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01/09/2008 15:01 209334�_ _,l WGR SOUTHWEST NC PAGE 01/01 <br /> DAT I7E.72z �[�� SAN JOAQUIN COUNTY EHD LOG NUM9ER <br /> �H <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JAN 1 0 2008 600 East Main Streot, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.or <br /> ENVIRO �IEN HEALTH 3Z7 <br /> pFgr,gMSES 71Ari E! CPU�IBLIC RECORDS RELEASE APPI ICATIOIV <br /> APPLICANT: R 1 ` e„�T�SUP.�.4A� BUSINESS/AGENCY: LJ •QS(" <br /> ADDREsg: �1�^1 G 1n1 • 5 Kee r 1 TLLo D CA <br /> PHONE(1):alA/Tl 3-5�g53 63 ----PHONE..(yy2.�): 6 '7 37(e& FACSIMIILZ.2 � -7i 7 K 5 3�q <br /> TENTATIVE'APPOINTMENT DATE: //.�/I P-?- 2-00 eT Tlma:, <br /> (Please allow 10 business day,from date of application submittal-'Tentative only-must be conflnnaq) <br /> ❑ CHECK DOx TO EXPEDITE REOUST-f99.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT DATE D <br /> Electronic Information: ❑List Li Map-Description: 61 <br /> —LE ADDRESS �1 <br /> Street Street Namaqq EHD USE ON Y <br /> City fT c ❑ unit I <br /> 1. <br /> 515 ay. lve, <br /> 2. 3505 &V rr5(t)) <br /> U <br /> 4. 5 w , S+Y 3 �5�77h Unit3 <br /> / 5. N ✓ d Tp I?k Pd <br /> !tom � 6• - Unit \ <br /> �l T <br /> �,\\ S• ❑ unit 5 <br /> 9. <br /> 10. Unit s <br /> Specific Date Range of Information Requested:From Lr(. to <br /> All, <br /> __// ENVIRONMENTAL HEALTH DEPARTMENT FILES °}3 <br /> UW NDERGROUND TANK(UST)CLEANUPSrrE(LOP) 0 HOuSiNG ASATEMENT I <br /> @@@�ER CLEANUP SITE(NON-LOP) ❑K f�pUD WASTE FACILITYNEHICLE <br /> UNDERGROUND TANK(MONnORING/REMOVAL OG KENNEL WASTE TIRE <br /> HAZARDOUS WASTE GENERATOR,/ I v' DOG KENNEL E3 DAIRY <br /> �TIERED PERMITTED FACILITY C2 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TATTOO18ODY PIERCING C3MOTEIIHOTEL E7 PuMPER TRUCKIPARD/CHEM TOILETS <br /> 0 MEDICAL WASTE FACILITY ❑PCOL/SPA 0 LAND USE APPLICATION SrrES <br /> OTNER(PLEASESPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- <br /> MONDAV•FRIDAY B:00 AM$;OOPM - EXCLDDING HOLIDAYS. <br /> 1, List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209 14613 or mail to the addr ss 113dicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,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 END 11168 exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of applicatlon. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> S. A file that is actively being worked on by END staff may not be Immediately available for review. A new application may be <br /> 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 applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> - Z <br /> 35th 2 <br /> 4I`( <br /> 1 +2 <br /> EIN�a,e arnoDT <br />