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APR 04,2007 06:55A 91 <br /> DATE RECEIVED 65431379 <br /> 40' Page 2 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVERON'MENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3''Floor,Stockton,CA 95202-2708 <br /> APR - 4 2007 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www-sjgov.org/ehd <br /> r1EAE PUBLIC RECORDS RE-LEASE APPLICATION <br /> pEJfir ILfCiT: <br /> in <br /> "INESWAGENCY:_Environ memtaI Resolutions Ino <br /> ADDRE33: 1 Orth McDoweO Bouiev Petaluma W116 is 949 <br /> PHONE(1): 707 338-8t)16 PHONE tat 17071765-2000 FACSIMILE:1915)543-1379 <br /> TENTATIVE"APPOINTMENT DATE: April 13 007 <br /> (Pis allow 10 business da Time: 08:00 am7 <br /> ye from date of applicetDon aubmtttal.`1 entatllre poly-must be confirmed) <br /> CHECK 13OX TO EXPEDITE REQ U - 95.00 F (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 U (NESS DAYS <br /> SIGNATURE OF APPLICANT Etzl DATE L v <br /> Eiectronlc Information: ❑List©Map-Description: <br /> A s FILE ADDRESS pi END USE ONLY <br /> • 25355 . . .NQI'th Niohway <br /> Street Name ._.- Acam � }� �S� -� ® unto <br /> rZ 25850 North HigF►way 99 Aoampo 1 ` } �`=.�x_ " ❑ 1.1*2 <br /> - - _._... <br /> 3. ����� ,` � ` ,4` v�`� �-�C;.2-I'S'O � •`®'' ,J <br /> 6' �-�, Unit 4 <br /> 7. C5w - APR 1 0 2007 <br /> „...... '� <br /> Unit 6 <br /> 10. —L4 H C� J._ p unit t; <br /> Specltic Dsft Range of Information Requested:From 1950's to 2007 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILL-S <br /> UNINRoRDUND TANK(UST)CLEANUP SITE(LOP) Ci HOUSING ARAM MENT C5 <br /> a ODWR CLEANUP Sm!(NON�LOP) L1 FOOD FACILITYSoup WASTE FAcn nYtVewacLE <br /> 13 13 <br /> OTEutt <br /> NDERGROUND TANK(MONITO EMOVAL) ❑D 13 Doo KENNEL 0 D TIRE <br /> H WASTE GENERATORAIRY <br /> ®TIERED PERMMED FACUTY ❑ OMUN RANCH d wAF t @WATER TREAT6IEKT PLANT <br /> ®TATToofsoov paRCING ❑MOTSL 0 PUMPER TRUCKlYARDICNEM Toak-M <br /> ®MEDIM WASTE FACILITY 0 POOLISPA 0 LAND USE APPLIC®noN BITES <br /> ®OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERNI T RECORDS ARE AVAILABLE FOR REVIEW. NIpNDAY-FWDAY$:tt0 AM S:Qppy . <br /> EXCLUMO HOLIDAYS. <br /> I. that up to ten addresses in the space above. Select the typ$($)Of files from the list above b checkin the a <br /> bOX(et). At least one file type MUST be selected. Fax t 2 38 r fl y g appropriate <br /> iotog above. <br /> ind <br /> ranges will not be accepted–for t business <br /> assistance with file addresses,cantact the END.Applications received mfrs <br /> 3:00 pm w111 be processed the next bualneaa day. <br /> An appointment for review will be confirmed approximately ten(10) <br /> 2. The END will notify the applicant If any END files exist <br /> days after receipt of aPPUcation. 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 application May be <br /> submitted when the file J4 available. <br /> 4. Any file not returned In the same condition se released will be reorganized by END staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$96.00 deposit prior to review, <br /> EHD USE ONLY <br /> EN <br />