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12/29/2005 13:22 FAX 925 943 OG Morgan Miller Blair • Z002/002 <br /> ` ! �WLFP <br /> DATE RECEIVED END LOG NUMBER <br /> 2 q 2005 SANJOAQunvCouNT� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIROi`iit ENT HEALTH 304 East Weber Avenue,3rd Floor,Stockton,CA 95202-2708 1,5Z7 PERP F;S_ERVICES Telephone:(209)468-3420 Pax:(209)464-0138 Web:www.sjgov.org/ehd UBLIC RECORAS RELEASE APPLICATION <br /> APPt1CANT; Andrea Friedman gusrNEssmoroicY:.Morgan lvtilter Blair <br /> ADDREss:1676 N. California Blvd.,Ste.200,Walnut Crock-CA 94596 <br /> PHONE(1): (925)979-3366 (direct nn) PHONE(2):_(925)937.3600 (main n0.) FACSIMILE: (925)()41-1106 jlllpwn <br /> TENTATIVE'APpo1NTMENT DATE; Wed.Jan. 4 Time: <� � <br /> (Please allow 10 businessdays from date or application submittal-'Tentad"only-must be confirmed) <br /> HECK BOX TO EXPEDITE REQUEST-583.00 FEE(CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSIN I8 <br /> SIGNATURE OF APPLICANT �st,�/3P/,c,. DATE );"0nber 29 2005 <br /> UNIT DISTRIBUTION D Unit 1 O Unit 2 unit anit 4 Cl Unit 5 D Unit 6 0 Other(alactronle/llsm/maps) 2 <br /> FILEADDRESS r { <br /> rcet# Street Name — cxy END USE ONLY <br /> 1, F r t '_ �•� <br /> 2• am-&_Butte <br /> 3. <br /> 5. — <br /> o. " <br /> Specific Date Range of Information Requested: From 1/l/00 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> QI NDERCROUND TANK(UST)CLEANUP SRE(LOP) D HOumw AaATEMENT ❑SOUD WASTE FACILITYNEHICLE <br /> m <br /> THEIR CLEANUP SITE(NON-LO P) 13 FOOD FACILITY ❑WASTE TIRE <br /> Ea NDEROROUND TANK(MONnoRmoimOVAL) D DOG KENNEL D DAIRY <br /> AZARDOUS WASTE GENERATOR D CHICKEN RANCH O WASTTWATER TREATMENT PLANT <br /> n MeD PERMITTED FACILITY 13MOTEl/140TEL ❑POMPER TRUCKr(ARo(CHEM TOILers <br /> Cl TATTOOIBODY P19RCINO 13 POOL/SPA D LAND USE APPLICATION Smes <br /> CI MEDICAL WASTE FACILITY D OTNFR(PLEASE SPECIFY) <br /> r WELLAND SEPTIC PERrpIT RECORWARE AYMUSLE FOR REVIEW - MONDAYFRIDAY6:00AM4:00PM - EXCLUDINGHOUDAYS. <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,cnmtact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> Z. The END 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 maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by END 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 /> review or tnving n copy c.er<^ce On4 al I he d_m LP nrl I�1�1Lc LCC ttieckhas already,been Rmje�j and-ivill he,provided at <br /> apWLntuient aboveThanks fbryour assfstance/Gall�-E!�if.24y qucslioc�` <br /> EI{046-02LDE <br /> tnAiyr <br />