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May. 31. 2007 8: 13AM Advanced Geo Environmental No. 8774 P. 1 <br /> DAT�gD � �( UM6ER <br /> R���� SAN JOAQUIN COUNTY <br /> FHS LOG N <br /> 1� ENvmoNMENTAL HEALTH DEPARTMENT <br /> MAY 3 l 2007 304 East Weber Avenue,3`d Floor, Stockton, CA 95202-2708 l _ <br /> Telephone:(209)468.3420 Fax: (209)464-0138 Web:www.sjgov.org/ e��`("� <br /> ENVIRONMENT HEALBA r — <br /> PE4 <br /> PUITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: prR"\)P. DEICKk BUSINESSIAGENAd <br /> CY: \fQA A lxToFrlVlIyYLO.A../�A,` (xr� <br /> ADDRESS: '931 5 HA'w Az" <br /> PHONE(1): 'W t{0-1006 PHONE(2): 07�"�.�-5$Sl) FACSIMILE: 'tb�t'1111 <br /> TENTATIVE•APPOINTMENT DATE: Time: j� <br /> (Please allow 10 business days from date of application submittal-"Terrtativa only.must be co <br /> CHECK 80X TO EXPEDITE RE T-S s FEE 8H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSI A <br /> SIGNATURE OF APPLICANT �� DATE <br /> UNITDISTRIBUTION dUnit 1 0unit 2 ❑ Unit 3 ❑ Unit 4 ❑Unit 6 13 Unit ❑ Other(efectranicniste/maps) <br /> FILE ADDRESS EHp USE ONLY <br /> street III Street Name _.._. City <br /> oto 5Tn Ft <br /> 303() TM(srT _. TIM,, 01 P bll& AFF <br /> "416 9044 r r o Ij <br /> 7. r l� <br /> 700 __ O <br /> . <br /> Specific Date Range of Information Requested:From (Q$0 to phPS4ty� <br /> l <br /> rA,�A ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4L UNOERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0WASTE TIRE ' <br /> IP UNDERGROUND TANK(MONITOmNGIREMOVAL) ❑DOG KENNEL 13 DAIRY <br /> 9CHAZAROOus WAsm GENERATOR ❑CHICKEN RANCH O WA6TEYATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEIHOTEL ❑PUMPER TRUCK/NARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING ❑POOLISPA ❑LANC USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY In OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMITREcoROs ARE AVAILAHLEFORReAEW- MONDAY-FPoDAY6:00 AM-6:00PM - E%GLUDINO 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 \y■tea <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 EHO.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. \V/e <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. 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. Future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> 4 04 <br /> ETIs�e.uez.aer <br /> wan <br /> 3�13� <br />