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09/29/2006 1_1 , ZZ9 FAX <br />16.002 <br />EHID j_03 N'A",_ <br />SAN JOAQUC0L_NTY <br />RECOVED IN EN-VIL—RONmENTAL HEALTH DEPARTMENT <br />SEP 2 9 2006 -104 avast Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />Telephone: ( 09) 468-3420 Fax, (209) 464-0138 Web: vvww.sjgov.org/eh1 <br />ENNGNMENT HEALTH <br />PUBLIC RECORDS RELEASE APPLICATION <br />PERM 1Tr5EFXEY- A 0611 <br />BUSINESSIAGENCY: <br />.'.DDRESS: -:�-Lljo WJ11 -'te_ F - (A <br />-772 Z PHONE (2): K ) -fi7- 7136, <br />PRONE C"ll -Z,q YACSIMILF- <br />TENTATIVE*AFFOINTMENT DATE:__Time: <br />(P*�,qase gJG'w 10 buihiess dzys from dat2 of application submittal - 'Fen_tfNonly - must be confirmed.) <br />BOX TO EXPEDITE RE $93,00 FE (C OR HECK OWL Qt!5CT - - REQUEST PROCESSED W 3 L!M!NEtiS DAYt� <br />SIGNATURE OF APPL�CANT Imo` 77. - DATE <br />----- 1/2-1 jQL- <br />[! UNIT 018TRiBiTrION i",. 0 Unit! C) Unit 2 17 Unit 3 0 Unit 4 13 Unit 5 0 Unft 6 -:1 other (e'ectrvnlefttslmaps) I <br />FiLE.ADDRESS . EHO USE ON f <br />suet Name Giiy <br />c' AWtl <br />X'r.' Y <br />lt2- + d J I " '1'n I � <br />t+ <br />5 -7 -1 �LPANT, UVE <br />- AN JE 10 4US <br />'E <br />L <br />...6f T Ll k1E <br />_7_0_9 Vj <br />Bus <br />kb 5- 23941_..._._ <br />T '_"'T <br />u <br />...... .... <br />D 0 t <br />QST i -7 7 17 11'T111- 5.1.Vj. <br />ev �Ll -1 F, 5T 4-x:4- —I,-- <br />-specift Mote Ranr,,o of Information Requested: From to <br />ENIARONMENTAL HEALTH DEPARTMENT FliLU <br />TiAIT;� (UST) CLEANUP SI -F_ (LQF) HOUSING ABATEMENT a E ��� i � D <br />THE. CLEANUP SITE (NoN-LOP) FOOD FACILITY <br />IC-NDERGROUNI G TANK (MONITOFUN31REMOVAL) Doe KENNEL <br />"RHAZARDOUS WASTE GENERATOR M CHICKS CH TRLATIAEMT PLANT <br />0'r,EREV PERWITMD FACILITY 'RDICY <br />C L _KiYA Em TOILET -5 <br />13 'r -7oomopy Ptmciwa SI k AFPLICATION SITES <br />l" 14 CpIr L I (WT I 411--Ifift <br />WASTE FACILITY 'p, ER 11(LEA -SF Itp a I ' <br />WELL AND SEFIRC PERMIT RECORDS ARE AVAILABLE FOR REVIEW Am", -5,00P - EXCIIIII NGHOIDANS'" <br />_V <br />List up to ten addresses in the Space above. Select the t 0 of fir m9f lin the list above by checking the <br />approptiate box(es). At least one file type VUST be selecti;ax to 0 ) 464-0138 or mail to the, addge2.1's <br />lnd';4;atad above. Address ranges will not be accepted -for additiond assistance with file addresses, contaV, <br />the EHD. Applicationsz received after 3:00 pm will be processed the next busineas day. <br />'nfirmed <br />The Ei4D %ril?q notify the applicant if any EHD files exist. An appointment for review wii it be co <br />1pprCI-6matelif ten (10) days after receipt of application. The files will be field for a maximum of five bvs!ness <br />A.ppc�lntrrartsshoalcl be scheduled accordingly. <br />it, A fils- ihist 1a ei-Aiveiy being 4vorked on by EHQ staff may not be Immed latoly avaHable for review, A new <br />appiicatlr.p may be submitted where the file is available. <br />4. Any file not returned ir. the same condition as released will be reorganized by EHD staff at the expense of the <br />Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />