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02/06/2007 TUE 14:24 FAA 2v,, 1999 SJC PUBLIC FORKS 2001/001 <br /> rL7AT6I19G EHD LOG NUMBER <br /> I <br /> < \Vj E R SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> w >v 6 2007 304 East Weber Avenue,3`4 Floor, Stockton,CA 95202-2708 <br /> ENvIf{:1wtiil.NT Ilephone: (209)468-3420 Fax;(209)464-0138 Web:www.sigov.org/eh <br /> '111'73 <br /> ICESPERMIT/SERV PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Mark goalk Ih 5 BUSINESS/AGENCY: :5an�[/j^ (!.ounf%Pul61.e <br /> ADDRESS:1&1 7 r/+n-N 4 Ve rum-1 S 4,o4tk fin . �c. �tf brnr0 � sZOS <br /> PHONE(1): '7`oO — �C7r7S PHONE(2): FACSIMILE: qC/ <br /> TENTATIVE' APPOINTMENT DATE: Imre: <br /> (Please allow 10 buslrim days from data of application submittal-*Tentative only-must be confirmed) <br /> C7 CHECK BOX TO EXPEDITE REQUEST-05.00 FEE C�SHAORR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT //!a/ails--J%7� ��//�6� DATE0 -7 <br /> Electronic Information: ❑List❑Map—Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> [44. <br /> _« 0O 0✓� ❑ Unit <br /> j9 i / <br /> Vd y�I O '� unit 3 <br /> Ott FZAG' Unit 4 <br /> 7 vu ❑ unit 5 <br /> 8. 4 � iZo <br /> 9 Units <br /> �0. c� 2 ►J <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> KUNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING AsATEmENT 7L SOLID WASTE FAGILTTTNEr4CLE <br /> MOTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY O WASTE TIRE <br /> I<�UNDERGROUND TANK(MOWTORINGIREMOVAL) C3 DOG KENNEL 13 DAIRY <br /> .p <br /> Jam.HAznRDous WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOOIBODY PIERCING E3 POOL/SPA Q LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 11 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-5:00FM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)46"138 or mail to the address indicated above. Address <br /> ranges will not he 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 /> EHD46.06 01132M <br />