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11-Jan-2006 02:25pm From-Youngdahl ulting Group, Inc 916 833 6482 T-232 P.001/001 F-779 <br /> TE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH Don,CA 5202- � � <br /> 304 East Weber Avenue,3rd Floor,Stockton,CA 95202-2708 ry <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:WWW.sjgov.org/ehd <br /> // PUBLIC RECORDS RELEASE APPLICATION / / /7 / <br /> APPLICANT: L CL6Ci°�%� -J-,cr4 e / BUSII�NESS/AGENCY: 410M'naa V CaAM lT/f1(,i <br /> ADDRESS: ap-t. '7ro R <br /> PHONE(7): /p PHONE(Z):�QI�O 2 '/ 7^076 LR FACSIMILE-Z"/ 3^ b e�'aZ <br /> TENTATIVE*APPOINTMeNr DATE: rime: <br /> 01111 <br /> .,/ (Please altm 10 business days from date of application Submittal••Tentative only-must be confimled) <br /> 01 CHECK BOX TO EXPEDITE RE -$93.00EE( R CH LY)-REQUEST PROCESSED 1N 3 BUSINESS DA ,mkh <br /> SIGNATURE OF APPLICAN DATE <br /> UNR DIsTRIBUTION Unit 0 Unit 3 0 Unit 4 0 Unit 5 0 Unit 6 0 Other(electronicnist;/maps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City <br /> 1. /00 Gha.r•7te.- IlVau S-tacK 100 1 <br /> 2. 5D Cl1a'e- er- <br /> 3. <br /> 4. <br /> 8- 1917 Fr-ec60 l�ire_�r n <br /> Yr <br /> 9. <br /> may- <br /> 10. <br /> Specific Date Range of Information Requested:From ° Aillaig <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t�NOERGROUND TANK(UST)CLEMIUP SITE(LOP) 13 HOUSING ABATEMENT LIDWASTEFACIUTYA/EHI E <br /> 666YYY pruOR CIFJWUP SRE(NON-LOP) 0FOOD FACHATY ❑WASTE TIRE <br /> ■J7/nDERGROVND TANK(MONRORINWREMOVAL) Cl DOG KENNEL 0 DAIRY <br /> HazA us WA GENERATOR O CHICKEN RANCH 0 WASTEWATER TREA7101ENT PLANT <br /> 0 TIERED PERMITTED FACILITY O MOTEL/HOTEL ❑PUMPERTRUCK/YARDICHEM TOILfly <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 17 OTHER(PLEASE SPECIFY) <br /> WE ANOSEPnCPEWURECOROSAREAVAILABLEFORREVIEW . MONDAY-FRIDAY11:00AMS:00m . E%cwyimGHouOA".S. <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. Fax to(209)464-0135 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 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 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 593.00 deposit prior to review. <br /> EHD MOz-0vF <br /> URNS <br />