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Mar. 16. 2007 2:08PM = AT-"-,GROUP SERVICES ANC, t No; 0089 P. .1 <br /> Er@ LOG NUMBER <br /> a I LU SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEA,.LT.H DEPARTNTENT <br /> 1 6 2007 304 East Weber Avenue,.3d Floor,Stockton,CA95202-2?03 <br /> Telephone:(209)468-3420 Fax; (209)464-0138 Web; %vw%v.sjgov,orz%ehd <br /> Idyl UAj[V,'t:xJ 1 h"EALTH <br /> PFR"";11T1SL=,RV1QFr, PUBLIC RECORDS RELEASE "PLICATION <br /> APPLICANT:II l� $UStNES51AGE�lCY: ll�s, SSB G � <br /> ADDRESSA111 LOVA YAIM DI <br /> — <br /> PHONE(1): 24 PHONE(2): M. <br /> FACSIMILE: -Z-mr, <br /> TENTATIVE*APPOINTMENT DATE:M rch 1W 12001 Time: g-Qv <br /> (Please allow 10 business days fpm date of application submittal-'tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU)NI 493 0 FEE ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU"ESS DAYS <br /> SIGNATURE OF APPLICANT DATE PJ-A b� <br /> UNIT DISTMBU710N C3 Unit 1 C3 Unit 2 Q Unit S C]Unit 4 p Unit 3 Unit S d Other(electranicltistslmaps) <br /> PILE ADDRESS EHD USE NLY <br /> j Stmet I# stmot Name I City <br /> �. b I I <br /> 2. I "� IY� I do ov, :. <br /> 3. � .__ S !n Al <br /> a. <br /> S. O ( t aV1 <br /> s. w Auto �n I <br /> { <br /> 6. 14-2Z2 I i s #i:r r.,, ow <br /> 7. I i „ <br /> Specific Date Range of Information Requested:From ALL AVttlll.pt5Lt- to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q6UNDERGROUND TANK(UST)CLEANUP Sn't(LAP) 1!3 HOUSINC AOATEMENT [3 SoLm WASTE FAcnm LE <br /> 0 OTHER CLEANUP SLrT=.(Now-LOP) .l3 FOOD FACar1Y Q WASTE TOkE ' <br /> St Unoakimaumo TAW(MommitmWREMOVAL) 0 DOG KENNET. O DAIRY <br /> M(KVMDOVS WASTE'GENERATOR M CHomcEN RANcN 13 WASTEWATER TREATMENY PLANT <br /> I(TieRED IyERllirm FAcum C3 MOT"OTEL D PUMPER TRUCIUYARDIOHEM Tari:rs <br /> O TATTOomaoY PIERCIRO 13 POOLISPA El LAND USP APPLJCATIpN$RES <br /> MEDICAL WAM FACILITY ❑OTHER(PLEASE SPECIFYI <br /> Wgt.L AND SEPTIC PERMIT RECORDS ARE AYAmmLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-5:00FM - 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(es). At least one file type MUSS'be selected. Fax to 12091454-0138 o_LM112 She address <br /> indlWjd abo - Address ranges will not be accepted for additional assistance with We addrw nes,contact <br /> the END.Applications received after 3:00 pm will be-processed the next business day. <br /> 2. The END will notify the applicant if any EHb files exist An appointriient 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 END 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 E!Hb staff at the expense of the <br /> applicant. Future file reviews by same applicant may require a$93.00 deposit prior to review. <br /> I <br /> I <br /> 00 4H2-M <br /> 1J7+V05 <br /> I <br /> j <br /> ' I <br /> ' I <br />