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02/07/2006 11:33 GEOMPTRIX—RANCHO CORDOVA 4 12094640138 ND.081 IP02 <br /> �I -' �b''� 4 <br /> n014 <br /> 64011 ENVIRONMENTAL 14 PAGE $1• <br /> ._ :�I_!L' SAN JOAQUIN COUNTY c^VLv <br /> IMMOtH <br /> ENVIRONMENTAL HEALTH DEPARTMENT ^ <br /> LO Bast Weber Avenue,3rd Floor, Stockton,CA 95202-2748 ( / <br /> ENVIRONMUIT NEALTiTelephone: (209)468-3420 Fax: (209)464-0138 Web; www.sjgov.orF/ohd2� <br /> PER ITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: M qo,, <br /> e : A BUSINESSIAGENCY: 6iroyim4 t)c J-r kk4k4S <br /> ADDRESS: /06'70 W k4k Aoc l 9-Of- 0/0 0 CITY 0.*W A.4 ewol,4Y0. STATE CA G <br /> PHONE(1) 7a!6 S3 - 89!! PHONE(2): NIA FACSIMILE; 9!t. �36.8aP <br /> 0 <br /> TENTATIVE'APPOINTMENT DATE; f"Ad! J3 P406 Time: 0906 <br /> (Piease allow 10 business days from date of a9cation submittal-'renlotive only-must be confimred) <br /> WCRECK BOX TO EXPEDITE REQUEST-S93.Oo FEE(CASH OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT DATE D <br /> InrormRliO in List O Map-Docrlptione <br /> FILE ADDRESS EHD USE ONLY <br /> StreelP SVeot Name City <br /> 1. /2.fof as tah t Roa OcKts er• ❑ Unit 1 <br /> z. <br /> 3. nit 2 <br /> s. e Unit 3 <br /> 6. <br /> T, JeUrlft 4 <br /> 9. <br /> 9 O Unit 5 <br /> 10- lie Unit 6 <br /> Specific Date Range of Information Requested:From k4 to �hy�r�• <br /> AENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(LIST)CLEANwP Sim(LOP) O HOusiNCARATEYENT tC SUM WASTE FACluTYNENICLE <br /> K OTHER CLEANUP$ITE(NON-LOP) G FOLD FACILITY n WASTE TRE <br /> 10 UNDERGROIINDTANK(MoNnORINGRttMOVAL) ❑DOG KENNEL ODAIRY <br /> 0 HA2aROONS WASTE GENERATOR ❑CNrCKEN RANCH ❑WAS"ATER TREATMENT PLANT <br /> R TIERED PERMITTED FACILITY CMOTtUHOTL 0 PUNPERTRUCKlYARDICNEMICALTOILETS <br /> O TATTOW15ODY PIERCwc C POQU$PA 'R LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REbIEW •MONDAY-FrJDAY8;00AM$:D0PM • SxCLUDaOHOLMAYs. <br /> f. 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, Facto f209)464.0139 or mall 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 It 0)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 hot 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 /> Eno iuc <br /> iPn11'1CC6 <br />