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From: 08/21 17 17:07 #729 P.001/001 <br /> IR Ett/EJ `J L 2094640136 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> EHD LOG NUMBER <br /> SAN JOAQUTN COUNTY <br /> Gb 2 r, 2007 RWIRONWNTAL HEALTH MPAR,TMENT <br /> �; , 600 East Main Street,Stockton,CA 95202 <br /> ENAKNIMENT hEA'.`fielephone; (209)468.3420 Fax:(209)464-0138 Web; www,sjg0V,o 0 <br /> PERM.IT/SER.V1CcS <br /> PUBLIC RECORDS RELEASE "PLICATION <br /> APPLICANT: BUSINE,SSIACENCY: <br /> ADDRESS: �,o.. 7 �:lr�F PS <br /> c� <br /> PHONE(1): �11P73 - n L( r <br /> TENTATIVE'APPOINTMENT DATE' Ttmc: <br /> Q (Ploase allow 10 busineSS days from date of application submittal-"Tentative only-must be confirms <br /> CHECK BOX TO EXPEDITE REQUES $9YO 0 FEE( H O CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS ry <br /> SIGNATURE OF APPLICANT � DATE ���" 01 <br /> Electronic Information: List❑ Map—Description: <br /> _ <br /> FILE ADDRESS EHD USE ONLY <br /> street# _ n�Street Name J City <br /> � f ( \ ❑ Unit 1 <br /> 0 61 <br /> Pr4-6D- r MVV` �GZ�'(j�C,�bL ❑ unit <br /> Unit 3 <br /> Prw q dtL Gid r Ofr S (I <br /> 62unit a <br /> e <br /> Unit <br /> Specific Data Range of Information Requested:From to \� <br /> / ENVIRONMENTAL HEALTH DEPARTMENT FSIAL. <br /> L7 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT WASTE FACIL E \ <br /> do— ER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY TE TIRE <br /> ' \ UNDERGROUND TANK(MONI"RINC4REMOVAL) ❑DOG KENNEL DAIRY <br /> d <br /> HAZARDOUS WASTE GENERATOR O CHICKEN 2 WASTEWATER TREATMENT PLANT <br /> 171 TIERED PERMITTED FACIUTY O MOTEL/H ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> \14 0 TATroo/RoDY PIERCING 13 POOL/SPA 13 LAND USE APPLICAMN SITES <br /> 0 MEDICAL WASTE FACILITY 0 DTHER(PL SE SPECIFY) <br /> WGLLAND SEPTIC PERMrrRECORDS ARE AVAILARLE FOR REVIEW- MONDAY-FRIDAY 8;D0 AM-5.00PM - EXCLUDING HOLIDAYS. <br /> 1, List up to ten addresses in tho space above. Select the type(s)of filas from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mail to the address indicated above Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD,Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The FHD will notify the applicant if any EHD Piles exist. An appointment for review will be confirmed approximately ten(14) <br /> days after receipt of application, The files will be held for a maximum of five businoss days for review, Appointments <br /> shauld 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 application may be <br /> submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will be roorganized by EHD staff at the expense of the applicant, <br /> Future file reviews by the same applicant may require a$95,00 deposit prior to review, <br /> EHD USE ONLY <br />