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! Feb. 19. 2007 4: 14PM Ad,_•�ced Geo Environmental <br /> No. 7683 P. 2 <br /> REMMEDD <br /> � I]LOG NUMBER UA <br /> SAN JOAQN COUNTY EH <br /> EN RONMENTAL HEALTH DEPARTMENT <br /> E' ` 2007 304 East Weber Avenue,P Floor, Stockton,CA 9520262708 4Z75 <br /> �NVtRufVWNT HEALTH Telephone:(209)468-3420 Pax: (209)464.0138 Web:WWW.sigov.org/ehd <br /> p thMTSERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT...;_ '1{i[(L �LGIL sU51NLSSlAGLNCY: Va9Ce& VIYb , �vtG <br /> ADDRESS- '931-14wL tt�L40t s tki w <br /> PHONE M.' -40-I DOG PHONE(z) �}�' 0 a-58 50 FACSIMILE: -,A vj-1 I IT <br /> TENTATIVE*APPOINTMENT DATE: Ufrk' ��. tu�VI 1� t i t e; 41444. <br /> (Please allow 10 businm days from data of appli 100 spbmlttal-'Taatallve only must be Confinnadp <br /> CHECK BOX TO EXPEDITE REQU T S. E(C OR CHECK ONLY)-REQUEST PROCESSEDIN J 8U5[NE58 DAY$ <br /> SIGNATURE OF APPLICANT. DATE <br /> Electronic Information; ❑List❑Map—Description; <br /> FILE ADDRESS. END WE ONLY <br /> Stmet 0 . street Name City ❑ Unit t <br /> �• a�1 i aS� Ftetnt�+ * ted► Nmitcc 49 <br /> 2. D unit 2 <br /> S, <br /> 4. © Unit 3 ({ <br /> ri <br /> . <br /> Q 4 <br /> . €' <br /> ta-7. �rt 6 Y. <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 1 p. <br /> Spacific Date Range of Information Requested:From at7D I to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> V UNDERGROUND TANK(UST)CLEANUP SITE(LOP) "❑HOUSING ABATEMENT CO$auo W"FACILITYIVEHICLE <br /> ❑OTHER CLEANUP SITE(NDN-LOP)- ❑FOOD FACILITY ❑'WASTE TIRE <br /> ❑UNDERGRouNo TANK(MCNITORINGIREMOVAL) ❑Doe KENNEL L7 DAIRY <br /> d HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMI r1 ED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK(YARDICIIEM TOILETS <br /> ❑TATTOOI$ODY PILRCINS ❑POOLISPA Q LAND Use APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY C3OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvAILAeLE FOR REVIEW- MONDAY-FRIDAY 0.00 AM•6:00011M - EXCLUDING HOLIDAYS, <br /> 1. List up to ten addresses In the space above. Select the typo(s)of files from the list above by checlOng the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091484-0138 or mall to the address indicated above_ Address <br /> ranges will not be accepted"for additional assistance With file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant it any EHD files exist An appointment for review will be confirmed apprW tmately ten(10) <br /> days after receipt of application. The files Will be held for a maximum of We business days for review. Appointments <br /> 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 application may be <br /> 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 of the applicant. <br /> Future file reViews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> j <br /> HNb 19-09 6(1912006 <br />