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May 15 08 12:25p Paul Humphreo (4226-3408 p•1 <br /> EHD LOG NUMBER <br /> 'Fe TEDD SAN JOAQUIN COUNTY <br /> W <br /> U u ENVIRONMENTAL HEALTH DEPARTMENT � <br /> MAY 1 5 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> 5 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjg v.D <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> p N' BUSINESSIAG <br /> APPLICANT: 'SGL:.r a-1 /+h i�" 11 ?� __-- ENCY: <br /> ADDRESS: 7yOL f rton .7'C r`4_ F�� ,+DC7 l�T <br /> PHONE(t):4'">�� (�—, r� PHONE(2). FACSIMILE: `7S 2 14 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow ten business days from date of appilcatim submetal.-Tentative only-must be confirmed) <br /> HECK BOX TO EXPEDITE REQUEST-$98-00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DA <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city 0Unit 1 <br /> 1. 3' Z 4E'.Tviv, l �r . Uo i <br /> 5ATP•llol/Nisvwydilit2 <br /> 3. 2735 <br /> 4. � �' 'd.7 © !� C <br /> H /T /0L-s/M9eill1Df • 1 ' <br /> �I <br /> In 6. — ^it4 <br /> a <br /> 1:1 Unit 5 <br /> nit 6 <br /> 10. f <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL A PARTMEITy S <br /> 1!;�UNDERGROUND7ANK(UST)CLEANUP SITE(LOP) [3 HOU SING ATEMENT LID WASTE FAGLT'NEHICLE\ <br /> PCDTHER CLEANUP SITE(NON-LOP) MFOOD FACILRY WASTE TRE <br /> 2INDERGAOUND TANK(MONITORINGIREMOVAL) 0DOG KENNEL 11DAIRY �Y <br /> ;9HAZARDOUS WASTEGENERATOR 13 CHICKEN RANCH W WASTEWATER TREATMENT PLANT <br /> 'TIERED PERMITTED FACILITY 13MOTELMOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> 171 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> W ELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FWDAY 5:00 AM-S:00PM -EXCLUDING HOLIDAYS. <br /> t. List to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate will <br /> box(eses). At least one file type MUST be selected. Fax to(2091484-0'138 or mail to the above address. Address ranges <br /> not be accepted-for additional assistance with file addresses,contactthe EHD. Applications received after 3:00 pm will <br /> be processed the next business day. <br /> 2. The EHD will notify the applicant H any EHD files exist An appointment for review will be confirmed approximately ten <br /> days after receipt of application. The tiles 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 the EHD staff may not be immediately available for review. A new application <br /> may be submitted when the file is available. <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 Tile reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> . 3t,33 Critic <br /> PUBLIC RECOftOS RELEASE APP F00.M <br /> EHD4846 10?aM7 <br />