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FEB. -20' 7ME) 18: 17 VERCQR, INC. TEL:0'`9622678 P. 001 <br /> MD <br /> DATE RECEIVED EHD LOG NUMBER <br /> FFB v 1 2007 SAN JoAQUi�'COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMIKNT <br /> ENVIRONNIt.NT HEAL. H 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> PERMIT/SERVICES Telephone: (209) 466-3420 Fnx: (?09)464-0136 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATI N <br /> APPLICANT: p i 1P_ CQWV A90.1S BUSINESS/AGENCY; <br /> ADDRESS: �#�yN Ne!�SdnP W f C) LA 95-k2b <br /> PHONE(1): %6-1163-1331 PHONE(2): FACSIMILE: 4.7-;X Off <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business dAye from date of ippllcatlon oupmlttal-'Tantativa only-must be confirmed) <br /> 173 CHECK 13Ox TO ExPFDITC R� ¢83.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF:APPLICA ~` ' DATE 2 <br /> UNIT DISTRIOUITION n 1 ❑unit 2 M Unit 3 A Unit 4 M Unit 6 M Unit 6 M Mar(alectronlclllatalmllpe) <br /> FILE ADDRESS EHR USE O LY <br /> t;traet Street Nama city <br /> to Wee _ N (..1301 <br /> 2. L-00 i _ 95 <br /> 3. <br /> 4. �. Q t ✓ �� <br /> 7. 12. <br /> 10. <br /> Specific pate Range of Information Requested:From 0%) __ to S.64- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> pld�kJNDCRGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT 0 Souo WASTE FAcIUTYNI -a <br /> 13 OTHER CLFANUP SITE(NON-LOP) A FOOD FAclUm M WASTIZ TIRE <br /> OWUNMRGRouNo TANK(MONITORINaIREMWI-) M DOG KENNEL M DAIRY <br /> `M{AZARDOUe WASTE GENERATOR A CHICKEN RANCH b WASTEWATER TREATMENT PLANT <br /> A TieRen Pepmmn FACILITY b MOTELIHow ❑PUMPER TRUCKNARWCHEM TOILM <br /> ❑TATTowaopv PIERCING M POOLWA M LAND USE APPUCATIGN SITES <br /> 0 MF4XCAL WASTE FACILITY A OTHER(PLEASE SPECIry) <br /> WELL.AND SEPTIC PERMIT RePORP5 ARE AVAII-ApLe FOR REviaW- MONDAY•FR JDAY 8:00 A I.6;00PM • EXCLUDING HouDAYs. <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. Fal(o(2QW6441130 or mall to the Iddreas <br /> )ndlcatod gboys.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 filee exist. An appointment for review will be confirmed <br /> approximately ten (10)days after receipt of application. The flies will be hold fora maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that Is ac"y 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 /> EHD 40.03490 <br /> 11106 <br />