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03/09/2006 THU 15;55 FAI 209;te?999 SJC PUBLIC WORKS X001/001 <br /> aMED SAN JOAQUIN COUNTY <br /> EHD LOO NUMBER <br /> 11 ENVIRONMENTAL HEALTH AEPARTMENT <br /> M A� _ 2006Q q 304 E Weber Ave 3°Floor Stockton,CA 95205 <br /> ANENT 8 3420 rax:(209)464-0138 Web:www.CO.San joaquin.ca_us1ehd 4Z� <br /> 513 <br /> ENVIRON PUBLIC RECORDS RELEASE APPLICATION �f���//��fff��� <br /> ��,�tlTlsEavicEs <br /> APPLICANT: Claudia Gemberling ausiNESSIAGENCY: San Joaquin County Public Works Department <br /> ADORES&: 1810 E. Hazelton Avenue, Stockton, California 95205 <br /> pwmF_ 953-7624 FACSIMILE, 468-2999 <br /> TENTATIVE`APPOINTMENT DATE: Tim; <br /> (Please allow 10 busmass days.Irpm date of,ppl(c 1jw 9ubmHtal) <br /> v <br /> C CHECK BOX TO EXPEONE REQUEST•573.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> U Uepari Wrd Use Orly <br /> 1FILE ADDRESS UNIT <br /> -1 r. [IUnit 1St -- <br /> e2.�i 1/!.K'iLf.YsL AVEt. <br /> S. V .L Abe CM, t 2 <br /> Ckv A) <br /> s. aeon j� Unit 3 <br /> e. areAduy,0. E I <br /> s» <br /> 6. 91Be1I a0 S <br /> F <br /> Elunit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT �--SOLID WASTE FACILITY <br /> OTHER CLEAm/P SUM(NOM-LOP) ❑ FOOD FACILI Y ❑ SOLID WASTE VEHICLE <br /> c8-UNDERGROUND TANK(MONITOMNGMEMOVAL) ❑ DOG KERNEL ❑ DAIRY <br /> CRL HAZARDOUS WASTE GENERATOR in CHICKEN RANCH O PKG TREATMENT PLANT <br /> 0;TIERED PFRMFITED FACILITY O MOTEVHOTEL ❑ PUMPER TRNCKIYARDICHEM TOILETS <br /> ❑ TATT001BODY PIERCING ❑ POOLJSPA O LAND USE APPLICATION SITES <br /> D MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking i <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209)4640138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed ` <br /> approximately five business days but no later than ten(10)days after receipt of application. The filos <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> 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 <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> Aw <br /> fla"T£�6NFIFtN1ER � ,� <br /> mp <br /> arelzsw <br />