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10/23/2006 10:03 <br /> A g t%LS916-37109 RANEY GEOTECHNICAL PAGE <br /> 2 01/01 <br /> �/J[�D SAN JOAQUIN C06TX • EHb LOG NUMBER <br /> VL fENVFRONMENTAL HEALTH MPARTMENT <br /> ENVIR 2 3 2006 304 East Weber Avenue,3d Floor, Stockton,CA 45202-2708 <br /> ONMENT HEALTH elephoRet(209)468-3420 Fax: (209)464-0138 Web; www.Ejgov.org/ehd 030 <br /> PERMITISEROCES PUBLIC RECORDS REI..EARE APPLICATION <br /> APPLICANT: a Ac> ,,1 BUSPIESSIAGENCY: e' <br /> ADDRESS: EJB �U31 Dar... �A T 541f. <br /> FHONE(2): FACSIRNLE:41(/.)d3 <br /> A4(` (gag <br /> TENTATIVE*APPOMTMENTDAYE: tjBNewo u; 6 l �oG Time: 10' Q.:;' /_Z.!" <br /> (Please aflow 10 bdsineas days kr m data of application aubmrHal••rentatfive only•must be Confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE F - 3- FEE R CHECK ONLYI-RP_OUEST PROCESSED IN 3 BrlNESS DAYS <br /> NT <br /> SIGNATURE OF APPLICADATE fm l <br /> UNIT DISTRIBUTION OUnit 0Unit 2 0U OUnit 4 0Unit 5 0 Unit6 00 Other (ale trmWIfstslmaps) <br /> _ _—8 <br /> FILE ADDRESS EHD USE ONLY <br /> _ <br /> Street N Street Name CKy <br /> 6. <br /> 7. <br /> Specific Data Range of Inforinafion Requested:From tD <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> UTNDERGROUND TANK(UST)CLEANUP SITE(IAP) O HOUSING ABATEMENT 0 SOLID WASTE FAOILITYIVENICLL <br /> OHER CLEANUP SITE INON•LOP) 13 FOOD FACILITY ❑WASTE TIRE <br /> HDERGROUNDTANN IMONITORINOjNRMOVAL) 0Doe KENNEL 0DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH M WASTRWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEIJHDTE4 0 PUMPeR TRucKIYARDICHEM TOILETS <br /> 0 TATToolSoDY PIERTRNG 13 POOLISPA 0 LAND USE APPLICAMON SITES <br /> 0 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AYA BLE FOR REWEw• MONDAY-FR{DAY BAD AMa3;09PM - E(OLUDIN6 HOLIDAY& <br /> t. List up to ten addrasses in the space above. Select the type(s)of files from tho list above by checking the <br /> appropriate box(ea). At least ore file typa MUST be selected, gax to f2091464•t)138 or mail to the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance with file addresses, contact <br /> the EHD.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 ten(40)days after receipt of application. The files will beheld 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 now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the some 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 /> END 4&VzaOX <br /> 9!1Alr6 <br />