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Mar. 5. 2007 2:39PM tAdvanced GeoEnvironmental ..� No. 7$28 P. 1 <br /> � p�J �I� t=HD I nr,NUMBER JOAQUIN COUNTY <br /> MAR 0 6 2007' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, aid door, Stockton, CA 95202.2708 <br /> ENVIR0idiv'!r-.N1 HEAtl 'Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> PERMiT1SERV11GES <br /> PUBLIC RECORDS RELEASE APPLICATION 27 y <br /> APPLICAH7: S' <br /> rs� BUSIHESSIAGENCY: uDVQ14M4&61V{I�l11�l�hiK1 <br /> ADnaP-S! gag pp,, Y&'7'; <br /> � Q G iii .yy r' ry 1 <br /> PHONE(11): �IQ7 Y&'7' ld0� _PHONE(2 Q .� ` I; FAMIMILE:O�[J�`,7,��I ! �_f_�!TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please oilow t0 business from dote of appllc an submittal-'Tenfadve only-must be c of nned) <br /> CHECK BOX TO EXPEDITF R UE$T-$85.90 FEE(CASH CHEC NLY)-R Q EST PROCESSED IN 9 BUS ESS DAYS <br /> SIG TURF OF APPLICANT DATE <br /> I <br /> Efectronfe Infonnation: ❑List❑ Map=Description: <br /> FILE ADDRESS E j JSE,ONLY _ <br /> Street# Street Nome C4 "' ❑ Unit 1 <br /> 2. 6 RWY J3 c `l `' r ' Unit 2 <br /> 3. <br /> 4. Q n^ unit 9 <br /> 5. l hA 4 <br /> a, : <br /> 7. i ❑ Unit 5 <br /> g' ❑ Unit 8 <br /> Specific Date Range of information Requested:From to <br /> �J ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4p UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑Housiw;ABATEMENT IJ SOLID WASTE FACILITWfVEHICLE <br /> OTHER CLEANUP SITE(NDN-LOP) d FOOD FACILITY- ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) E3 DOG KENNEL ❑DAIRY <br /> 9HAZArwous WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TiEREb PERMITTED FACILITY 13 MOTELJHOTEL PUMPER TRucKrYAROIGHEM TOILET'S <br /> 0 TATTOOIBODY PIERCING ❑POOLISPA L&ND USE APPLICATION SITES ' <br /> MEDICALWA8 FAc4uFY 0OTHER(PLEASESPECIFY) <br /> WELL AND$EP-nC PERMIT RECORDS ARE AVA&ABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM • ExCLuaiNG HOLIDAYS. i <br /> '1. List up to ten addresses in the space above. Select the type(s)of files from the fist above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated above._ Address <br /> ranges will not be accepted—for add itional:sasistance with file addresses,contact the EHD.Applications recelyed after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files oxl6t. An appointment for review will be confirmed approximately ten(10) j <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> 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 nen+application may be � <br /> submitted when the file Is avallable. <br /> 4. Any file not returned in the Sarna condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> E�o�e-aa erisnoos <br />