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05/18/2007 14:46 94972318F4 FREY ENVIRONMENT PAGE 02/02 <br /> ENVIRONMENTAL HEALl, PAGE 01 <br /> 10/17J2006 11:22 4540138 CHULOU NUMHhH <br /> IJ/ilt:Keuelvcu { SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH ATPAR'FIVIFNT <br /> 304 Fast Weber Avenue, 3''Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468.3420 Fax: (209)464-0138 Web:wwwAgov.Orgle <br /> s. PUBLIC RECORDS RELEASE APPLICATIhON <br /> l .r,,U_t ICS DUSINF$S/AGENCY: r��y EL4ViW&ffi <br /> 1 D <br /> gr�aLiaNT y1� A L`ni �p I1�f' cl1o , G °I 266/3 <br /> AOpRESS: ° ye ` ryFACSIMILE:,.J,Y�r'I� <br /> PHONE(t): PHONE(2): <br /> TENTATIVE`APPOINTMENT DATE: lime: <br /> (Please allow in business days from date of Applinaon submittal-•Tenradve drily-must be conannedj <br /> 0 CHECK BOX TO EXPEDITE REQUEST•$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN BUSINESS <br /> U 1 S DAYS <br /> DATE - 5/19,/07- <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stre®t 4 Street Name <br /> City ❑ Unit T <br /> CA <br /> 1, 2 32 kfl o5ti d ��CG�C' � � --- ❑ Unit <br /> 2. O a <br /> 3 Unit 3 <br /> 4. <br /> Unit4 <br /> 5. <br /> 6. — <br /> ❑ unit S <br /> 7. <br /> S. -• <br /> ❑ Unit B <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑HONSINn ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> NOERGROUND TANK(UST)CLEANUP SDE(LOP) Q FtWENe AzTY ❑WASTE TIRE <br /> 0ACTHER.CLEAN UP SITE(NoN•LOP) 0 DOO KENNEL 0 DAIRY <br /> OUND TANK(MONITORINaIREMOVAL) C� NRANCH L0 WASTEWATER TREATMENTPL.ANT <br /> ATAIXbQUS WASTE GENERATOR Q CHICKEN AN O puMPERTRUCKNAROCHeM To"ETS <br /> Cl TIERED PERMITTED FACILITY 0 POOLISPA C1 LAND UBE APPLICATION BITES <br /> 0 TATTOOMODY PIERCING ❑OWER(PLEASE SPECIFY) <br /> 0 MEDICAL WASTE FACRrrY <br /> WELL PND sErmc PERMIT REtxNtDs ARE AVAILABLE FOR REVIEO�Bs from the l above by hacking the appropriate <br /> t. List up to ten addresses In the space above. Select the typo(s) AY-FRIDAY 8-00 Alil-f;ii <br /> box(es). At least one file type MUST he selected. Fax to 209 46 -0138 or ail to the address indicated above, Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END,Applications received after <br /> 3:00 pm will be proeessad the next business day. ointments <br /> 2. Th I EHD will notify the applicant if any END flies exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of applicaIlon, The flies will be held for a maximum of five Uusinass days for review. App <br /> Should be scheduled accordingly. <br /> 3. A filo that Is actively being worked on by EHD staff may not be immediately available far review. A new application maybe <br /> submitted when the file is available, be reorganized EHD staff at the expense of the applicant. <br /> 4. Any flit not returned in the same conduitn as released may require a ill 00 deposit pr orto revlew• <br /> Future file reviews by the same app END USF ONLY <br /> cvn 0.a9 SA3@0W <br />