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_DEC. 27. 2006 3: 21 PNM CG '" `R EARTH TECH #_ • 1 1N0. 0666 P. 2- <br /> Lr Iv-- -.�tnewcl� <br /> SAN JOAQUIN COUNTY <br /> ENMONMENTAL RLALT a DEPARTmiwr <br /> 304 Last Weber Avenue,3rd Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468.3420 Fax: (209)464-0138 Web:www.sjgov_org/ehd <br /> PUBLIC RECORDS RELEASE,APPLICATION <br /> APPLICANT; Pr _ UU INESSIA070Y: S <br /> ADDRESS: d VY 0 9 ` <br /> PHONE(1): Z3 "17b(� PHONE_(2): Q� " 600,9PACSIMILE,(-gg -� —o�3`�i <br /> TENTATIVE`APPO1NWENT PATE: WIRA041 lb,WTTime: 7-M <br /> (Please allow 10 business days from data of I ti n submittal-•7enraWe only-must be confirmed) <br /> C7 cHECK BOX To EXPEDITE REQ -$95.00 Pe C OR CI(ONLY)-REQUEST PROCESSED IN 3 USM SS DAYS <br /> SIGNATURE OF APPLIC ,�Uk DATE <br /> Electronic Information: ❑List[]Map—Descrlptla - <br /> FILE ADDRESS EHD USE ONLY <br /> 'Street# Street Name City ❑ Unit 1 <br /> 2. t�r� �' Y1 � .4 1, I �.. p,Unit2 <br /> 3^ �(roJ LV � t �` ` 00 <br /> Uoit3 <br /> Unit <br /> nit <br /> owru <br /> �o. ►9°J� t-tT <br /> Specific Date Range of Information RequoslAd:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIDS <br /> �NovAGROUND TAMC(Us')CLEANUP SITE(IAP) �� oumr.AOATEwNT 1 O4 I WAM FACRdTYNEHICLE <br /> NbMM CUMUP SITE(NCN-LOP) 13 F000 FAcurr M WAsT1:Tik$ " <br /> 19JUNDERMWUNEP TANK(MONnVMGIRPMOYAQ Cl Doe KENNGL 0 DAI" <br /> fIAzARDous WASTE GENERATOR Q CWKEN RANCH ❑WASTEWAIMTRICATMENT PLAN1 <br /> 0 TIERED PEM4M-•D FAoa-rnr 13 MOTE1IHOTEL ❑PUMPER TRIICK/YARDK:NEM TOILETS <br /> ❑TATTOOJBODY PIERCING IJ POWSPA E3 LAND USE APPUCATION SXTES <br /> ❑MEDICAL WASTE FACILITT ❑OTHER(PLEASE SPCG1� <br /> WEU,AND SEPTIC PERMIT RECORDS ARr AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-5:00PM • EXCLUDING HOLIDAYS. <br /> 1, List up to tan addresses In tho space above. Select the type($)of files from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to(209)464-0138 or mail to the ddress Indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3,00 pm will bo processed the next husiness day. <br /> 2, The FMD will notify the applicant If any EHD files exist. An 0ppointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. 'rhe files will be held for a maidmum of five business days for review. Appointments <br /> 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 application may be <br /> Submitted when the file Is available. r <br /> 4. Any fila not returned In the same condition as released will be reorganized by EHD staff at tho expense of the applicant <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review., <br /> FHD USE ONLY <br /> r - <br /> EHO <br />