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05/31/2006 DYED 10;44 FAX 5510 ' 2886 BSK Environmental 02/002 <br />DAT E U Lam © SAN JOAQUIN COUNTY EHD LOG NUMBER <br />3 1 2006 ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br />ENVIRONMENT HELI l�boae: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgoy.org/ehd <br />g 3131 <br />o <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPUCANT: MI)cc I'1cl l'2 -LC BUSINESSIAGENCY: B IC AA5d'-lar9F_ <br />PNONE(t): 554.'/77.2.9t6 Ch 127 PHoNE(2): 50. V79,191E FAOSWIILE: •f , Y . <br />TENTATIVE* APPOINTMENT DATE: �/y/o(q Tana: VgAYI <br />(Please allow 10 business days from date of application submittal-'TantarNA only - must be confimmd) <br />M CHECK BOX TO EXPEDITE R/E/q/�UES $93.00 E H OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT / /!�^. DATE <br />UNiTDISTRISUTION 13Unk1 13 Un euort3 OUnit4 17 Wit OUnit 6 O Otner(Elacbordc7:swmaps) �] <br />FILE ADDRESS I ISF O <br />'at <br />ma <br />AlAvy WA <br />✓ ✓a ` <br />Vay <br />v s <br />1. <br />2. <br />a 497 <br />�. <br />4 <br />6. <br />6... <br />_ 7. <br />8. <br />0. <br />310/ .... <br />31003 <br />25'y/ <br />3o Z: - <br />.S..83X- <br />zE Z-9 <br />/��v-10.Ufla• . __ _- <br />_.rra. e.. __— _—__ <br />.__-._... _ _. .-_ <br />_- <br />— <br />_ <br />/VA✓✓ 0AI✓d'• <br />fn Lt7a✓ <br />/t/�✓5126dYe'' <br />S7evbro✓ _ <br />Sy»C,erar/ <br />SroeK7o _ <br />Syne t!o aJ <br />r✓AL/Y (�A,i✓E • <br />^,1A VY ad IVC <br />A✓A✓Y_1)AlJ�E N F. <br />Specific Date Range of Information Requested: From If Yo to Zc)a ('e <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />NNDERGROUIm TAW (LIST) Cuimup SITE (LOP) 0 HOU31W AaATEMENT 13 SODD WASH FA'MJTYIVEHICLE <br />OTHER CLEANUP SITE (NON10P) D FOOD FACILITY O WAS TIRE <br />DNDERgRUUm`TTED mH (MGNMORINGIIREM AL) t7 DM KENNEL 0 DAIF,Y <br />HATJUtDOU3 WASTE GENERAtOR CI CHICKEN RANCH 13WAmTmATERTRAT , PLANT <br />TIERED PERMITFAMM ❑ NIMLIHOTEL ❑ PUNPERTRUCRIYARD/4'HeAI TOILeTa <br />O TATrOdBWY PIERCING ❑ POOLISPA 13 LAND USE APPI.ICAT<ON SrT <br />OIdMCAL%11 s FACILITY O OTHER(PLEASESPECIr11 w_ <br />WELL ANO SEPDC PERMIT RF DS PRE AVAILABLE PoR REVIEW -MoMAY-BRIDAY6_e0 AMS:QMPM- 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 <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464.0138 or mall 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 held for a maximum of rive 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 aye liable for review. A new <br />application may be submitted when the file is available. <br />4. Any fill: not returned In the same condition as released will be reorganised by END staff at the expemte aFthe <br />applicant Future me reviews by the same applicant may require a $93.00 deposit prior to review. <br />EN04b w <br />+n•ws <br />on,1 <br />