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FEB. 8. 2006 9: 16AM COV"R EARTH TECH N0. 5527 P. 2/2 <br /> END LOG NUMBER <br /> SAN Jo.A,Qc}Av COUNTY <br /> ENVMONMNTAL HEALTH DEPARTMENT <br /> FDR — 2006 304 East Weber Avenue,3d)Floor, Stockton,CA 95202-2708 <br /> Telephone; (209)468-3420 Fax:(209)464-0)38 Web;www.sjgov.org/ehd <br /> Ef�VII;Of�f�L1 f-!EARHTH <br /> pERMITI ERVICES PUBLIC RECORDS ULEASE APPLICATI/qO_N�/ <br /> APPLICANT: t�'SA Jc7fj BUSINESSIAGENGY: CiV►�1 <br /> ADDRESS: I � R � �+ <br /> CA <br /> PHONE(1): *9_4U'+_051?' PHONE(2):k9--iM-'j 50.11; FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Tim-: <br /> (Please allow 10 buslnam days from d of applimtlon subm ttai-'rentxKv only-must be confirmed) <br /> l CHECK BOX TO EXP RE EST-$93.00 F ( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUS <br /> SIGNATURE OF APPLICA T DATE O <br /> UNIT DISTRIBUTION D Unit 1 ❑Unit 2 IAUnUOUntt4 ❑Unit.S ❑ Unite ❑ Other(electmnldfiatslmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Sheet# Sheet Name City <br /> 32. <br /> 3. 1 151h <br /> 4. pl r <br /> 7. ILL A " <br /> 10. 2.160 M"f4VIly, <br /> Specific Date Range of information Requested:From to <br /> �� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> :e NDERGROUNO TANK(UST)CLEANUP Srm(LOP) HOUSING ABATEMENT Eo s'ouo WASTE FAcIUTYMEHICLE <br /> �VTHER CLEANUP SITE(NON-LOP) 000 FACILITY D WASTE MRE <br /> UNDERGROUND TANK(MONrTORINGIREMOYAL) OG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR HIGKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> M TIERED PERMITTED FACILnY Cy MOTELIHOTEL O PUMPER TRUCKIYARD/CNEm Toll <br /> ❑TATTOO/BOpY PIER4TNa ❑POOLlSPALANO USE APPLICATION SITES <br /> D MEDICAL WASTE FAciuTY D OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC I's;ECOR03 ARE AVAILABLE FOR MIEW- MoNDAY-FRIDAY 0.00 AM-6:00PM - F.XGLUDING HOLIDAYS. <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 file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated 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 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 mWmum 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 /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> EHO0.02.006 <br /> IMNG6 <br />