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/02/2007 10: 18 FAX <br /> DATF RECEIVED S EHD LOC NUMOER <br /> � I <br /> 1AN JOAQUIN COUNTY <br /> L)' ' <br /> I-A-j ENVIRONMENTAL HEALTII DEPAIITMENT <br /> J.�� , 1 <br /> 600 f— Main Sheet, Stockton, CA 95202-3029 <br /> I 1 2 0 0 7 Te I eph o ne: (209)4 68-3 420 Fax: (209)164-0 13 8 Web, www.jgov.o rS1P <br /> 4, <br /> 40 <br /> PUBLIC RECO"S RELEASE APPLICATION <br /> ^1.1 LL .-7 BUSINESSIACtNCY: <br /> ADDRESS: 3I b -vLP CA,,j p P24vE ,120"1 010 COR4,50vol 0163?0 <br /> PHONE 0Y- 06 50�) 1-&6 1 PHONE(2); q30 —FACSIMILE- mg 6 8M <br /> TENTATIVE*APPOINTMENT DATE, 10 ��F-,q Time: <br /> (Pleaue allow ID busine-55 days from date of application submittal-'Tentative Gnty-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST.-"5.00�Frz(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7 <br /> Electronic Information: El List El Map-Description: <br /> FILE ADDRESS -EHD USE ONLY <br /> Street I $.treat Name city 0 unit I <br /> A RIO,ri 6- W fly <br /> Unite <br /> LA—Nfz0P 3�c:2- Cy� <br /> 16 C 14M I'liz fob-3r-- -f-M OZ d f <br /> 4- �50 <br /> 5. -Skji6 U2N74 Q L 5'ry Ul-.nr� At <br /> ItO ' I. <br /> Ta C-Y SLY iQ <br /> 7. <br /> -- Un" <br /> 10. unit qj <br /> Specific Date Range of Information Requested:From to 7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) rl HOLLSINC ABATEMENT 13 SOLID WASTE FAclLirfIVEHICLE <br /> ER CLEANUP SITE(NON-LOP) 0 Foou FACILITY 1`1 WASTE TIRE <br /> 9S001.:0rR0ROUNV TANK(MONITORINGIREMOVAL) M DOG KENNEL . 13 DAIRY <br /> ZAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WA--ATER TREATMENT PLANT <br /> IERED PERMITTED FACU STY rJ MOTELIHOTrL CI PUMPER TRucKfYARDtGHrm TOILE75 <br /> C3 TATTOOSODY RuRcmr, 0 POOLISPA 171 LAND USE APPLICATION SITES <br /> 0 MPbrCAL WA5TE FACILITY C3 OTHER(PLEASE SPECIFY <br /> WELL AMb SFPTSC PERMIT RFOokoS ARE AVAILABLE FOR REVIEW- MONDAY-MOAY 6'00 AMoS:QopM - EKCLUDrNr HOLIDAYS. <br /> 1. List up to tan 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 W(209)484-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EMD.Applications received after <br /> 3:00 pm will be processed the n@Xj business day. <br /> 2. The EI-iD will notify the applicant if any EHD files exist. An appointment for review Will be confirmed approximately ten(110) <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 I 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 /> —F—NQ-4,%'9 0119P20UO web <br />