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X3/20/2006 07:01 91686*'40 SECOR PAGE 01/01 <br /> 03/1i/2006 15:522 4G/ EIWIRONMENTAL 1­,_,L-iH 002PAGE 11 <br /> as fI r SAN JOAQUIN COUNTY <br /> (� ENVIRONMENTAL HEALTH DEPARTMENT <br /> Qapt-�}0? m CO 304 East Weber Avenue,3rd Floor,Stockton,CA.952022708 <br /> ophonet(209)468-3420 Fax: (209)464-0138 Web: v^M.SjWA&R 20 AM 7: 48 <br /> PUBLIC RECORDS RELEASE APPLICATIONr <br /> r 6 cel H L' <br /> APPLICANT; �'�°`�^�n""'T BUSINESSrAORtCY: F � �CFk�wStkfi�-Se�F•.bF-±(_ <br /> ADDRESS: 'tp1T K.lymre IIA. S'+e. (mJ CITYEaw°41�Lp;�oy STATE e- tV <br /> PHONE(1);89A6'- -OYOy PHONE(2): FACSIMILE: 9rb-ffd(.pYao <br /> TENTATIVE"APPOINTMENT DATE: 3z 3-Ye C' Time: <br /> (Please allow 10 business days from date of appBcaOOn submMI-"Tentsom Only-must be confirmed) <br /> I7 CHECK BOx TO EXPEDrm REQUEST-03,00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ���""73 — DATE -Y('7 0 <br /> CElectronic 0 List O Map-Description <br /> Mfonnatlor <br /> FILE ADDRESS EHD USE ONLY <br /> >^ sbeet0 street alma city <br /> 1. 8T3 • YM9eRiFe hue. <br /> 2 <br /> 3. <br /> 4. Unit 3 3l <br /> S. <br /> / <br /> 6, Unit 4 <br /> 7. <br /> 10. <br /> 8peomfio Date Range of Information Requested:From 'TA w»,41P 2 oD Z.. _ ._ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ MAR 2 7 DOE <br /> ,V UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSmG ABATEMENT U SOLIDWASTt FACILMIVEHIM <br /> 0 oYHER CLEANUP SnE(Nov-LOP) ❑FOOD FACKM 0WASrm TIRE (1� <br /> Ut�EROROVNOTAHK(MONrtnN7NOIFt6MOVAl) Cl DOG FORPL O DAIRY ,�,1( <br /> D <br /> tl CHIGREN RANCH ❑wASTEWATei1 TAcxn Ia1;Yttdt' I' <br /> 0HAZARDOUS WASTE OERERATOR 17 PV1M+ErtTmrcxlYARorceEtiAc L <br /> O TIaRF.b OmmnTrw FAcruTT ❑MOTELMOTEL <br /> •TATTOO(90DY PMROING O P001.r$PA 13).AHD USE APPLICATION SITES <br /> ❑Ma010ALWASTEFAOILrrY ❑OTNER(PLaAaE SPECIFY) - <br /> WELL ARD SaPTIC PERMIT RECORDS ARE AVAILABLE FOR RVM4 W MONDAY-FRIDAY 0:00 AM3:OOPM ExOLUDrWHOI.IOAYS. <br /> J. List up to ten addresses in the space above. Select the tyPe(s)of e.$from the list above by checking the <br /> fif <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2091 a64-01 t1 or mall to the adQresa <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD. Applications received after 2:00 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(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 fila not 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 /> n <br /> ra _ l <br /> EH0 40 06 <br />