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07/17/2006 13:36 916-371-1809 RANEY GEOTECHNICAL PAGE 01/01 <br /> EHD LOG NUM6ER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH AEPARTNI ENT <br /> 304 East Nebel Avenue,3d Floor, Stockton,CA 95202-D2708 <br /> Telephone: (209)468-3420 Fax: (209)46"138 Web; Vr'VW'sjgov.org/ehJ <br /> 1 PUBLIC RECOTBDS RELEASE APPLICATION <br /> APPLICANT:• ,, ,• Y �-�"� BUSINESSIAGFNCY: �d <br /> ADDRESS: / O ,�yn�O�w7� V RLV CA �`_�-��,+ <br /> PHCNIE ItI:..(¢ t' 7j�I' <br /> PHONE(2): _FACSIMILE: 14 —._L` <br /> TENTAT VE"APP04NTMPNT DATE: 2 The' 9 0 P <br /> (?lease allrnr TO business days kern date of plleaflon su6mlaal-"Tcnmdve only•mus!IMmnhmled)� <br /> CHECK BOX TO EXPEDITE REQIH $9 .00 C H OR CHECK ONLY)•REQUEST PROCESSED 1N 3 EUSI 95 DAYS <br /> SIGNATURE UP APPLICANT � C� 77 DATE <br /> PaT DISTRIEUTtON OUnit 1 ❑Unit 2 0Vp 7 0LINK 4 0Unit 5 O Unite Q Ofhor(oiec�#ronict'iists!mape) <br /> FILE ADDRESS EHD USE ONL <br /> i 9treat F stmet Name City <br /> .2.- too <br /> 3, _.. 5 { E aSGr. G _-Rp <br /> >a. -- - - <br /> URI!! Al2- <br /> 10. <br /> Spe:Iflc Date Range of Inamation Requested:From Ali P --- <br /> ENVIRONMENTAL HEALTH DEPARTMENT S <br /> ./E <br /> IR/�PNMIOROUND TANK.(UST)CLEANUP SITE(LOP) O HousiNO ABATEMENT ,0up WAft FACH..r,YNENxLE <br /> F,OMER CUP MVP Sn'r(NON-LOP) OF000 FAcnm DWXr�T1RE <br /> M-)UNDERGROUND TANK(MONITORINONIRMOVAL) El DOG KERNEL 0 DAIRY <br /> VARA.R0Ms WASTEGENERATOR ❑CHICKEN RANCH El WASrSWAytit TRGATrdeNT PLANT <br /> Tr2REo FERRMCD FACUY 0MOTEtMOTEL 0 TN!ucrU'AR?!CHEM TOILET& <br /> •TATTOOISoDY 13I2RmNG 0 POOLISFA ❑LANG UsE APPLICAT]N atTE3 <br /> C IAWIDAL WASTE FACIUN El OWER(PLEASE SPECIFY) u -- <br /> _ WELL AND Sg"C PERMrr R,-rORns ARE AVAILABLE FOR RENEW- MONDATFIVDAYa:00 AM5:00PM - EXCLUWNG HOLIDAYS. <br /> 1. List up to tan addresses In the space above. Select the type(S)of files from the list ebovs by checking the <br /> Appropriate box(es). At least one file type MUST be selected. Fax to/209)4644138 or mall to the add[eews <br /> Indicated above. Address ranges will not be accepted-for additional assistance with NO addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment fbr review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be hold for a maximum of five busiaess <br /> days for nrriew. Appointments should be scheduled accordingly. <br /> 3. A file that k actively being worked on by EHD staff may not be immediately available for r"Iew. A new <br /> application 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 <br /> applicant Puture file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> EHD�DAOG <br /> 1114145 <br />