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10/22/2010 08:46 925149 AEI CONSULTANTS PAGE 01/01 <br /> U UM,�10 SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> (A. f L 2 1010 600 East Main St.Stockton, CA 95202-3029 <br /> ENVIRUNNIEN i HEATL110phone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov. rg/eh <br /> Pr V!C S- . PUBLIC RECORDS BELEASF_APPLICA-TION - <br /> APPLICANT:-'& I e- Sr)I n BUSINESS/AGENCY: <br /> S�t � fund <br /> ADDRESS: 2 (3i7 (QVY)In0 lttb1� CITYISTATEf[1P: WAJ � Cte-LP���{&Cj' -qt.I <br /> '1.rj <br /> PHONE(1): Q �a'II &-(p06g PHONE(2): (Q25h4(9-(0C6_a FACSIMILE:-(q27--3q4 053 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Plaaaa allow 10 business days from data of application submittal-"Tee}affve only.must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE W-$115 FEE C SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICAN gym SpIQR tyr DATE_ (O122_1(o <br /> Electronlc Information: ❑List 0 1 Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. f} 4 >va �YBMarit {LI SIwKtmr1 0z <br /> 2. IDC) Zc4SA- ' --,Almprl-I- + lar) s <br /> Unit z <br /> 3. SGS F �T�fYtOPII SI�1,CQ �i (S��y�Lr�KrDV) <br /> 4' bQ Try, 4—�+'1, fY�(,i- VIC�(rlii�'1 U Unit3 <br /> 8. <br /> /p Unit 4 <br /> 7. <br /> 8. <br /> ❑units <br /> 9. <br /> Unit B l <br /> Specific Oats Range of Information Requestatl: From � _ to 1 r <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT - SOLID WASTE FACILrTYNEHICLE \O <br /> ®OTHER CLEANUP SITE(Nowl.0P) El FOOD FACILITY WASTETIRE .'��, O <br /> ®UNDERGROUND TANK(MONnORINGIREMOVALi/ ❑DOG KENNEL DAIRY ' - li <br /> HAZARDOUS WASTE GENERATOR(Y �CHICKENRANCH WASTEVYATER TREATMENT PLANT 'O <br /> TIERED PERMITTED FACILITY/1l _\ MOTEUHOTEL PUMPERTRUCKIYARD(CHEMICAL TOILErs <br /> ®TATT00I800Y PIERCING V� ❑PODUSPA LAND USE APPLICATION SgES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEw: MONDA FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS <br /> 1. List un to ten addresses in the space above. Select the type(s)of Tiles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. X2091484-0138 dr mall to the address Indicated,bore Address <br /> ranges will not be accepted-for additional assistance with file addressag,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 FHD files exist. An appointmentr review will be confirmed approximately ten(10) <br /> days atter receipt of application. The files will be held for a maximum of the 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 immediate y available for review. A new application may be <br /> submitted when the file is avellabla. <br /> 4. Any file not returned in the same condition as released well be reorganize by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$1 IIS deposit prix)to review. <br /> 6. If you need further assistance,please contact Diane Martinez,at(209)4 3425. <br /> EHD USE ONLY <br /> 0 0', LlF <br /> -ID ` i r. <br /> - I Z- <br /> . �; ,1.-a, LL 00 - 148x9 <br /> EHD48-08 5fO(o hlfl '1TVV �, S+I.WV 3oyZ+ -� � � (A /["� � MIR <br /> Ave6//6/00 of f- Tyile. <br />