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-� <br /> IF: 017/24/2007 11:49 53088714° BLACKBURN PAGE 01101 <br /> i <br /> EHD LOG NUMBER <br /> 0'06vro1,I�j ;J SAN JOA.Qi3IN COUN'T'Y <br /> ENVIRONMENTAL HEAum DEPARTMENT <br /> ,,!j `?. 4 2007 600 E..Main.Street, Stockton,CA 95202-3024 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.Sj90V I <br /> Ty"'_ PUBLIC.RECORDS RELEASE APPLICATION <br /> ;APPLICANT: BUSINESSIAGENCY' <br /> ;ADDRESS: <br /> PtIONEi <br /> I ): <br /> TENTATIVE"APPOINTMENT DATETICSW <br /> . �� Time: <br /> (Plaa+sa allow 10 busiltass d&ya from data a appllc t subF61t.t -*Tentative only-must b$confirmed) <br /> 101"CHECK BOX TO EXPEDITE REQUEST-$96.0 OR ECK LY)-RERUEST P CESSED tN 3 l3USINEss DAYS <br /> SIGNATURE OF APPLICANT TE <br /> Electronic Information: ❑ List©Ma Description" <br /> FILE ADDRESS � EHD USE ONLY <br /> Street Street Naha Tity Unit t <br /> 2. _40AIf- ❑ Unit 2 <br /> 4. ) r' 41n{t <br /> a . <br /> _6. <br /> �C .L�7Q. ti.: -s Units _ . <br /> 8. <br /> AOD LA <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From _ d/-, to <br /> J� ;ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IA I�IDERGROUNO TANK(UST)CLEANUP SITE It OP) 17 HOUSING ABATEMENT M.SOLID WASTE FACILITYMNICLE ._ <br /> `1 ER CLEANUP SITZ:(NON^I,OP) ❑FOOD FACILITY 0 WASTE TIRE <br /> isJV40RGROUND TANK(MONITORINnIREWVAL) 0 00G KENNEL 0 DAIRY <br /> " HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> E3 TIERED PERMITTED FACILITY d MOTELIHOTEL ❑PUMPER TRUCtslYARDICHEM TOILETS <br /> TATT0016ODY PIERCING t7 POOLISPA 0 LAND UF;E APPLICATION SITES <br /> D MEDICAL WASTE-FAm CIL0 OTHER(PLEASE SPECIFY) <br /> i <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR-REVIEW- MONDAY-FRIDAY 6,00 AM-S:OOPM - EXCLUDING HOLIDAY$. <br /> 't. Leat 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 12Q9.)404-0138 or mail to the address indleated.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 ne.1Et business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. Art appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maxlmtim offive business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EH13 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 condleon as released will be reorganized by EHD staff at the expense of the applicant <br /> Future-fila reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> c - <br /> I•HU 4d-ON W,3gQW web <br /> .. rl <br /> Y . <br />