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06/23/2005 14:03 916-371-1809 RANEY GEOTECHNICAL. PAGE 01/0 <br /> • 0 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOATAL HE L COUNTY <br /> ENVIRONMENTAL HEAI.TII DEPARTMENT <br /> 304 East Weber Avenue,3'd Floor, Stockton,CA 95202-2708 ZO <br /> Telephone: (209)465-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 23 PP} 3; <br /> SAN JOAQUJN COUi(r <br /> PUB/LIC-RECORDS RELEASE APPLICATION ENVI11 <br /> APPLICANT ``J� ^� BUSINESSIAGENCY• `'�J7S �'R'HFPJ r <br /> ADDRESS: 3 5`0 'O�'/` h� N/r SdC/�fll Cfr.�a, Qi ! <br /> PHONE(1)-�9/F�S�I`pTI3Y HONG(2): FACSIMIL.F p�G�/.S!7���0 � <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 buslness days from data of appitcatiee submittal-'TeritaMrr only-must be ton irmad) <br /> CHECK BOX TO EXPEDITE REQUEST, . 0 CHECK ONLY) REQUEST PROCESSEn IN 3USINES DAYS y' <br /> SIGNATURE OF APPLICANT DATE 0 <br /> UNIT DISTRIBUTION I C UHt1 it Unl nR4 j U05 0 Unita 0 Other(eledmIcAlatsimaps) <br /> FILE ADDRESS EHD USE ONLY <br /> sheet F Sheet Noma City <br /> _ . .. oo .__erJ7�i _ ewr�t - M <br /> /yo�7 sy 7r,6 ...Z7 35a2 a <br /> 313 , ,ya / 5mc�rc_. 5a�s <br /> a. op.._. TIM/Aa�r S?" SrDcKia/� .. o, y rY� 01 <br /> 5. <br /> T. <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ' <br /> UNDERGROUND TANK(UST)CLEANUP SrrE(LOP) 0 HOUSING AliATtMEM 0 SOLID WASTE FACILmNEHICLE <br /> OTHER CLEANUP Sat(NON-LOP) O FOOD FAcnm 0 WASTE TIRE <br /> UNDERGROUNO TANK(MONITORIKOAiENOVAL) 0 DOO KENNEL ��ODAIRY <br /> X HAZARDOUS WASTE GENERATOR 0 CHICK ,/EN RANCH /'x WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ElMOTtUHOTEL ❑ PUMPERTRUCKIYARDICHEMTOILETS <br /> 0 TATTOOIBOOY PIERCING ❑POWSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACAm ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW • MONDAY-FmAY 5:00 AM-5:00111 • E%CWmNG 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 file type MUST be selected. Fax to(209)464.0138 or mail o the address <br /> indicate a ove. 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 Hies exist. An appointment for review will be confirmed <br /> approximately ten(10)days after racelpt 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 EHD 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 condllion 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$%3.00 deposit prior to review. <br /> Exoaea:aaa <br /> ureas <br /> r 71"" <br />