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6- 9-08; 10:27AM; 099836960 # 2/ <br /> 05/09/2005 11:45 46401--487NTAL H H PAGE 01 <br /> ENVIRONME <br /> SAN JOAQUrN CoUNTY <br /> MAY 0 0ENVIRONMENTAL HEALTH DEPARTMENT' / <br /> 304 East Weber Avenue. 3",Floor, Stockton, <br /> 1� <br /> n, CA 95202-2708 <br /> EtI1,1RONMEN], HEA, Te ePhOnc: (209)46&3420 Fax: (209)464-0138.Web.- VVINW. <br /> L <br /> PERMjT/8F8VjC.tS <br /> PUBLIC .RECORDS RELEASE Tir . <br /> APPLICANT. BUSAPPLICA <br /> lNEsr,1XGSNCY: C-e-4 <br /> ADDRESS:--Z—og ...) 11 <br /> PHONE is�J-e- <br /> PHONE(2) FACSIMILE: <br /> TENTATIVE"APPOINTIME1,1T DATE, T,T5.5 <br /> --I "? <br /> (Please allow 10 business days from rf-�00, 'f -.1 Time: Z) ej <br /> M date/of -JO Tentatral• tive only-rnmat be confirrncd) <br /> `CHECl Sox TO Expgj)ITE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE or <br /> UNIT DISTRIBUTION it 1 0 unit 2 Unit 3 - 1� I <br /> tP11:4 0 Unit 6� 13 Other(elzIrtronic/listaIrnapri <br /> j <br /> FILE ADDRESS <br /> Street 9 Street Name city I 1RHD USE ONLY 11 <br /> owGrJ. 'de Ae <br /> 2. <br /> 3. k 5 <br /> 4. <br /> 7. <br /> 9. <br /> Specific Date Range of Information Requested: Fromkto <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT k MISOLID,WASTE PACILFTYIVEHICLE <br /> ER CLEANUP SIM(NoN-LOP) 0 FooD FACJkJTY 0 TIRE <br /> DERSROUND TANK(MONITORINDIREMOVAL) .0 iWASTE <br /> 0 DOG KENNEL 'bAFRY <br /> FIMAZIARDOUS WASTE GENERATOR 0 CMCKEN RANcIN r3 wAsTEWATIER TREATMENT PLANT <br /> 0 TWRr;j)PERMrrrEo FACILITY 0 MoTELINOTEL I 0 PUMPER'RUcK/YAFto/CmEmTO1LFTS <br /> 0 TATToo/Gooy PIERCING E3 POCUSPA L3 LAND Use AppucAnoN 31TES <br /> 13 MEIRCAL WASTE FAcluTy 0 OTHER(PLEASE SPECIFY)_ J11 I <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MoNoAy-FmIDAY,8:00 AmL6:00PM - EXCtUDINQ HOLIZ)AYS. <br /> 1. List up to ten addresses in the space above. Select the type(&)of file I S from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to!'(209)4640138 or mall to the address <br /> indicated above, Address ranges will not be accepted-for additionill assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> Iles exist An appointment forl6view�will be confirmed <br /> 2. The EHD will notify the applicant if any EHD f <br /> approximately ten (iO)days after receipt of application. The files Vjll'beheid for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly, <br /> 3. A file that Is actively beirig.Worked on by EHD staff may not be Imme lately!available for.review. A new <br /> application may be aubrnitt6646en the file is available. <br /> 4. Any file not returned In the same condition as released will be reorganizecl loy EHD-staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$4.3.00 deposit prior to review. <br /> 16 <br /> A <br /> END MID2469 <br />