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------9'4/14/2005 16:11 916-373r-10_9 RANEY GEOTECHNIC-' PAGE 01/0 <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> APR 1 5 7nO9 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3d Floor,Stockton,CA 95202-2708 <br /> ENVEONVIETelephone. (209)468-3420 Fax, (209)464-0138 Web:www.sjgov.org/chd <br /> NTHI':ALTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSINESWAGENCYRck_r'<" craoi'f.L�IA!&J I.-!(. <br /> ADDRESS: <br /> -.c"_ (,-'r,'A4 <br /> 4 <br /> PHONE(1):_ of PHONE(2): FACSIMILE: Ita-s- <br /> I S109 <br /> TENTATIVE*APPOINTMENT DATE; A=-,, % -z?-, Time: #4t LA <br /> (Please allow 10 business days from datd of application submittal-*Tentstive only-must be confirmed) <br /> CHECK BOX TO EXPEDITE I-REQUEST_ 0 FEE(CAS"_Q_R j;,WQK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT — <br /> DATE <br /> UNIT DISTRIBUTION Unit <br /> Unit 1 R2 It-3 X'tt 4103 Unit 3 "R6 13 Other(aleatronfrAlatahn") 5/b <br /> U <br /> .— . <br /> FILE ADD.ESS EHD USE ONLY <br /> StIvat# Stnwt Name city <br /> 3. <br /> s. <br /> W. a, c <br /> 6. 32S G G uJ < M_Z_ <br /> Alt. <br /> 8. _3&0a If -314- <br /> 9 I-AM5C' s. .�t <br /> U0. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNcERcRoumn TANK(UST)CLEANUP SrTr,(IAF) 13 H*V*IN*ADATEmeNTQLID WASTE FACRMIVEMCLE <br /> 0 OZ m aowmmn� <br /> THER CLEANUP SITE(MON-LOP) 0 FOOD FAcuWASTE11RE <br /> UNDERQR*uNo TANK(MoNroRmaIREmovAL) 13 DOG KENNEL LV3%!61M <br /> 'HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH XWAMWATM TREATMENT PLANt <br /> RED PERMITTED FACILITY 0 MOTEL/HOTEL 0 PUMPER TRDCHIYARDICHEM TOILETS <br /> Armofflow PiEF=No 13 POOLISPA. ❑LAND USE APPUCATION$fM* <br /> K1111101CAL WASTE FACILITY C3 OTHER(PLEASE Simms <br /> WELL AND SEPTIC PERMIT RECORDS ARa AvAii.Amn FOR RkmEw- MONDAY-FRIDAY 8:00 AM*00rV - EXCLUDING HOLIDAYS. <br /> 1. List up to ton addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Pax to(209)464-0138 or mail IQ The address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EMD.Applications received after 3:00 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 ton(10)days after receipt of application. The files will be hold 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 file not retumed 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 />