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07/10/2009 11:25 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> MYEDD SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL 1 0 2009 600 East Main St. (209) 64 CA 95202,2708 <br /> w 08 � 7,0q7 Telepbane: (209)468-3420Fax:(209)464-0138 Web:www.sjgov.or <br /> ENVIROPMEN i HEALTH <br /> PERMIT/SERViCEB PUBLIC RECORDS RELEASE APPLICATION //� <br /> APPLICANT:-7 40AP7 /rNP rn� BUSII'NE//SSIAGENpY:-.F/ 6,11ry/�L4N 77 <br /> ADDRESS: Z50o d24jT •and 21;2/ C"IsTATE(LIPyka / ecedCJ¢ �f9s'?Z <br /> PHONE('Ii:015-)71/6 -6000 PHONE(2):(& -) FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE: Tlme: <br /> (Please allow 10 business days from date of application submittal-•Tentative only•must be confirmed) <br /> l7 CHECK BOX TO EKPEOrrE REQUEST 4105.00 FEE(CASH OR CHECK ONLY),REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑List E] Map-Descriptlon: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name city ❑ Unit 1 <br /> "4. <br /> toPC Unit 3 <br /> atiNt4 <br /> 8 ❑ Unit s <br /> 9. <br /> 10. "Unit <br /> Specific Date Range of information Requested:From to <br /> —/ ENVIRONMENTAL HEALTH DEPARTMENT FILES ^ �I(�j- `�%t,�,,'„ <br /> I�r UNSERGRWNO TANK(UST)CLEANUP SITE(LOP) Cl HOUSINGA9ATeNew ❑S000 WASTE FACtUYMEHICLE ,T t <br /> �/OfHER CLEANUP Snt(NOWLOP) ❑FOOn FACWTY 13WASTE TRE (�+t'11 IIL�/� <br /> �r.ytt $AGROUND TANK(MONTORINGIREMDv4 O DOG KENNEL tl DAIRY <br /> RDOU3 WASTEOENERATORa 0 CHICKEN RANCH Cl WASTEWATER TREATMENT PLANT <br /> 13TIEREDPERm., FAciurtLIA 13MOTELMOTEL ❑PUMPER TRucKIYARDTCHEM TOiLErs <br /> 0 TATTOOMSDDY PIERCING t7 P0041SPA Q LAND USE APPUCAnON MTES <br /> O MEDICAL WASTE,FACItITT' ❑OrHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERAIT RLGOROSAREAVA1LABLE FOR RENEW. MONnAT•FaloAY 9:00 AM-5:OOPM • EXCLUDING HOLIDAYS. <br /> 1. List-up,to ten addresses in the space above. Select the type(s)of files from the Inst above by checking the approprlata <br /> box(es). At least one file type MUST be selected, �to LOS)464.0138 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,tooted the EHO,Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2 The EHD will notHy the applicant If any END files exist. An appointment for review will be cordlrmed approximately ton(10) <br /> days after receipt of application. The files 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 ENO staff may not be immediately available for review. Anew application maybe <br /> submitted when the file Is available. <br /> 4, Arty file not returned in the same condition as released will be reorganized by ENO staff et the expanse of the applicant. <br /> Future file reviews by the same applicant may require a$105,00 deposit prW to review. <br /> ENO USE ONLY <br /> ***If you heed further assistance please contact Diane Martinez C 1 <br /> 20910,66-3428 direct) . ThaM You*** <br /> R• 5 <br /> END.ata <br /> emarzlwa <br />