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01/04/2006 15:35 972247'" GORE Jil..w PAGE 02/02 <br /> r <br /> t <br /> D EIVED END LUG NUMBER <br /> o �' l i SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT mom <br /> J A P 3 � � �� 304 East Weber Avenue,3'd Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.ozg/ehd <br /> ENVIRONNIIE.N hEAUH <br /> ®gEE 11 JERViCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tim ZOch(David Ennis BUSINESS/AGENCY: GORE Pro er r Sciences <br /> ADDRESS: 12801 N.Stemmons Freeway,Suite 807 Dallas,Texas 75234 <br /> PHONE(1): 972-247-7229 PHONE(2): FACSIMILE: b72-247-7810 <br /> TENTATIVE*APPOINTMENT DATE: January 16,2006 Time: <br /> (Please allow 10 business days from date of application submittal-*Twdaflve only-must be Conn ed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE(77�v�wjm4 <br /> ST PROCESSED IN 3 USINESS DAYS <br /> TIM SIGNATURE OF APPLICANT .! � DATE J nuary 4,2006 <br /> i <br /> UNIT DISTRIBUTION ❑ Unit 1 ❑Unit 2 ❑ Unit 3 ❑Unitfff!:En ❑ Unit 6 ❑ Other(e nMlsts/maps) <br /> FILE ADDRESS <br /> Street# Street Name CRY EHD US9 ONLY . <br /> 1. 4315 E.Watedoo Road(Shell). Stackl;Qn.CA <br /> 2. . <br /> 3. 4407 E.Waterloo Road(Emie's) t 1 <br /> 4• Stockton.CA <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IN UNDERGRoumo TANK(UST)CLEANUP SITE(LOP) l3 HOUSING ABATEMENT ❑SOLID WASTE FAcILrry VEHi= <br /> C3 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WAS'T'E TIRE <br /> R UNDERGROUND TANK(MowrORINWREIAOVAL) ❑DOG KENNEL - ❑DAIRY <br /> ❑FImXitOOUs WASTE GENERATOR ❑CHICKEN RANCH ❑WMTEwATERTREATm�NTPLANT <br /> 13 TIERED PERmrnED FACILITY ❑MOTELIHOTEL ❑PUMPER TRuCK1YARD16HEM TOILETS <br /> ❑TATTooMoDY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑MEDK:AL WASTE FAcu TY ❑OTHER(PLEASE SPEC" III <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY•FFWAY 8:00 AM-5:00Pm - Excwmm6 HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above b checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to 2091464-0138 or mail o the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file g ddresses,contact <br /> the EHD.Applications received after 3A0 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 rA infirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximu 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 Immediately available for rev ew. A new <br /> application may be 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 tl ie expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to ew. <br /> END 48-02-006 <br /> 1f74l05 <br /> 1 <br />