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FEB. -20' 07(TUE) 18:17 VERSFR, INC. TEL:0-`59622678 P. 001 <br /> ECE u , E'_' EHD LOG NUMBER <br /> DATeRECENeD SAN JOAQUIN COUNTY <br /> FEB 2 12007 ENMONMENTAL HEALTH I)EPARTMENT <br /> ENVIRONMtNT HEALTH 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 <br /> PERMIT/SERVICES Telephone: (209)468-3410 Fax; (209)464-0138 Web-,www.kigciv.org/chd <br /> PUBLIC RECORDS RELEASE APPLICATI N <br /> APPLICANT: �Yf�PA_�' � I"'1J � -�,. v-� .�^ F�6tU/S�INE681AAOENOOY; `er <br /> WO <br /> ADDRESS: SSC rTp.W2A _ L ljn FO1if 02.tN� /1 ISCZf9 pp <br /> PHONE(;): �lla`963'9331 PHONE ISI, 91G�A6b-9�a5 FACSIMILE;,..i14^9(pe�"rZ6� <br /> TENTATIVE`APPOINTMENT DATE Time: <br /> (Pleoae aliow 10 buslnaes days from date of appocadon eupmatal•`rentaave only-must be confirmed) <br /> Q CHECK 6OX TO EXPEDITE REQ ¢113.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA I DATE 2 <br /> uNiT OISTRIauTION n ❑Unit2 M UnH 3 A Unit 4 n un66 M Units A Other lDlecironlcllletarmape) <br /> FILE ADDRESS EHD USE o LY <br /> streets Street Name - airy <br /> Mian ac,1.N <br /> x�5 v• " <br /> "0% n,95 a <br /> 3. l L• t, Zoo <br /> 4. <br /> 10. - <br /> Specific pate Range of InforrnaUon Requested;From L4 40 _ to ea <br /> OENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> pnNDERGROUND TANK(DST)CLEANUP SITE(LOP) to HOLM NG ABATEMENT ❑SOUO WASTE FACIWTYNEHI"E <br /> ❑OTHER CLEANUP SITE(NON-LOP) 171 FOOD F=Lm Ia WASTE TIRE <br /> OWUNPERGROUND TANK(MONITORINGRiEMOVAL) E]Pw KCNNEL o DAIRY <br /> {AMF47000 WASTE GENERATOR M CHICKEN RANCH In WASTEWATER TREATMENT PLANT <br /> -R ReRen PERMITTED FACILITY <br /> M MOTELIHOWL Cl PUMPER TRUDKIyARplCHEM TOILk"rs <br /> •TATTODIBOPY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> IZI MEDICAL WASTE FACILITY p oTHRR(PLEA6EsPECIrY1 <br /> WELL AND SEPTIC PERMIT REPORPS ARE AvAltAdtE FOR REVIEw- MONDAY-FRIDAY 0:00 AM-6:00FM - ExcldDlNc HOUDAYB. <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. FIX to 12Q914643)a38 or all tot a address <br /> Indlented ybove. Address ranges will not be accepted—for additional asslstanee with file addresses,contact <br /> the EHD.Applications received after 3;00 pm will be processed the next buslnesa day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approxlmatoly ten (10)days after recelpt 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 acttvoly 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 returned In the same condition as reloased will be reorganized by EHD staff at the expense of the <br /> applicant. Future file ravlaws by the same applicant may require a$93.00 deposit prior to review. <br /> EHD 44-024w <br /> ,Duca <br />