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9J165431379 page 2�.2� <br /> %PR 04,2007 06:55ALd <br /> ' <br /> END LOG NQMBER <br /> DATE RKI iv y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 31 � <br /> 304 East Wcber Avenue,3'l Floor,Stockton,CA 95202-2708 <br /> _ 4 Z09'7 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www_sjgov.arglehd <br /> E% <br /> i, A ,,° <br /> t,4— tiEAUN PUBLIC RECORDS RELEASE APPLICATION 1 <br /> PEP� 13U8lNESS/AQENCY: En. vironmental Resolutions.-I <br /> ADDtmn—. §21 North McDowell BoulevW.Petaluma California lid$ <br /> PHONE(7):(707)338-8016 _PHONE(2): (7Q7)766-2000 FACSIMILE: (915f 543-1379 <br /> TENTAT'IVE2 APPOINTMENT DATE: April 13,2007 _ TIrsIH:: 08:0D <br /> (Please tallow 10 business day$from data of applIC00n submtttxt-'1'entattve Only-must be abnffrmed)� <br /> 1;3 CHECK BOX TO EXPEDIME REQU 96.00 (CASH OR CHFOK ONLY)-REQUEST PROCESSED IN 3 U INESS DAYS <br /> SIGNATURE OF APPLICANT /7 - ., I�GrZJ-�_ 0ATE <br /> Electronlo Information: ❑Lift Q Map—Description: <br /> FILE ADDRESS EM USE OMLY <br /> Street f Stroot Name _C-Ity © Unit 1 <br /> 1 25355 -NQS Hiahwav 99 ACam o ' <br /> 2. 25650 North Highway 9s: Acs ' ❑ Unite <br /> S. <br /> A. Units <br /> 6. <br /> it <br /> 6. <br /> --...-- <br /> $peelflc tote Range of Information Requested;From 'Q's to 2007 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ANDERGRROUNDTANK(UST)f.LMUP SITE(LOP) b HOUSING ADATEMENT 0$OUD WASTE FACILITYNEHICLE <br /> 13 OTHER CLEANUP&M(HON4,OP) 0 FOOD FACUSY 0 WA$TE TIRE <br /> �LINDERUROUNO TANK(MONITOR11*0MEMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR n CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> 0 TwnD PERMrr ED FAciLrry - ❑11010TEUMOTEL t7 PUMPER TRUCKIYARDICHEM TOU7s <br /> ❑TAT MOMODy PMF4MM C1 POOUSPA C]LANo use APPucA=K$,TEs <br /> ❑MEDICAL WASM FACRiTy O OTHER(PLEASE SPECWY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAMMLE FOR RBREPR. WNDAY-FRIDAY 6:00 AMd:40PM :EXCLUDING HOLIDAYS. <br /> 1. List up to ton addressee in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least arts file type MUST be selected. Fax t 36 gr mail cess indicated above. Address <br /> ranges will not be accepted–for Additional assistance with file addnesses,contact the END.Applications received after <br /> 9:00 pm wlli be processed the next business day; <br /> f 2. The EHO will notify the applicant If any E),10 files axes#. An appointment for review will be confirmed approximately ten(10) <br /> days other rareipt of applicstloa. The files will be hold for a maximum of five_business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being wonted on by SHO staff may not be-Immedlately 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 END staff at the expense of the applicant. <br /> Future file r€viaws by the san*applicant may require a$95.00 deposit prior to review. <br /> EHri USE ONLY <br /> It ' <br /> f <br /> i' � - <br />