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06/03/2005 10:00 916-371 39 RANEY GEOTECHNIC PAGE 02/0 <br /> n� eOW D SAN JOAQUIN COUNTY G NUMBER <br /> 3 <br /> ENvlRoNMENTAL HEALTH.DEPARTMENT <br /> JUN © 3 7005 304 East Weber Avenue,3'd Floor,Stockton,CA 95202-2708 ' � TO <br /> ENMRONIVENT HEALTH Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov-org/chd <br /> 5 <br /> PERMIT/SERVICES // PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: O C.LLrr �+b LA_, '' rr _ 6USINESSIAOENCY: <br /> ADDRESS: LF'O GAGe w d W e �LL{, vtieti*�' -CA 57 <br /> PHONE(1); 6 3 PHONE(2): FACSIMILE: Q <br /> TENTATIVE"APPOINTMENT DATE: b/��7ae5 Ti.; 0100 r <br /> yam/ (Please allow 10 business days from ate f Rppecalnn submittal--Tentetwo only-rust be confirmed) <br /> Du CHECK 60x TO WEDItE REA ST $93.00 FEE ASH OR CHECK ONLY)-REQUEST PROCESSED IN S 6US NESS PAYS <br /> SIGNATURE OF APPLICANT DATE � <br /> uNrr DISTRIBUTION DUnit1 ❑ U nn H4 �UnNS untie ❑ lNher(elocUonlclllstslmaps) <br /> \ FILE ADD _ ...._ EHD USE ONLY <br /> '�L 3fraot It Street Name— - I city <br /> [44. <br /> 2 . . S 7?t. >, way s « Ifo � F 1528r�l. ....�.civ12.. .. ... . ..St�ckfe. UST1 I q 2_ �(moi �o.,� k5'f W <br /> 8, '. . <br /> 9. I <br /> 10. JUN... ..7� 005. <br /> Specific Date Range of Information Requested:From to Lyt• <br /> J/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> EROROUNO TANK(VST)CLEANUP SITE(LOP) ❑HOUBINO ABATEMENT HSOUO WASTE FACRRY/VENICLE <br /> ATM ER CI.EANUP SITE(NON4.OP) 0FOOD FACRJrY WASTBTR+E <br /> yJ�tt'�"OERGRODND TANK(MOI1nORINGIREMOVAL) t.7 DOG KENNEL DAIRT <br /> mj1A2AROPME N SGENERATOR ❑CHICKEN RANCN 13 WAsTEwATER TREATMENT PI <br /> b'bbfff TIERED PERMR7ED FgGLRY 13 MOTEIMOTEL 0 PUMPER TRUCN1YAnt11CHEM TOILETS <br /> O TATT007f3oBY PIeltowo O POOLISPA 11 LAND USE APPLICATION SITES <br /> 0 MEDICAL WAwm FAGIwv M OfNER(PLEASE SPEGFTJ <br /> WELL AND SEPTIC PERMIT RECORDS ME AVAILABLE FOR REVIEW- MONDAY,FemAY 9:10 AM-9:00pM - EXCLUDING HOLMAY9. <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,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 files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be hold 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 EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the fila 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 AB-0Z-0Oa <br /> +Haas <br />