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etsi15i1lJU( 14:53 2133800505 ENVIRONMENTAL PAGE 01/01 <br /> 0 I <br /> �l� SAN JOAQUIN COUNTY EHD LpG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 1 5 2007 304 East Weber Avenue, 3`1 Floor, Stockton, CA 9520 - 8 <br /> Telephone.(209)468-3420 Fax: (209)464-0138 Web:www.sj V. r& <br /> ENVIRk N',9ENT HEALTH �/ <br /> PEP,.jIT/SERVICES PUBLIC RECORDS RELEASE APPLTCA ON <br /> APPLICANT: ! C BUSINESS/AG/E�NCY. C7 <br /> ADDRESS: (/Uig S ff fi�(1.fy7 /�O L.-�.i`-i. l\ <br /> // <br /> PHONE(1): `7.l r?c3C7— 0,5_5 15 PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE:—.. Time: <br /> (Please allow 10 business days from date of application submittal-*Tenfadve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST�DSH K ONLY)-REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATVRF OF APPLICANT _ DATE <br /> r <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> (v� Street# Street Name GIty ❑ Unit 1 <br /> Z2 25 <br /> 2. ❑ Unit 2 <br /> 3. <br /> 4. \6�Unit 3 <br /> 6. Unit 4 lr <br /> 7. <br /> g ❑ Unit 5 <br /> 9. <br /> 1D. ❑ Units <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> `•UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> �r1NDERGROUND TANK(MONITORINGIREMOVAL) 11 DOG KENNEL Q DAIRY <br /> -. <br /> —E94AAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 1:1 TIERED PERMITTED FACILITY M MOTELIHOTEL PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATTOOIBODY PIERCING 0 POOLISPA LAND USE APPLICATION SITES <br /> I]MEDICAL WASTE FACILITY El OTHER(PLEASE SPECIFY) <br /> WELL AND$Ep=PERMIT RECORDS AHE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8!00 AM-6:00PM - EzCLUDING HQLIPAYS. <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(2091464-0138 or mall to the addressindicated above Address <br /> ranges will not be accepted T 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 EHD 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 game applicant may require a$95-00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-08 2/13/2008 <br />