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02/16/2007 FRI 16;65 FAX EL J9 SJC PUBLIC WORKS X001/001 <br /> ARMED <br /> 2007 SAN JoAQun0v COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMIENT <br /> "qftSVHWH 304 E Weber Ave P Floor Stockton,CA 95205 <br /> 468-3420 Fax:(209)464-0138 Web:W W W.co,Ban joaquin.ca.us/ehd 17M <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Claudia Geriberling eusINESSTAGENcY: San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, California 95205 <br /> PHONE; 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE*APPOINTMENT DATE Time: <br /> (Pleasa allow 10 business Clays hom date ofapplleation submittaq <br /> ! <br /> CHECK BOX TO EXPEDITE REQUEST•$$93�.0�0/FEE <br /> S—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT L �r+q[a c L� MJF Ydt DATE _4-4015-4-7 <br /> DePa,Mterg Use Orgy <br /> FILE ADDRESS UNIT <br /> shag N T orl/an ,>, <br /> i snmr y6.59 CN • : ❑ Unit 1 <br /> ._ Sbear ❑ Unit 2 <br /> 5 Sheet Y <br /> s. sic Q� Unit 3 ry <br /> r. swot / <br /> e see„ Unit 4 <br /> s. sheer <br /> to. seaei ❑ Unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES —_ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> �( UNDERGROUND TANK(MONITORINGfREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> }f HA?ARV'OUS WASTE GENERATOR O CHICKEN RANCH Cl PKG TREATMENT PLANT <br /> d TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKTYARD/CHEM TOILETS <br /> E3 TATFQQA300Y PIERCING Cl POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY I7 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking t' <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed ` <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> 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 EHD staff at the expense <br /> of the applicant Future file reviews by the Sam,)applicant may require a$93.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be Confirmed with EHD staff. <br /> 6_ Applications received after 3:00 pm will be processed the next business day. <br /> ..t ; <br /> tla/SgOg <br />