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08/30/2007 11:06 1249-448. ')1 STAPLES ALISD VIr <br /> , ] IL'Ir` r'�I �' I'r ij 1✓ PAGE 01/01 <br /> '1 "Lc="�-6XrE rel_ 11e _J <br /> SAI JOnquIN COUNTY rz4l3 LOG NUMBER <br /> A t 3 0 2007 ENVIRONMENTAL H. ALT'R DEPA RTMMN <br /> Eil lVl�i 1 iJEi`d`i � AST i G00 East Main Sheet Stockton, CA 95202-3029 <br /> D r5ni=,��E`�;'J10ES T'elepbonlc. (209)468-3420 Fax: (209)464-0138 Web: u'WW.sl80v.o. /e <br /> PUBLJC RECOJWS RELEASE APPLIC.<A,TION <br /> APPLICANT: <br /> ADDRESS: 73 BllSrNESglAGENCY: <br /> PHONE(7): � � [G� PHONE(2);__ 9S"�-Z? <br /> TENTATIVE*APPOINTMENT DATE: <br /> (Plewa allow 10 business days from data of application submittal-"Tontaflve only must be conflrmedl <br /> Gl CHECK BOX TO EXPEDITE REQUESIA$9a.00 FEE{CAS OR CHECK ONLY)-REQUEST PROCES5ED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE _�7 <br /> Electronic Information: ❑List ❑Map.-Description: <br /> w FILE ADDRESS EHD USE ONLY <br /> 3troat:Y <br /> Street Namo �— city <br /> Cl unit 1 <br /> 2. <br /> 3. _—__ ❑ Unit 2 <br /> 4. <br /> __ T ❑ Unit9 \� <br /> 5. <br /> 6. {"\ <br /> Unit q <br /> 7, <br /> Unit s <br /> 9. <br /> ❑ Unit 6 <br /> Specific Date Range of Information Requested:Fromto <br /> �fI-t�-y <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> AUNDERGROUNo TANK(UST)CLEANUP SITE(LOP) C1 HOUSING ABATEMENT ❑ <br /> 0 OTHER CLEANUP SITE NON-LOP $OLID WASTE FACILITYNHNICLE <br /> 0 UNDERGROUND TANK(MONITORINOIREMavAL b FOOD EN NLL 0 WASTC TIRE <br /> } CHI KENNEL DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ©CHICFSEN RANCH FA <br /> 4 T 0 WASTEWAT2R TREATMENT PLANT <br /> TIRED P>;RMITTEt7 G:Ln-Y �:VIOTELIHOTEL <br /> Cl TATTO0IBODY PIERCING ©PUMPER TRUCKIYARDICHEM TvILET5 <br /> MEDICAL WASTL•FACILITY ❑POOLISPA ❑LAND U5E APPLICATION SITES <br /> E1 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC FrRMJT RSCORM ARE AVAILABLE FOR REvlzw - MONDAY-FRIDAY 8:00 AM-5:COprq -UXI,LVDINO HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type($)of files from the list above by checking the appropriate <br /> boxes). At least one file type MUST be selected, ax to 209 QB4-D 3B Or mail to t e address indicated above. Address <br /> ranges will not be accepted–for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3-=pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EMD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. Tile files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file th8t 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 EHD staff at the expense <br /> Future file reviews by the same applicant may require a$98,00 deposit prior to review. of the applicant. <br /> EHD USI=ONLY <br /> GHQ n6-OU Y1Ee arUl7fl07 <br />