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06/23/2005 14:03 916-371-' 99 RANEY GEOTECHNICAI. PAGE 01/0 <br /> DATE RECEIVED EHD LAG NUMBER <br /> SAN TA.L HEJOAQUIv HEALTH <br /> DEPNTY �� � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 2005 J <br /> Telephone: (209)468-3420 Fax.(209)464-0138 Web:www.ajgov.OWehd UN 23 PPS 3.:19 <br /> SAN lOP OUIrd <br /> _ PUBLIC RECORDS RELEASE APPLICATION ENy1p0 �"r.ODUT <br /> APPLICANT- /7 C BUSWISSIAGfiNCY: <br /> ADDRESS: 7 <br /> (r!t <br /> PHONE(1):(9�� 531_ T PHONE(2): FACSIMILF.� <br /> TENTATIVE'APPOINTMENT DATE: Time: Jukl 200 <br /> (`leave 811M 10 business days from date of applinAtloR submittal-'Tentative only-must be caldlm 0 <br /> CHECK BOX TO EXPEDITE REQUEST- - 0 HECK ONLY).REQUEST PROCESSED IN 9 USINESP DAYS <br /> SIGNATURE OF APPLICANT DATE !� j <br /> UNIT DISTRIBUTION 0Unli1 nit Units nit4 17 Unit 0 Unite Q Oieer(eleCNonlcAlatsamaps) <br /> FILE ADORES EHD US <br /> ED <br /> \ Sbeelp Street Name City <br /> z._ oo iyoNr S�Me tot ST <br /> a ,c�.y��,y 5/ SmCerc, k r D5 <br /> TjLE�7DNr 5,-r SrDC-STD f fild <br /> 5. <br /> T. _ .. .._ <br /> 9. , - <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOuSINGA9ATEMENT O SOLID WASTE FACIUTYNEMMLE , <br /> OTHER CLEANUP SITE(NON-LOP) C3FOOD FACR.RY 0WASTE TIRE <br /> O UNDERGROUND TANK(MONITORIMoIREMOVAL) 11 Do*KENNEL 11DAIRY <br /> A HAZARoous WASIT GENERATOR O CNICKEN RANCH XwASTEY/Antt TREATMENT PuRT _ <br /> 171 TIERED PERMITTED FACILITY ElMOTFAMOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑TATTOo/Bom PIERCmG Q POOIJSPA 0 LAND USE APPLICATION SITES <br /> C3 MEDICAL WASTE EACRRY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILADLE FOR REVIEW • MONDAY-FRIDAY 8:00 AMS:DOPY - FSCLUMNG 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 <br /> appropriate box(es). At least one file type MUST be selected. FOX to(209)464-0138 or mail 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 alter 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. Anew <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 /> END 44424H ^ <br /> ulws <br />