-) . kAlck.Si.-,:t e--cs 4-c, rA St. Str,c3c-i-ay‘ <br /> <br />4' <br />7-1 0 W. VV4I-S1-%. .\.54-D 1,-\ St. .5.k-pc k_+,,y.t <br />Sl-o Ck-4-c3 1,-1 -Z11--) I J. W 0.-C k e1 -I-C) in S t-. <br />5. Z3c>C W. 1/V61- ki vloto o r. St Ste> c Dvi vs -du 1- . • r- <br />F-- V-- / Untt 4 <br />, • gz,...--- izio 6 -Z---3 2-1 IA). Y\..),&..51.-t; . Stockfc,v-1 <br />/. 2-7--t.o W . Nrksh;,--14-06,-t Sr. tt:, de_ J-1=',---) .2(i5C) 0 Unit 5 <br />/./, F. r 20 5-0 VV . VVa_s h .( i-A.0 -.1-c,tel -st. -51--c) c_k_tc, n <br /> 2_1 00 vv . \.(l)cus t ..,-;,r1 St_ 5-'roc-Li-DrI 0—'1 (a 0 <br /> 2- 1 i -I A) . O.) its hi v-k--5sr. Si-r:c.Ie--4-ri <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL, HEALTH DEPARTMENT FILES <br />--erSoun WASTE FACILITY/VOW-LE <br />OWASTE TIRE <br />DAIRY <br />CHICKEN RANCH ,...-ErWAStrwATER TREATMENT PLANT O M0TELIH016t. /2--Putilprn Tsticac/Yaso/CtiEtt TolLETS <br />Poot./SPA 0 LAND Usr APPLnAnon Sims <br />0 OTHER (PLEASE SPECIFY) <br />VVELI. AND SEPTIC PERMIT RECORDS ARE AVAILAS LE FOR REvtEW - MONDAY-FRIDAY a:oo Au-s:eopiA - EXCLUDING HOLIDAYS. <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 *elected. Fax to ;209)464-0138 or mail to the addins.s indicated above. Address <br />ranges will not be accepted -for additional assistance with file arittres-stns. contact the END. Applications received after <br />3:00 pm will be processed the next business day. <br />The EHD will notify the applicant if any EKE) files exist. An appointment for review will be confirmed approxlrnatoly ten (10) <br />days after receipt of application. The files win be held for a maximum of flys business days for review. Appointments <br />should he scheduled accordingly. <br />A file that Is actively being worked on by EKE) staff may not be immediately available for review. A new application may be <br />submitted when the file Is available. <br />Any flle not returned in the sawn° condition as released will be reorganized by END staff at the expense of the applicant. <br />Future (lie reviews by the Saine applicant may require a $95.00 deposit prior to review. <br />EHD USE ONLY <br />ENO MANI 5/1.5/2()OT <br />...CI-Unmet-mount) TANK (UST) CLEA/tvP So6 (LOP) <br />A OTHER CLEANUP SITE (Now-LOP) <br />,..2rUtrot-e4eootio TANN (MONITortiNO/REfitcnIAL) <br />...„2 HAZARDOUS WASTE GENERATOR <br />TIERED PERMITTED FACILITY <br />/a-TATTOO/130DV PIERCING <br />_P-M601CAL WASTE FACILITY <br />HOUSING ANATEIMENT <br />F000 FAcssry <br />Doc KENNEL