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May. I8. MOO'. 9:52PM Advanced GeoEnvi ronmental �� leo. 4936 E��2. <br /> CHO LUG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> I-- ,E C E,� 1J E D ENVIRONMENTAL IREAETH DEPARTMENT <br /> 304 East Weber Avenue, P Floor, Stockton, CA 95202-2708 <br /> MAY 1 8 Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sj;gov.org/ehd <br /> ENVIROMAENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: U h 61) SUSINESSIAGENCY: V h � • <br /> ADDRE$3 o Q '[ S <br /> II PHONE(1): .200 7"•j0Np PH N ( ) <br /> FACSIMILE: <br /> a <br /> TENTATIVE'APPOIN'rNtEN7 DATE: Time: /0-100 A0, <br /> (Please allow 10 business days from date of app[ tion submRlaal-*reinove only-must be confined) <br /> CHECK SOX TO EXPEDITE E T-SE9.DO FEE(CA CH K ONLY)-REQUEST PROCEgSED,IN 3 BUSIN SS DAYS <br /> SIGN, ATURE OF APPLICANT - DATE <br /> UN[T DISTAI#3UTION <br /> 13 Unit 1 if Unit 2 O Unit 3 CI Unit a ❑ UnItS ❑ Unit$ ❑ Other(electMhI*Alstslmaps) <br /> FILE ADDRESS EHDUSEONLY <br /> Street# Street Name city <br /> 9. <br /> 3,1. 2 tr �r <br /> 4. U OV5 r¢G : <br /> 6, <br /> 8. I`ll[ <br /> 10; ' <br /> Spbcific Date Range df.Infomatlon Requested:From to <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tUNDE-111MROUNDTANK(UST)CLEANUP$ITE(LOP) C1 Housimn ABATEMENT 0 SOLID WASTE FACIL[TYNEHICLE <br /> THERC,EANUPSrrE(NON-LOP) 13 FOovFAC[LrrY ❑WAmtTomNDERGROUND TANK(MONITORINGMEMOVAL) 0 DooKENNEL 171DAIRY <br /> AZARDOUSv1A:TE GENERATOR 0 CHECKEN RANCH ❑WASTOA'ATERTREATMENT PLANT <br /> ❑ RYRUCF'IYARDICHEMTOILETS <br /> ❑71ERED PeFMITTED FACILITY CI MOTEL/HOTEL PUMPER <br /> 0 TA7TOoMoi3y PIERGNG 0 POOIJSPA GLAND USE APPLICATION SITES <br /> 0 MEDICAL.WASTE FACILFTY ❑OTHER(PLEASE SPECIFY) --WELL AND SEPTIC PERNUT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5;OOPM - ExGLl pvc HOLIDAYS. <br /> 1.'LIst up to ten addresses in the space above. Select the type(s)of flies from the list aktovs 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 rangers will not be accepted-for additional assistance with fits addresses,contact <br /> the END.Applications received after 3:00 pm will be processed the next business clay,.: <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review wllilbe confirmed <br /> .approximately ten(10)days after receipt of application. The flies will be held for a maximum of five businw-3 <br />} <br /> days for revlow. 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 expanse of the <br /> F applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> snags . <br />