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FEB. -20' 07 (TUE) 18: 17 VERT I" INC. TEL:91"622678 P. 001 <br /> MD <br /> EHd LOG NUMBER <br /> PATI=RECEIVED SAN JOAQUIN COUNTY <br /> FEB 2 1 2007 <br /> ENVIRf1NMEN7,AL HFALTIi IDL,PARTME,NT <br /> ENVIRQNIvlt.N( HEADH 304 Fast Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> PERMIT/SERVICES Telephone; (209)466-3420 Ffix; (209)464-0138 Web: www.kigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATI N <br /> APPLICANT: at.�� I3USINESSIAGRNGYi eC <br /> ADDRESS: tI4H Nlr�.s�+► s, ►� � C.A 9S42.b ^96�-a6 <br /> PHONE111: a`$�3—"1 31 PHONI:(Y) �`�"���-93a5 FACSIMILE;% <br /> TENTATIVE`APPOINIMFNIT DATE: Time; <br /> (Plaaas o4ow io business days from date of appilcatlon Supmlttal.'Ten(ative only-must qe confirmed) <br /> Q CHECK SOX TO EXPEpI( R Q X03.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 313USINRSS DAYS <br /> SIGNATURE OF APPI-ICA � ' DATE _ <br /> UNIT DISTRIBUTION n 1 A unit Y M unit 3 A unit 4 rl Unit 6 P Unit 6 Mother(electronlcillata(m#pal <br /> FILE ADDRESS EHP USE O t.Y <br /> Street ff street Name . <br /> 1. ,�•—Glias ae r.,N - <br /> Z %% '` tom)_ --)9.5 a <br /> 3. 1 "a <br /> 3 T5 <br /> 4. 1(a Qt t/ �c r <br /> G. <br /> 7 CS ^� _ <br /> Specific Date Range of Information Requested;From to @a <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> e4:�}1NMRGROUNP TANK JUST)CLEANUP SITE(LOP) M HOUSING AAATEMi NT ❑SOLID WASTE FAquTYNEHIct.E <br /> M OTHER CLEANUP SITE(NON-LOP) A Fow MILM M WASTE TIRE <br /> i�r-UNI:MpGRauNo TANK(MONITORINaIRt:MOVAI-) M Dos KPNN91. Q DAIRY <br /> A CHICKEN RANCH A WAeTtwATER TREATMENT PLANT <br /> HAZwApOue WASTE GENERATOR b Y=Ltowt0 PuMPimTRuCKNARPICHEM TOIL <br /> M <br /> TIER= FACILITY <br /> *TATTOWHOPY PIERCING <br /> A POOLISfA LAND U9E APPIICAT1oN$1TE6 <br /> *MEgcAI.wwS FACILITY A OTHER(PICASESPEcIry <br /> WELL AND SEPTIC PERMIT REOORps ARE AVAII-APU FOR REVIE=W- MONPAY-FRIPAY 01:00 AM-6;00rM - E>�LUO HOUQAYs. <br /> 1, list up to ten addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one Elie type MUST be selected. ��(2021464-9130 or mall to the address <br /> c above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD•Applications received after 3:00 pm Will be processed the next business day. <br /> 2. The CHO will notify the applicant If any EMD file$exist. An appointment for review will be confirmed <br /> approximately ten(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 /> a ll be r a <br /> aAny pplicant lFuture file lreviews by the same same e applin as cant may eased irequire a$93.00 antzed eposit prior f totreviewPBnse of the <br /> DO 40-07.4IId <br /> WUM6 <br />