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02/ 10 / 2006 11 : 54 5592715108 SECOR FRESNO PAGE 02 / 02 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3'a Floor, Stockton, CA 95202-2708 <br /> Telephone: (209) 468-3420 Fax: (209) 464 .01 38 Web: www.sjgov.org/ehd Z <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Stephanie Furgal, BuslNessrACENcy: $ECOR International Inc. <br /> ADDRESS: 3475 West Shaw Ave. , Suite 104, Fresno, CA 93711 <br /> I PHONE (1): 559-271 =2550 PHONE (2): 559-259-3987 FAcsIMILE: 559-271 -5108 <br /> TENTATIVE* APPOINTMENT DATE: 2/16/06 Time: 9:00 AM <br /> (Please allow 10 business days from date of application submittal • "Tentative only . must be confirmed) <br /> IRI CHECK BOX TO EXPEDITE R3,00 FEr (CASH OR C,H61CK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ ti S// / DATE O D <br /> UNIT DISTRIBUTION 0 Unit 1 ❑ Unit 2 ❑ Unit 0 Unit 4 0 Unit 5 0 Unit 6 ❑ Other (alectronicllists/maps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street # Street Name _ city <br /> 1 . 8660 Lower Sacramento Road Stockton <br /> 2, 9 South Center treet tockton <br /> 3, 575 West Grant Line Road Tracy q° <br /> 4. 3775 Tracy Blvd ------ <br /> racy <br /> 5. <br /> 6. <br /> 7. — <br /> 8. <br /> 9. <br /> Specific Pate Range of Information Requested: From to _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 19 UNDERGROUND TANK (UST) C4GANUP SITE (LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITYIVEHICL4 <br /> O OTHER CLEANUP SITE (NON-LDP) 0 roOD FACILITY 0 WASTE TIRE <br /> 0 UNDERGROUND TANK (MONITORINOIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED rACILITY O MOTELNIOTEL 0 PUMPER TRuCKIYARDICHEM TOILETS <br /> 0 TATToo(BODy PIERCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE rACILmY ® OTHER (PLEASE SPECIFY) W 1 permits <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY8;O0AM-5:00PM - rKrLUDINGHOLIDAYS. <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 09 4640138 or fljgll to the address <br /> IndIcajted 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 behold for a maximum of five business <br /> days for review, Appointments should be scheduled accordingly. <br /> 3. Aflie 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 avallable. <br /> 4. Any file not returned in the same condition 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 $93.00 deposit prior to review. <br /> EHD 4842406 <br /> IMAMS <br />