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I 08/03/2007 FRI 11:41 FAQ 20946 `199 SJC PUBLIC WORKS <br /> '� X0021003 <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNT i' EHa LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 304 E Weber Ave 3rd door Stockton,CA 95205 <br /> I., j (209)468-3420 Fax:(209)464-0135 'Web:vrww_co_5an joaquin.ea. <br /> A. <br /> PUBLIC RECORDS RELEASE APPLICAMN <br /> ,IePp� q�yT. Claudia Gemberl.ing BUSINESSlAGENCY. San 3oaquin County Public Warks Department <br /> ADDRESS. 1810 E. Hazelton- Avenue, Stockton, California 95205 <br /> PHONE: 953-7624 FAcSIMILE. 468-2999 <br /> TENTATIVE'APPOINTMENT DATE. <br /> (Please allow 10 businsss'days'Trom date of apPIWUon submittal <br /> t ' <br /> CHECK BOX TO p(PEI)ITE REQUEST-$93.00 FEE—REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Peparlimnl Use Only <br /> FILE ADDRESS UNIT <br /> I. Street . ,I'I Unit I --' . <br /> 2. 9tieal 7 - <br /> 3- Sheol <br /> et .unit 2 <br /> 4. stre <br /> - 8. street L:, L0 YL r <br /> 1� IV t,ifllt <br /> e. street ' <br /> 5. scoot &IYYIkh. <br /> la. svretck, <br /> _. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tU <br /> NDERGROUND TANK(UST)CLEANUP SrrE(LOP) ❑ f10USING ABATEMENT SOLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) CIFOOD FACIL 17Y ASOLID WASTE Vi'JttCLENDERGROUND TANK(MONITORINGIREMOVAL) ❑ 1300 KENNEL. DAIRYAZARDOUS WASTE GENERATOR O CHICKEN RANCH PKG TREATMENT PLANT <br /> FRED PERMrIFTED FACILITY O MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ATTOOIBODYPIERCING ❑ POOLISPA ❑'LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY O OTHER(PLEASE SPEr*F j <br /> 1. List up to ten addresses in the space above. Select the'type($)of files from the list above by checking'v 1 <br /> the appropriate box(es). At least one file type MUST be.selected. Fax toJ209)464-0138 or mail to the. <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHL']files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton(10)days after receipt of application. The files <br /> will be held for a mAximum of five business days for review. Appointni4nts should be scheduled r <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A nevii <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5, "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received af#er 3:00 pm will be processed the next business day. <br /> C E iRI�IFEU C t �' _ M <br /> !)klA. il> YillflD Cf <br /> MdO09 . <br />