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11/20/2007 10:17 916-371-i'-9 RANEY GEOTECHNICA' PAGE 01/01 <br /> 11/20/2007 0I3:24 2Bg4G404IrK ENVIRONMENTAL HEALy4'rl PAGE 01/01 <br /> DATA:RECEIVED <br /> EI-ID LUCs NUMM <br /> I <br /> SAN JOAQLXNCOUNTY <br /> FRSEEIED ENVIRQNAZENTAL 11FALTXi, OEPARTMEo <br /> COQ East:Main Strect, Stockton.,CA 95202-270NO'S 2 0 2007 Telephone- (209)468-3 420 Rax:(209)464.0139 WeU: wurw. e <br /> ENVIR011MENT HEALTH MOW RECORDS RELEASE APPLICATION <br /> PER L TI / <br /> ADDRES `!-y,/L- SPHONE( 97-i Q'7 3 PHONE(2}; l _ _ f,4GSIMILE/:C9/(�0�,�i 7/ / d r <br /> TENTATIVE*APPCIN fMENT DATE <br /> to Time:� <br /> (Please allow 10 business days from ftie of f oplicatlon sulan�l-`rentefive oniy-must be confirme ) <br /> © CHECK BOX TO EXPEDt ST-$98.00 FVrfCM OR CHECK ONLY)-REQUEST PROCIMED IN 3 BUST ESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic infOrmation; ❑ List Q M p-Description: <br /> FILE AUDRES5 _ EHD USE ONLY <br /> Street# T Street Name - Clty " E3 Unit 1 <br /> L4. rZan <br /> 2. t7 nn 7'DGl� �9J,: 0 Unit 2 <br /> 1 rz 2--r i <br /> 7. �- --- (, ❑ Unit 6 <br /> 8. <br /> �- ..._ ❑ unit a <br /> 10. <br /> Specific Date Rang*of information Requested:From to <br /> ENVIRONMENTAL HEALTH D ARTMENT FILES <br /> 13(tjNDERGROUND YANK(UST)CLEANUP SITE(LOP) O HOusiNG APA MENT d SOLID WASTE FACILITYlVeHICLE <br /> %ZITHER CLEANUP SiTE(NON-LOP) CI FOOD FACILITY D WASTE TIRE <br /> d01IZVNDERGRovND TANK(MONITOMINGIREMOVAL) l7 DDG KENNPL 11 DAIRY <br /> AHAzARCOUS WASTE GeNeRATOR tn CHICKrw Rm(wi IM WASTEWAYrR TREATMt:NT PLANT <br /> O TlEmp PERMiTTED FACILITY ❑MDTEIJHOTEL 0 PUMFrRTRL(0K1YARDlCHEM'x011.STS <br /> 0 TATr091BODY PIERCING 0 POOLISPA (3 LAMP Vse APPLICATION SITES <br /> M MEDICAL WASTI!FACILITY ❑OTI IE1Y(Pt4ASP;SPECIFY) <br /> WmLL AND SEPTIC PERMIT RBCORdS ARE AVAiLA91.1;FOR IRAVIEW -MONDAY-FRIPAYE:Od,AM-S:OOPM -EXGLL101W HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box*). At least one file type MUST be salQcted. U?Lho_1209)464.0138 or mail to the address indicated Above Address <br /> ranges will not be accepted-for additional assistance with file addresses,00rltaet the EHD.Applications received aft,2r <br /> 3:00 pm will ba processed the noxi lousiness day. <br /> 2..The EHD will notify the applicant if any L'HD files exist, An appointment for review Will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appolntmwants <br /> should be scheduled accordingly. <br /> 3. A file that is ractively being worked on by EHD staff may not be Immediately available for review, Anew application maybe <br /> submitted when the file Is vvRilable_ <br /> 4. Any file not returned In the same condition as released 111 be reorganized by 12HD staff of the expense of the opplic*nt, <br /> Future file reviews by the same applicant may mqutra*$98.00 deposit prior to review. <br /> EHD"OSE ONLY <br /> If you should need f'urthcr assistance please contact-Diane Martinez 0 (209>468-3425 directly. Thank You"* <br /> qe n Pl1n7AQOB - <br />