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10/22/2010 08:46 925746Fn99 AEI CONSULTANTS PAGE 01/01 <br /> uLL1D SAN JOAQUIN COUNTY `y -EHD LOG NUMBER <br /> U':i `L 2 ZO10 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St.Stockton, CA 95202-3029 <br /> ENVIRUNIMIENT HEATtftphone:(209)468-3420 Fax; (209)464-0138 Web:www.sigov. rg/eh <br /> PEEMI 0 PUBLIC RECORDS RRL EASE-APPLICAnON <br /> APPLICANT: ie, Air <br /> n" <br /> ( (I �bl� (� BUADDRESS: SINESS/AGENCY:��i� C.c @u,�4a4i <br /> CITY/STATEMP: 'Wal Cwk k C PrgL1 <br /> PHONE(1): q2 (D-(C' PHONE(2): Ca25) (o-(oD5 3 FACSIMILE: (R2 0 53 <br /> TENTATIVE'APPOINTMENT DATE: <br /> (Pleaae allow 10 buslnaes days from data of a Iltahon submiNal-" Time. <br /> PP Terfatfve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE RE ST.5115 FEE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN Q y ua &D I RR 0-4 DATE ! 2 Z p <br /> Electronic Information: ❑list❑Map--Description: <br /> FILE ADDRESS EHD USE DNLY <br /> Street R Street Name ry,, city <br /> 1 4 Co TymeYI`I-- U!I_ZL�" INMV, Unit 1 <br /> 2. WO Ea t �r Or1� + tan s <br /> 3. Unit 2 <br /> as+ �rtrnoni yS+re¢i- (SVt�c�KLMwvI <br /> 4. 60tS+ �i{�� ! Q•�. V�r.t�h i u* I <br /> 5, U , .Unit 3 <br /> 6. <br /> 7. Unit 4 <br /> 8. <br /> 9. ❑unit 5 <br /> unn sr <br /> Specific Data Range of information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES Ie <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT SOLID WASTE FACILTTYNEHICLE \O <br /> ®OTHER CLEANUP SITE(NON-LOP) El Four)FACILITY WASTE TIRE '` <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL� <br /> El DOG KENNEL DART 1 , � <br /> HAZARDOUS WASTE GENERAT CHICKEN RANCH W' ?j <br /> * 'O <br /> TIERED PERMITTED FACILITY�y g CHICKEN RMOTELJHOAN WASTEWATER TREATMENT PLANT <br /> EL <br /> ®TATTOOIBODY PIERCING V\ CI POOL/SPA PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> Ed LAND USE APPI.ICATioN SITES <br /> MEDICAL WASTE FACILITY <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDA -FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS <br /> L Ust up to ten na ses addin 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. F 09 4.0 rlr mall to the ddress I�cated 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 EHD will notify the applicant If any EHD files exist. An appointment r review will be confirmed approximately <br /> ten <br /> days after racelpt of application. The files will be held for a maximum of ve business days for review. ppo nt$ (1 g) <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 available. <br /> 4. Any file not returned in the same condition as released will be reorganize by EHO staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit priol to review. <br /> 5. N you need further assistance,please contact Diane Martinez,at(209)4 3425. <br /> LL� EHD USE ONLY <br /> O T Cf <br /> a - I -Z- nQQ <br /> EHD4a-tis V /7 <br /> Soto i`�in NM) /� # t000 30n <br /> P�Pbs� 5/�r�oo ofe ;A i� Tkle. tg �''e) d <br />