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May. 31. 2007 8: 13AM Advanced GeoEnvironmental No 8774 P. 1 <br /> 1--k FHD LOG NUMBER <br /> MOAT� � D SAN JOAQUIN COUNTY <br /> u ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 3 ] 2007 304 hast Weber Avenue,3 I Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/e <br /> ENPE ONME�RVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 'tftUR. DE ICI�E BUSINESSIAGENCY:r-n YY A&* (zrO�nvilbnw+.+•�2L.1,(.i, <br /> ADDRESS: S N "kb <br /> PHONE(1): JW PHONE(2): �3I"�a'S$r7C) FACSIMILE: ` 0-111Y <br /> TENTATIVEAPPOINTMENT DATE: Time:s_n <br /> ((Plea"all)ow 10 bwinesa days from data of application submittal-•Tenfativa only-must ba CO <br /> CHECK BOX TO EXPEDITE RE T.$ FEE SH OR CHECK ONLY)-REQUEST PROCESSED INOWUSIy A <br /> SIGNATURE OF APPLICANT DATE ' I—O <br /> UNIT DISTRIBUTION ❑Unit 1 ❑ Unit 2 ❑ Unit 3 11 Unit 4 13 Unit 6 ❑ Unit 6 ❑ Other(electronlclilawmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> abnet/ Street Nam City <br /> 050 .._... K <br /> t c In o LTIwest� <br /> 1 0.(.0807 rTt .......__. Y N o <br /> ip <br /> 10.Specfic Oate Range of Informatlon Requested:From E q� to . <br /> It ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I t UNDEROROUNO TANK(UST)CLEANUP SRE(LOP) I7 HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEMCLE <br /> ❑OTHER CLEANUP SITE(NON.LOP) ❑FOOD FACILITY 0 WASTE TIRE , <br /> IF UNDEROROUNb TANK(MONITOMNGIREMOVAL) ❑Coo KENNEL 11DAIRY <br /> 9CHAZARDOUSWASTEGENERATOR ❑CMICKEN RANCN ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDIOHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPDC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY8:00AM-8:00PM - EXCLUDING HOLIDAYS. <br /> I. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file 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 for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as relossed will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> EBD444 4114 <br /> 7N410a <br /> 3133 <br />