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From: � 08/21/& 17:07 #729 P.001/001 <br /> � 7/ @QY/�j�E 2094640138 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> IIIIIIU@jY14TET�E II%IEIr- V EHO LOG NUMBER <br /> SAN JOAQUTN COUNTY <br /> AUG 2 $ 2007 ENVIRONMENTAL <br /> St J�ALTTto DEA 95202 rrr <br /> 600 East Main Street, Stockton,CA 45202 <br /> ENVIRONMENT HEALDielephone: (209)468.3420 Fax:(209)464-0138 Web:www.sjgov,o <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_ BUSINESIIAGENCY: J�FSSj'+�k'6 <br /> ADDRESS; <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Testa .only-must be confirms <br /> ��CHECK BOX TO EXPEDITE REQUES -'$ . C FEE( H O CHECK ONLY)-REQUEST PROCESSED INf3 BUSINESS DAYS _ry <br /> SIGNATURE OF APPLICANT DATE tom` <br /> Electronic information: Q List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street if _ `` Street Name city <br /> ,.1 , - ❑ Until <br /> 7 <br /> 2. Fi-gcro / Give`L v_C_ 2957 [3 Unit <br /> 3. 7 Jf�v C <br /> una 3 <br /> 4. y�y��/�Gi� G C 02el <br /> 5. e7 p`_r�Gr` rc.�/'�-V�-� _ '� '� nit4 <br /> 6. <br /> 7. unit li <br /> R. <br /> g. L�OS _ i n�o w ��r� _<✓ units <br /> 10. 67 <br /> Specific Data Range of Information Requosted:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT gq. <br /> , DERRRDUND TANK(UST)CLEANUP SITE Cl HOUSING ABATEMENT WABTE PACR.ITY/VEH(CLE ' to <br /> ,P, ERCLEANUP SITE(NON-LOP) �FDOD FAGLLtTY TC TIREUN DEROROUNDTARK(MONITORINWREMOVAL) OOoe KENNEL Y A$ <br /> H=RDOUS WASTE GENERATOR O CHICKEN Q WASTEWATER TREATMENT PLANT' <br /> ❑TIERED PERMITTED FACILITY 0 MOTELM Q POMPRR TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOIBOaY PIERCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> C7 MEDICAL WASTE FACILITY Q OTHER(PL SESPECIFY) <br /> WELLANDSEPTICPERMITRECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8200 AMSeeaPM • EXCLUDING 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 appropriate <br /> hox(es). At least one file type MUST be selected. Fax to(209)484-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Appliealions received after <br /> $:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD tiles 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. Appointments <br /> should be scheduled accordingly. <br /> 3. A 1119 that Is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be roorgani2ad by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant mayrequire a$95.00 deposit prior to review. <br /> EHD USE ONLY <br />