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MAY. 3, 2006 3 I PM CONDOR EARTH TECH NO. 6865 '. 2 <br /> EHD LOG NUv1SER <br /> SAN JOAQUIN COUNTY <br /> ENVMONM.ENTAL HEALTH DEPARTMF1NT <br /> 304 East Weber Avenue, 3-4 Floor, Stockton, CA 95202-2708 <br /> O Telephone:(209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION ) <br /> APPLICANT: ( e- Jo BUSINESS/AGENCY: GgpwpDI, r YI <br /> ADDRESS eTy <br /> PHONE(1): - CGI6 PHONE(2): Z� 601-000 FACSIMILE:: �X518 <br /> TENTATIVE"APPOINTMENT DATE: 6-11,-1 Time: O _ <br /> (Please allow 10 business days from date of ion submittal-'Yantativa or:(y-must be confirmed) <br /> C3 CHECK 13OX TO EXP - <br /> -$93.00 F (GASt�HECKONLY).REQUEST PP.00ES`ED IN 3 BU INEPS DAYS <br /> SIGNATURE OF APPLIC DATE iv <br /> UNIT DISTRIBUTION ❑Un' 1 ❑Unit 2 ❑Unit 3 nit 4 ❑Unit 5 13 Unit n Cl Other(elerAmnicllists! ops) <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City <br /> 2. A n! ►�, ,` <br /> 3. \ <br /> 7. 1 DA E. <br /> a. a <br /> 9. C100 <br /> Specific Date Range of Ipformation Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E Housmc ABATEMENT [T SOUD WASTE FAacmNEHiGLE <br /> �❑ THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY d WASTE TIRE <br /> DERGROUND TANK(Mo NITORINGIREMOVAL) ❑DOG KENNEL 9-.PAIRY <br /> HAZARDOUS WASTE GENZAATOR 0 CHICKEN RANCH P WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACIUTY ❑MOTEL/HOTEL• ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOO/BODY PIERCING 0 POOLJSPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RE)nEw- MONDAY-FRIDAY 5:00 AM-r:00PM • EXQLUDIKG HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type($) of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated 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 be held for a mElximum of five business <br /> days for review. Appointrnents 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 <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorgan¢ed 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 />