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,-09/17/2008 16:07 916564?)22 KRAZAN PAGE 02/02 <br /> EHU LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> spp E NVIRONMENTAL 11FA1,11-1 M�P.ARTMENT <br /> 600 East Main Street, Stockton, CA.95202-2708 <br /> Te1cphone; (209)468-3420 ITax: (209)464-6138 Well): w'ww.sjgov.org/chd <br /> ''K J1 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: V/ <br /> BUSINESS/AGENCY; 70— <br /> ADDRESS- 51 <br /> PHONE(1): 5�; PHONE(2): FACSIMILE; <br /> TENTATIVE*APPOINTMENT DATE! Time: <br /> 'isbusiness " , on date of ipplicallon sulmlllol **Tenlativeonl,-must be confirmed) <br /> HECK BOX TO EXPEDITE REQUEST- (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 EU NESS DAYS <br /> XC <br /> (Please <br /> allow <br /> "' Y, <br /> SIGNATURE OF APPLICANT DATE ZZ771��17a ' <br /> Electronic Information: [I List El Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 7ty— <br /> Ity <br /> Street 6,Street Nimo Unit 1 <br /> L <br /> IAN,0'e�5'/Jo colf,r El Unit 2 <br /> --- <br /> lm,06! <br /> 2- <br /> ,Unit 3 ` <br /> 5. <br /> WUnit 4 <br /> 6. <br /> 7, Unit 5 <br /> 8. <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From torprl"a N M <br /> 71 F.*w *' <br /> ENVIRONMENTAL HEALTII DEPARTMENT FILES <br /> 11 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT CLIO WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 4�SIASTE TIRE <br /> -RQROUND TANK(MONITORING/R6tAOVAL)9— 06u KENNEL r] DAIRY rok" <br /> CHICKEN RANCH <br /> 5 <br /> AZAROOUS WASTE GENEP WASTEWATER TREATMENT PLANT <br /> ,ATOV— <br /> IERE-D PERMITTED FACILITYV- MOTEL/HOTEL, rZI PUMPER TRuCK[YARDICHEM TOILETS <br /> 171 TATTOO/13ODY PIERCING POQLt$PA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY OTHF.R.(PLEASE SPECIFY) <br /> WELL AND SIRPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIDAYS. <br /> I. List up to ten addresses in the space above. Select the type(5)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail 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 notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of a ppliCation. The files will be held 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 EHD staff may not be immediately available for review. A now 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 at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> If you should need further assistance please contact Diane Martinez e (209)466-3425 directly. Thank You " <br /> jQa UtAy 17 Z q 01 q q ORP~ U',!�ef 7 <br /> 24clY 04,,mc k h— "I <br /> CHO 49-06 T 14/2t.5 V <br />