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MUN JAN 0 f <br /> 'Z0080'! :36 AM EHD LOG NUMBER <br /> DATE RECEIVED SAN SQAQUIN COUNIT`ti <br /> E1viRON1\WNTAL REN rx DEPART��ENT <br /> 0 3 <br /> 600 E_Main Street, Stoc to Ol 8 95202-3029 <br /> eb 2-0 '\'ns ! <br /> Telephone: (209) 468-3420 Fax: (.-09) <br /> PUBLIC RECORDS RELEASE APPLICATIONO—Anderson &Associates <br /> BUSINESSIAGE — <br /> APPLICANT: —�--Y_-- <br /> ADDRESS:–942��1FACSIMILE: <br /> 2D9 357_3701 __—.�---PHONE(2):---_�—_�----_—FACSIMILE: <br /> PH (fr l_�— �- Jan 18, 2008 Time: <br /> TENTATIVE APPOINTMENT DATE: <br /> Iicafion submittal-*Tentative only•must be confirmed) <br /> (Please allow 10 business days from date of app REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> ❑CHECK BOX TO EXPEDITE REQUEST $98.00 FEE(CASH OR CHECK ONLY) DATE ,January 7, 2008 <br /> SIGNATURE OF APPLICANT <br /> Electronic information: List 2 Map—Description: <br /> EHD USE ONLY <br /> FILE ADDRESS ❑ Unit 1 <br /> Street# <br /> Street Name City <br /> 1. 471 Industrial Ave. Ripon <br /> G ( ❑ Unit 2 <br /> 2. 230 ,/J/ IndustrialAve. Ripon 's. <br /> ,w� <br /> 3. 339 Industrial Ave. Ripon / Unit 3 <br /> Rion <br /> 4. 320 S. Stockton Street p <br /> 5. 411 S. Stockton Street Ripon i ' ' nit4 <br /> 6. 1942 S. Stockton Street Ripon • <br /> 7. 222 E. Fourth Street Ripon ❑ unit 5 <br /> 8. <br /> l3 ❑ Unit 6 <br /> 10. ` <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILITYIVEHICLE <br /> X OTHER CLEANUP SITE{NON-LOP) FOOD FACILITY WASTE TIRE <br /> X UNDERGROUND TANK(MON rrORINGfRE MOVAL) DOG KENNEL DAIRY <br /> X HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY MOTELIHOTEL PUMPER TRUCKIYAROICHEM TOILETS <br /> TATTDOIBODY PIERCING POOLISPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE-SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:0D AM-5:OOPM - 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 appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses, contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <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 END staff may not be immediately 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 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 /> L <br /> EHD AB-06 9,"132GC3 vret <br />