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FEB, -20' 07ME) 18: 17 VER j,, INC. TEL:OO 622678 P. 001 <br /> [RECENED <br /> CEIVEp EHD LOG NUMBER <br /> PATE R <br /> FEB E 1 2007 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH Or, �] <br /> ENVIRONI&NT HEALTH 304 East Weber Avenue,3'Floor, Stockton,CA 95202-2709 <br /> PERMMSERVICES Telephone: (209)468.3420 Fax;(209)464-0138 Web: www.kigov.org/chd <br /> PUBLIC RECORDS RELEASE APPLICATI vvv \\\ <br /> APPLICANT: p'W`%tak��-Aa����� L'rJRR�@Z+ v� r flus],;BBIAOENO: erso �nc.. <br /> ADPRE88:�jL`l,`i rasA�yA'S1 JV rlvt„ )la 0. � A <br /> PHONE(t): _116`363'`1333- PHONE(x): PACSIMiLP_:914-96�- �6'�A <br /> TENTATIVE'APPOINTMENT PATE: TIRO' <br /> (Please allow 10 business days from Date of appllcahan eupm;Ral-'Tenraave only-meet be confirmed) <br /> M CHEOK SOX TO E%PEO_ITE RW j87.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 5 EUSINESS PAYS <br /> SIGNATURE OP APPLICA PATE 2 <br /> AIAI- <br /> UNIT DISTRI13UTION '=-Owr 0 Unit M unh a p unh 4 rl tin"6 M Unh6 ❑ Other lelectronlc;aats;mape) <br /> FILE ADDRESS EHD USE O LY <br /> Street A Street Name CItY <br /> —Gran IN <br /> 2 25 v• " A <br /> 3. <br /> 4. " " At ✓ �' l <br /> 10. <br /> Specific pate Range of Information Requested;From l9 NO to ea <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p�tINDERORWNb TANK(UST)CLEANUP SITE(LOPI M HOMING ABATEMENT ❑Souo WASTE FAC;LITYMMICIE <br /> OTHER CLEANUP SITE(NON-LOP) nFOOD FACILITY Cl WASTE TIRE <br /> OWUNDMGRMNo TANK(MONITORINGIREMOHAI.) la PAO KENNEL Cl DAIRY <br /> AMFOCIUS WASTE GENERATOR MCHICKEN RANCH InWASTEWATER TREATMENT PLANT <br /> ;,RTIERED PefwnTEO FACILITY G MOTELIHOTYL ❑PUMPFA TRUCKIYARDICHEM TOILETS <br /> 0 TATTQDMGPY PIERCINO P POOL&A ❑LAND USE APPLICATION SITES <br /> G MEocAL WASTE FACIUTY M OTHER(PL RASE SPECIrY) <br /> WELL AND SEPTIC PERMn RecORPS ARE AvAKAPu POR RPmaw- MONpAY•FRIUAY 9:110 Aa-6:ODPM - EXCLUDING HOUDAYG. <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by chocking the <br /> appropriate box(es). At least one file type MUST be sslected. F to 1-013)484�L�38o mallt B q to rase <br /> Indicated above. .Address ranges will not be accepted-for addltlonal asslotance 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(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should bo scheduled accordingly. <br /> 3. A file that Is acthrely being worked on by EHD staff may not be Immediately available for review, A new <br /> application may he submitted when the file Is available. <br /> ll be <br /> anized <br /> 4 Any applicae not returned nt. Futuro file in the Sarno reviews by the somon as e applicant mayealsed lrequire a$93 00 deexpense of the <br /> deposit to reviewP <br /> END 4442AN <br /> V14S6 <br />