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May, 11. 2007 9: 37AM Advanced GeoEnvironmental No- 8568 P. 1 <br /> DATE RECEIVED 141001 `*W EMD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 r <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web.www.sjgov.or d 03 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:p �+ rsU BUSINESSIAGENCY: IIDUahat�� �t)1t'�n/'Y1�nIQ' <br /> ADDRESS- O 3 J /Q toGe � .�/� /�ry <br /> PHONE(1): �0�- Y617- 1400(0 _,PHONE(z). d ~d,� FACSIMILE:OVP 9b <br /> TENTATIVE*APPOINTMENT DATE: glo, Time: /�Ip7J <br /> (Please allow 10 business days from date of a II tion submittal-`Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE QUEST-$96.00 FEE( H OR HECK ONLY)-REQUEST PROCESSED IN 3 BU NESS DAYS <br /> SIG ATURE OF APPLICANTAMABATE <br /> Electronic Information: ❑List Map—Description: <br /> .. FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1, OiJ In S�7 <br /> 2. 3.3oUnite <br /> 3. <br /> 4. _ Unit 9 <br /> 8 ❑ Unit 5 <br /> 9. <br /> .. __......� ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> �G OTHER CLEANUP SITE(NON-LOP) n FOOD FACnaTY 11 WASTE TIRE <br /> �l UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPERTRUCKIYARD/CHEM TOILETS <br /> C]TATTOO/BODY PIERCING ❑POOLISPA LAND USE APPLICATION SITES <br /> t]MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY),_ __ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-6:00PM - EXCLUDING HOLIDAYS, <br /> 1. List up to ten addresses In the space above. Select the type($)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mail 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 if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five 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 EHD 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 /> END 48-08 9/1311006 <br />