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01/-'0/2006 09:49 FAX 1 209 234 7727 STOCKTON 16002 <br /> 01/10/2006 09:34 4641113* ENVIRONMENTAL H* PAGE ' 01 <br /> UAI IVCD r-nu L%ru Numocr% <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> --- 304 EW Weber Avenue, 34 Floor,Stockton,CA 952022708 <br /> 0 2.04clephone:(209)469-3420 Fax: (209)464-0138 Web:www.sjgov.org/ebd <br /> kBLIC RECORDS RELEASE APPLICATION <br /> APPUCJIW� BUSINESSIAOFNCY: A -s v, <br /> ADDRESS: *3 4 JO W IA-myLLc Cl STATF__!;.�A <br /> Z314-7 7 _ j_,3tA-77,27 <br /> PHONE(I)., zL PHONE(2): FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE. runs: ON116ft Ma- Idnit& <br /> (Piano allow 10 business days from ftW of Application aulaniffft!-w7'alAW4`0 only-M L be <br /> CHECK BOX TO EXPEDITE REQ 3.00 ,H OR CHECK ONLY)-REQUEST PROCESSW <br /> SIGNATURE OF APPLICANT -RIL— DATE I <br /> Electronic D Ust CI Map-De"ripflo" <br /> -Informagon I <br /> FILE ADDRESS EHD USE ONLY <br /> Streak M Rtnwt Name CRY <br /> 0 .4)nit 1 <br /> 2. 00 15. R,,4-L A <br /> 3, El' UnK,2 <br /> 4 <br /> 6. Unit 4 <br /> L7. AM Unit 5 <br /> -1896 Unit 6--, <br /> Specific Date Range of Information Requested.,From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILM <br /> Ip U14MROROUM TANK(UST)CLEANUP SITE(LOP) A HOUSING AhAliMUNT KSOLID WASTE FACILMNEHICLS <br /> it OTHER CLEANUP SITE(Non-LOP) C3 FooD FAMATY 19LWAM TIRE <br /> 11L UNDnRmoutw TANK(MoxuoWx*fREwNAt.) 0 DOG KENNEL 0 DAiRy <br /> K HAzARDous WASTE QzNaRAToR M CHICKEN RANCH 0 WASTEWATER TREAMEN1 PLANT <br /> IILTIEKED PERMRTW FACILrry 13 MVML1Ho7zL 0 pUMppR TRUCKIYAMICHEINCAL TOILETS <br /> tL TATTOOIBODY PWROM M POOLISPA4� O <br /> Y) At., " L tNDU$E APPLICATION SITES <br /> *]YIEDICAL WASTE FACILITY 0 OTMR(PLEASE SMCF <br /> WELL AHD SEPTIC PERMtT RECORDS ARE AVAILABLE FOR REARW-MONDAY-FRIDAY 8:00 -5200pM - E=LUMNO HOLIDAYS. <br /> 1. List up to ton 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 fife type MUST be selected. Fax to(2091464-008o; 311toth address <br /> Indicated above. Address ranges will not be accepted .for additional assistance with file addresses,contact <br /> the EHD. received after 3:00 pm will be processed the next business day. rined <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will c0nfil <br /> approximately ten(io)days after receipt of application. The files will be hold for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A rile 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. Afile ilot returned in the same condttion as released will be reorganized by EHo suff at the expense of the <br /> appny licant. Future file reviews by the same applicant may require as$93.00 deposit prior to review. <br /> CHO 9844 <br /> 10MI2006 <br />