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01/27/2011 12:25 20932 ¢303 LODI DOWNSTAIRQ PAGE 02/02 <br /> °' SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 011 ENVIRONMENTAL WEALTH DEPARTMENT I,yN 2 8 Z 600 East Main Street, Stockton, CA 95202-3029 9071 <br /> Telephone: (209)468-3420 Fax: (2.09)464-0138 Web: www.sjgov.org/ehd <br /> EN PERMITLENTAL TH <br /> ISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: --Tna Chem <br /> _ _ BUSINESSIAGENCY: <br /> ADDRESS_ 902 TndUstri" Way City/State/zip _LQd, CA 95 40 <br /> PHONE(1); 2n9-7_4 -0640 PHONE(2): FACSIMILE: X9-333-$303 <br /> TEMTATiVE*APPOINTMENT DATE; Please call Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must bo confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEF(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1-28-11 <br /> Electronic Information: E]List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City -- <br /> - — Unit 1 <br /> 1• 4051 Newton Road Stockton y <br /> �2. 3931 _ Newton Road _ �w Stockton _ � n 2 <br /> _3• 4105 N. Wilson Waw -�- Stockton <br /> Unit 3 <br /> 4. <br /> _- -- Unit 4 <br /> 6. <br /> 7 ❑ Unit 5 <br /> 9 ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIDS <br /> KLINDF.RGROVNO TANK(UST)CLEANUP SITE(LOP) C2 HOUSING AEATEMENT 0 SOLID WASTE FACILITYNEHICLE <br /> .*OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TIRE <br /> XUNDERGROUND TANK(MONITORINGIREMOVAL)kX O DOG KENNEL 0 DAIRY n_ I <br /> )R HAZARDOUS WASTE GENERATO " a CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MGTELIHOTEL CI PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATT001BODY PIrRCLNG ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> 11 MEDICAL WASTE FACILITY C3 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIDAYS. <br /> 1. 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(2091464-0138 or mail to the_0.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 be processed the next business day. <br /> 2. The EHO will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files 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 EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is avallable. <br /> 4. 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> 7 1 C V 110IN <br /> EHD 48.06 8104MB PUBLIC RECORDS RELEASE APP FORM <br />