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08/09/2007 THU 15:04 FAX 2099 SJC PUBLIC WORKS X002/006 <br /> DATE RECEIVED FILEXOPY <br /> SAN JOAQUIN COUNTY <br /> 5101t �Lv 0.1 ENVIRONMENTAL HEALTH OEPARTM3c; <br /> 304 E Weber Ave 3`d Floor Stockton,CA 952 <br /> w <br /> (209)468-3420 Fax, (209)464-0138 Web: ww_co_san joaqua <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Cl.audia Gemberling BUSINESS/AGENCY: San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, Californi-a 95205 <br /> PHONE: 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (P(casc allow 10 buslnoss days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-593.60 FEE—REQ//��U�"EST PROCESSED IN 3 BUSINESS GAYS p <br /> SIGNATURE OF APPLICANT , .�Zl. 14 . DATE 1 <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> I. Atmel 4a3.2 wi lsoil W4l - <br /> s. SU"t Q IQ ❑ Unit 1 - <br /> 3. s'., a 7e) I Q1 <br /> 4, SINAI a.3 00 Unit 2 <br /> 5. City \ <br /> sV. t 3 a. ca Unit 3 1 <br /> a. el �/ a � <br /> r. sv�I e2,3lP D cityUnit 4 <br /> s. swel d ca <br /> City ❑ Unit <br /> 10, SVDeI �a <br /> Cky <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT XSOLIO WASTE FI1C L1T1f <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL. DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELAiOTEL 0 PUMPER TRUCKIYAROICHEM TOILETS <br /> ❑ TATTOO/BODY PIERCING L7 POOIJSPA 0 LAND USE APPLICATION SITES <br /> In 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 <br /> the appropriate box(es). At least one file type MUST"be selected. Fax to(209)464-0138 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 files <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 neva/ d <br /> application may be submitted when the file is available. i" f <br /> 4.' Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> ------- ------of-the appllcant—future-file-reviews-by4hO Same applicant-may-require-a-$-93.00-deposit priorto-mview. - <br /> S. '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 /> C :Fc;r _ <br /> 1..,illR,..AIE,11J(TIS�IINTaAXEi <br /> -- <br /> f�'A'l�_�'t711E1RME� :.......: :... - - - <br /> ........ . .. <br /> ..:.: <br /> A _ :!ii�tTra <br /> ::REYI 7. <br /> 7. <br /> - <br /> ilkEl7... .... .:.. <br /> FjiD 4844 ...._._„ <br /> 8f9f�47 <br /> FILE COPY <br />