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07/10/2009 11:25 9257466 AEI CONSULTANTS. PAGE 01/01 <br /> CHO LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTIi DEPARTMENT <br /> JIJL 1 Q 2009 600 Hast Main St. (209)464 CA 95202-2708 //50� <br /> Telephone: (209)468-3420 Fax:(209)464.0138 'Web: wwwsv <br /> jgo .or <br /> 7 <br /> ENVIRONMENT IiiAiLTH <br /> PERMIT/SERVIC)E� PUBLIC) RECORDS RELEASE APPLICATIONr / / <br /> APPLICANT:-7 l_Olinn /ry P_rnD BUSI``NE�/SS/IAGEN Y: &Z 6115- deal,Tr <br /> ADDRESS: 2500 ( 61411 r✓ld l��a�D // CITYISTATEZP WC..IN7 erl[.K ,e M 9yT97 <br /> PHONE(1): (9a. Z'/6 _6000 PHONE(2):(QZ,.5_) 7�0(o7 FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please a110w 10 business days from date of application submittal--Tentative only-must be confirmed) <br /> CHECK BOX TO EXPED1rE REQUEST 4105.00 FEE(CASH OR CHECK ONLY),REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑ ListE3 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 4 Street Name City ❑ unit 1 <br /> - <br /> 2 r s fr, lC� f c t ❑ unit 2 <br /> 3. <br /> ....... �.__.,��.- Unit S U <br /> 4. �y <br /> -I riC( � ct,t-i(<c;i <br /> 6. <br /> 7. <br /> - ❑ unit s <br /> B. <br /> . - W._.. ❑ unit 6 <br /> 10, <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ur Ug6ERCROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT ❑$OUP WASTE FACILRYfVEHICLE <br /> ■/(,;HER CLEANUP Sire(NON-LOP) ❑FOOn FACILITY 13 WASTE TIRE <br /> MERoROuNo TANK(MONITORINGfREMOVAL) O Don KENNEL G DAIRY <br /> ARODUS WASTEOENERATOR 0CHICKEN RANCH CI WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERNTTTED FACILITY ❑MOTELIHOTEL ❑ PUMPERTRUCKNARDICHEMTOILETS <br /> ❑TATTOOSODY PIERCING 17 P0041SPA CI LAND USE APPLICATION SITES <br /> E3 MEDICAL WASTE FACILITY 0 OTHER(PLWE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-Frn DAY 8:00 AM-S:OOPM - EXCLUDING HOUOAYs. <br /> 1. List upto 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)4840138 or rpall to the address Indicated 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 notffy the applicant if any EHD files exist. An appointment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The files will behold 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 EHO 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 ttt the expanse of the applicant. <br /> Future file reviews by the same applicant may require a$105,00 deposit prior to review. <br /> EHD USE ONLY <br /> -"If you need further assistance please contact Diane Martinez @ (209)168-3425 directly. Thank Y00" <br /> EHD"8-0R MIN05 <br />