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10/22/207.0 08:45 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> DD) EHL)LOG NL11ti1EER SAN JOA UI� N COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> w'1-( L 2 2010 600 East Main St.Stockton, CA 95202-3029 <br /> ENVIRUNNIEN i HEATTgphone: (209)468-3420 Fax: (209)464-0138 Web.www.sjgov. rg/eh <br /> T° P_UB.LM-RE ORDS=RELEASFW-PU GAM ON <br /> APPLICANT: I 7- <br /> BUSINESS/AGENCY: <br /> ADDa�sS: Z l avYl t ! CITYISTATEIZIP: GVHt L)f- Cy-it kI <br /> PRONE(?): �2 (0-fd00K PHONE(2): m-5). -665 FACSIMILE: �R2 5 <br /> TENTATIVE*APPOINTMENT DATE: TIrrIB: <br /> E (Please allow 40 buslneas days from date of appkatlon submittal-"Tenfafive only-m(at Egg confirmed) <br /> CHECK BOX To EXPEDITE RE ST-5115 FEE C SH OR CHECK ONLY)-REOUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLIGAN Q S4 a e v { DATE 2.Z o <br /> Electronle Information: ❑Dist❑Map--Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# SUset Ne me ciitty <br /> Z�K� <br /> Fl�i''1Unit_�ITU <br /> 1 5,4 — t !3 Unit 2 <br /> a. fk �� -�3 --- <br /> 6V _ f" Sit [ ? Ck�" qe— Unita <br /> 7. Untt 4 <br /> 8. <br /> 9. <br /> Unit B <br /> Specific Data Range of information Requested: From to <br /> EWIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SCUD WASTE FACILTIYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WAM TIRE <br /> �I UNDERGROUND TANK(MONRORINGIREMOVAL) []DDG KENNET. DAIRY <br /> NAZA1?0OUS WASTE GCNERATQR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY MOTEUHOTEL PUMPEERTRUCKNARDICHEMICAL TDiLm <br /> �]TATTOOIBODY PIERCING POOLISPA <br /> MEDICAL WASTE FACILITY Q OTHER(PLEASE SPECIFY) <br /> LAND USE APPLICATION SITES <br /> WELL.AND SE=PTIC PERMIT RECORDS ARE AVAILABLE FOR RF-muw: MONDA -FRIDAY B:OO AM-S;DDpM(EXCLUD)NG WoLtnAYB <br /> 1, ten a0dMs_!4q5 In the space above. Select the type(s)of files fr+ m the list above by checking the appropriate <br /> box(es). At least One file type MUST be selected. Ep@&Ig09 4-0136 dr mall to the dres> I TliCated above. Address <br /> ranges will not be accepted-for additional assistance with file addressa i,contact the EHp. Applications received after <br /> 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 f r review will be confirmed approximately ten(1 D) <br /> days after mcelpt of application. The files will be held fora maximum of rve business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is activeiy being worked on by EHD staff may not be immediate y available for review. A new applice0on may be <br /> submitted when the file is available. <br /> 4. Any the not returned in the same condition as released wiil be reorganize by CHO staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 depo1it prior t4 review, <br /> 5. <br /> If you need further assistance,please contact Diane Martinez,at(209)4683425. <br /> EHD VSE ONLT <br /> EHD 4a-06 <br /> 8127M <br />