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03/16/2010 16:55 9257466499 AEI CONSULTANTS PAGE 01/01 <br /> (,� �(� / \./ 1C <br /> I EM ��//�ID ,SCAN JOAQUIN COUN',["Y EHOLOGNUMBER <br /> I! ll V l/ V ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 1 T 2010 600 East Main St, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fam(209)464-0138 Web:www.8jgov.Or!v1h <br /> ENVIRONf ZE U,S_HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> 5 I &0� <br /> PERMIT/SFRilIf;FS <br /> APPLICANT; BUSINESSIAOENCY: <br /> ADDRESS: z.1&tzt0 %Aa CITYISTATEreIP � v.ft CI ALJi1 ,_�r �Y.55� <br /> PHONE(f); 92-5-7ti to-lnCYO$ PHONE(2); FACSIMILE: �S-74f�1�R9 <br /> TENTATIVE"APPOINTMENT DATE: nm: <br /> Mason allow 10 business days from data of appRem[on submittal-'Tentative only-must be cordirmed) <br /> O CHECK BOX TO EXPEDITE REQUEST-$105.40 FEE SLASH OR CHIEV ONLYI-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � � DATE ''J — ( ,S (p <br /> Electronla Information: ❑List❑Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street tF Street Name City Unit 1 <br /> V f � <br /> z.' <br /> 3. <br /> 4, Unit 3 <br /> 5, <br /> 5 Unit a <br /> 7, <br /> 8 --- ❑ unit 5 <br /> 9. -- <br /> - Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> &IIINDFROROUND TANK(UST)CLEANUP&MR(LOP) O HOUSING AeATEMENT -P%OUD WASTE FACILITYNEMCLE <br /> HER CLEANUP SITE(NOW-LOP) 0FOOD FACILITY w'ffWASTE TIRE <br /> WnNOEROROUND TANK(MORTORINC7REMDVAL)K. ❑DOG KENNO. 02�AIRY <br /> eg'11AZARDOUa WASTE GENERATOR p( ❑CHICKEN RANCH D WASTEWATERTREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY 0 MOTELMOTEL 0 PULER TRUCKIYARDICHeMTOILETS <br /> 17 TATTOOMODY PIERCING O POOLI5PA ❑LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE.FACILITY C3 OTHER(PLBAse SPECIFY) <br /> WELLAND SEPTIC PERMIT RECOROSARE AVAILABLE FOR REVIEW MONDAY-FRIDAYS:00 AW6:00PM -ExOLUDINOHOUDAYs. <br /> 1. List uo to ten addresses In the space above. Select the typa(s)of files from the Ilst above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail lathe address Indicated above Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:OD 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 approximately ten(10) <br /> days after receipt of application. The Tiles will be held for a maximum of five business days for review. Appointments <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 fila not returned in the same conditlon as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105.00 deposit prior to review. <br /> EHD USE ONLY <br /> fRelf )Lou need further assistance ease contact Diane Martinez @ (209)468-3425 directly. Thank You'* <br /> EIID."E Noar(ppg <br />