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05/31/2006 WED 10:44 FAX 559 0 2886 BSK Environmental • X002/002 <br /> DA1��M�D SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAl' 3 12006 304 East Weber Avenue,3d Floor,Stockton,CA 95202-27083j <br /> ENVIRONMENT HETLisRpboae: (209)468-3420 Fax;(209)464-0138 Web:www.sjgov.oTg1chd 2 <br /> 3 <br /> PERMIT/SEMACEAS PUBLIC RECORDS RELEASE APPLICATIOpNt _ <br /> APPUGArtr: M)ICC r'tt(1ET12 LC pp _BUSINE337AGENCY:_Wk AS56GIT� <br /> AS <br /> ADDRESS:_ $&AL0 AUGPVCI Sutr9 Z , 1 &gjjua/ f+ 9310 c/ +�p <br /> PHONE(I)I-55?, '/7'/77.2,W "r F7.2IZ7 PHONE(2): Jrs . Y7 / 1 _—FACSIMILE. 6.0. 417. 2PPG <br /> TENTATIVE'APPOINTMENT DATE: f' /Y/O re TGna: YQ447'1 <br /> (Please allow 10 buslna�days from lope of apPUCIRIon submittal-'Tenfat&v only-must W c,,'FjmMd) <br /> O CHECK BOX TO EXPEDITE R�-fjUE(S/3-$93.00 5EE H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT L� r /� DATE _ S` 3d G <br /> U14jDSTRIBUTION ElUnit1 0U�U0n3 DUnitt ❑Unit6 11 Unite 13 Othor(el"ht niwlmtsh,ups) <br /> FILE A.PDRESS Mine <br /> 11SEOIILY <br /> 2. t-9Y7 _JA11Y DA,,✓a v . <br /> A✓AYy—JO,bua--------- -•fix. o..-------------- ------- <br /> 4. 8003 ^-/ J/VA✓yOt.ue SyT .,nyeJ _. — <br /> 6... Saar ✓r. � _... sre r—ro� �� <br /> 5 29 Y/ �✓yi• ST®vtset/ <br /> 8. 2> z9 NA✓Y_�FJ1��` _. srack!o 2 1; <br /> 10. <br /> Spf�ciflc Date Range of infatmation Requested:From /f 5/O to �Oo <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Umne;n.ROuun TANK(UST)CLEANUP$ITE(LOP) 13 HousiNO ABATEMENT d SOUO WASTE FAou TYMENICua <br /> OTRER CLEANUP SrM(NONIOP) D FOOD FACILITY O WASTE TIP.E <br /> ``��,,,,..UNDERGROUND TANK(MONnORINGIREMOVAL) MDOG KENNEL DDAIRY <br /> ib1IN GUSWASTEGENERATOR OCHICKEN RANCH 17 WASTunATLRTFeATMEHT PLAN <br /> TERES PERMITTED FACIUTT 13MOTELIH0,ML 17 PUNPDLTRUCKffM0CNEMT0a.E+3 <br /> O TATTODIBWY PIERQND ❑POOL.ISPA E3 LAND USE APrUCATON SITS <br /> C3 MEDICAL VVASTE FACILITY O OTHER(PLEASE SPECIE/) <br /> WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 3.W AM-S:UNPM - 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 <br /> appropriate box(as). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contict <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The 1_HD 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 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 reorganized by END staff at the expense of tho <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> is <br /> EHDAsa3p9r <br /> +nws <br />