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01/-0/2006 09:49 FAX 1 209 234 7727 STOCKTON 10002 <br /> @1/10/2006 09:34 464013 ENVIRONMENTAL PAGE 01 <br /> gyp, Ivtu cnu ww eau cat <br /> SAN JOAQU N COUNTY <br /> ENVUtONMENTAL HEALTH DEPARTMENT ' <br /> 304 East Weber Avenue P Floor,Stockton,CA.95202-2708 <br /> I .r; ; C1.4clepho i(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ebd <br /> RECORDS RELEASR APPLICATION <br /> APPUC OUSINESSIAGENCY: <br /> ADDR533: 34 IQ W.MIMA it L 41410, !S !te-F CITY -15�kyr, STATF-_C-E,_. <br /> PHONE(7): 23x{-7 2 2Z PHONE(2): FACSIMILE: 23 1"7 7 27 <br /> TENTATIVE"APPOINTMENT DATE: <br /> (none allow 10 business days from elate of aWcation submittal-IrwW4hmw+ly-must b® <br /> CHECK BOX TO EXPEDITE REQ 3.00 H OR CHECK ONLY).REQUEST PROCESSFA 1 S <br /> SIGNATURE OF APPLICANT DATE i l0 <br /> Electronic C3 Clea 0 Map-Description <br /> Information <br /> FILEADDRESS EHD USE ONLY <br /> Streak Street Name— City <br /> 1. El Mnit 1 <br /> 2. oo i?d _ unit 2''L4� 00 Unit 4 <br /> Unit 6 <br /> Unit 6 <br /> Speoft Date Range of ITKO oration Requested,From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> 11 UNMOROUND TANK(UST)CLEANUP SIl E(LOP) A HMMAG ARA • 6WA% <br /> ftWASTE FACE OTNERICLS <br /> 1%onm CLEANUP SITE(Non-LOP) 0 FOOD FACPAY TIRE <br /> ®®06 KENNEL 13 DAIRY <br /> 15'b`l UND6RGROUNU TANK(MoNrTowNalReMrnrA�Lj . <br /> K HA mwus WASTE GaNERAToR 17 CHICKIIN RANCH 0 WASTEWATER TREATME14T PLANT <br /> 11-TiERm PERM T 0 FACILt'rY 0 MOTEUHOTEi. 0 PUMPER TRuGKIYARoiCHEMXAL TD"TS <br /> TATTOOIBODY PIRROM 0 POOtJSPA Q 0 Lr UFE APPLK:ATtON SITES <br /> 0FDtCAL WASTE FACtUTY 0 OTHER(PLeAss SPE�� /as i <br /> WELL AND SEP11C PEWIT REC=8 ARE AVAILABLE ROR Itmew-MONDAY-FRIDAY 00 .bcOOPM - EXCLUDING HOUDAY8. <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 MUST be selected. Fax to c20a1464-0438 or mail to ttte address <br /> Indicated above. Address ranges will not be accepted .for additional assistance with file addre$$SS,contact <br /> the EHD.Applications received after 3wo pm wlH be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exlet. An appointment 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 EHD staff may not be immediatehl available for review. Anew <br /> supplication may be submitted when the file Is available. <br /> 4. Any file cot returned in the same condition as released will be reorganized by EHD staff at the expanse of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> r <br /> ----------------- <br /> XIN . i <br /> •;; Wit,. •I <br /> CHO!E G6 <br /> 9pfS419WG <br />