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05/31/2006 WED 10:44 FAI 559 "17 2886 BSK Environmental X002/002 <br /> DA� l/ DD <br /> SAN.TOAQUIN COUNTY EHD LOG NUMBER <br /> ENVVIRONMENTAL HEALTH DEPARTMENT <br /> A 3 1 2006 304 East Weber Avenue,3'Floor,Stockton,CA 95202-2708 07 <br /> ENVIRONMENT HEI MNbone:(209)468-3420 Fax;(209)46x-0138 web:www.sjgoy.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION low 3 q31 <br /> APPLICAUT; M 11c-E MC-(4�W'Z V-2- —BUSINESSlAGENCY: $S k A Ice c).a r!!S <br /> ADDRES.R:_ -- w- -�RAw AucN"C, I e 1 CA 9370 Z <br /> PHONE(1):_5 5`l. '/77.2176Qz)- 127 PHONE(2): 15'S , Y7% J 91I- PAosnirnl E: <br /> TENTATIVE'APPOIN77AENT DATE: & loev Tkm:./Dayn <br /> (Please allow 10 business clays from daft of application submittal-'renta6ve only-roust be conlirmed) <br /> CHECK SOX To EXPEDITE $93A E H OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS, <br /> SIGNATURE OF APPLICANT � � DATE <br /> UNIT DISTRIBUTION 0 Unk 1 n Unkf CfUea 3 l7 Unit 4 0 Unit 5 0 Unit 8 0 Other(Fteetronireristslmsps) <br /> FILE ADDRESS FHD-U2E-0.NI <br /> me _ _ <br /> 1. 3C►/�.. AJA VYryEc Sz <br /> 2. <br /> 4. 3oo3• / /VAk6t A.cwer, -- <br /> 6... 30 txa ^/Rely rA4-i✓r, - <br /> 7. n/A✓.Y.—/1.r <br /> "A✓V- d6c <br /> 9. <br /> Sprmlfk Date Range of Information Requested:From 1.j'y0to ¢ A <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(V$T)CLEANUP SITE(IAP) HOUSING ABATSKM 0 SOL w WASTE FAcnmlVENICLE <br /> OTHER CLEANUP SrM(WN-LOP) 0 Foot)FACILITY E3 WASTE TARE <br /> `�,,,�UHVERGRQUNDTANK(MONn9RiNGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> ya HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH E3 WA5 MATER TREATMENT PLANT <br /> (]TIERED PERAIirm FACILITY 0 moTr mouL D PuNpEtTRUCKIYARDICHMN Tou.Ers <br /> C3 TATToolBODY P[EmNG 0 POoL/SPA 0 LAND Uor APPUCAT60N Srrm <br /> 0 MEDICAL WASTE FACMM to OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-$-.Wpm - EXCWDMIG HOUDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)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 maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being wonted 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 reorganized 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 /> EHP�2-096 <br /> 9Mf/95 <br />