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Ifi6/23/2005 14:03 916-37171809 RANEY GEOTECHNICAL PAGE 01/0 <br /> EHD LOG NUMBER <br /> DATE RecENED SAN JOAQUIN COUNTY <br /> ENVW0Nm[EN'TAL HEALTH DEPARTMENT i� <br /> 304 East Weber Avenue,3"Floor, Stockton,CA 95202-2708 � <br /> Telephone: (209)468-3420 Fax; (249)464-4138 Web:www,sjgov.org/ehd. PH r ; <br /> $AAI jo Q.111 1 G <br /> PUBLIC RECORDS RELEASE APPLICATION 'MW o(r T <br /> APPLICANT- /? �` M � BUSINESSIAGENCY: <br /> AAPRESS: I � � <br /> f LE <br /> PHFACSIMI7f— <br /> ONE(1)= `37/r O � —PHONE(2): <br /> TENTATIVE'"APPOINTMENT DATE: Time: <br /> (Flame allow 10 buslnes"days fWM data of application submittal-`Tentative only-m+fst 6e COnflnmed) <br /> CHECK BOX To ExPIrDITE REllUE3T- 0 CHECK ONLY).RFQUFST PROCU$EU IN 3 USIKE DAYS <br /> DATE f z�� <br /> SiONATURE OF APPLICANT , <br /> UHR DISTRIBUTION Cl Un1t 1 nit 2 Unl nit 4 Unit 5 Unit B Other(elecironlclllatslmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street# - Stmt Hanna CRY <br /> 2._. r5'oa t /id�7- s-e .. ._ --�� 35� a <br /> 3. <br /> 4. /O 0.._ <br /> ��aN-r- r <br /> T. _ <br /> R AFM <br /> spoelfic Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> U14DERGROUND TANK(UST]CLEANUP STrE(LOP) ❑HcusiNG ASITEMEW ❑&1LIo WASTE FAciLRYNEHicLE <br /> amER CLEANua Sat(NOM-LOP) ❑FOOD FAcitm 0 WASTE TIRE <br /> UNDERGROUND TANK(MONITOMMO REMOVAL) 13 000 KENNEL }}❑�DAIAY <br /> JR potjsWAMC-ENERATOR O CNIcKEN RANCH )KWASTEWATERT"ATmeyTPLANr <br /> Cl TIERED PERM I FACILITY 11 1140TWHOTi?L 0 PV?JMRTRUCKIYARDICHENITMETS 1 <br /> U3 TATTOOMODY PFERaMo 0 POWSPA ❑LAND USE APPLICATION STIES <br /> O OTKFR(PLEASE SPECT ! <br /> ©MEDICAL WA&Ts KACkLTTY fl'J <br /> WELL AND SEPTIC PERMIT RECORDS ARE AYA3LASLE FOR Rizvmw • MONDAY-FRIDAY 8:00 AM S:MPM - ExcLUDIHG HOLIDAY$. <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 fila typo MUST be selected. Fax to(209)464-0138 ur m i1 to the address <br /> IndiMfAd agave. 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 121-10 will notify the applicant if any 15HD filar exist. An appointment for review will be confirmed <br /> approximately ten(10)days afW receipt of application. The f les will be held fdr a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> S. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew <br /> application may be subm tied when the file Is available. ' <br /> 4. Any file not returned In the same condition as released will be reorganiod by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a>}3,3.00 deposit prior to review. <br /> .t <br /> RUSH <br /> EIID�a�t�ae <br /> Znuos . <br />