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03/25/2009 16:14 5107871457 JOEL GREGER PAGE 01/01 <br /> SAN JOAQUIN OUNTY EHO LOG NUMBER <br /> 2 5 2009 ENVIRONMENTAL HEA H DEPARTMENT <br /> HEA <br /> 1 <br /> 600 East Main Street, Sto on, CA 95202-3029 01?007 <br /> I <br /> elephone: (209)468-3420 Fax: (209) 4 -0138 Web; WWW.Sjgov.0 <br /> HEAUITH' rg4 <br /> 'Vj(-ES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: '/e-p- c-,- <br /> -13USINESSIAGENCY' /0/,RS f <br /> ADDRESS: //Yo S2�'� - -�� <br /> PHONE(1): 5-,P, e PHONE(2) <br /> z- ;��-/C) Citylstatdzip Cr 4<471 9-C�K <br /> _2F-7 q6 J FACSIMILE: -7F71,VT7 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date Of application submittal--T-entofil(9 Only-must be Confirmed) <br /> CHECK BOX TO CXPEDITE REQUEST-$105 FEE(CASH OR GI-Iet^ONLY)-REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT --I-- <br /> DATE _-POr-0 9 <br /> Lewitronic Information: ❑List 0 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Nam City <br /> Unit I <br /> 2. 1�4, ❑_Vlfrt 2 <br /> 3. i— Al(.)A)2 A)0(015�,� <br /> 4. 17 AR,co("j e Unita <br /> 6. �614 Unit 4 <br /> UnItS <br /> Unit 6 <br /> Specific Date Range of Information Requested:From 1/4?-via to <br /> ENVIRONMENTAL HEALTH E EPARTMENT FILES .le <br /> Z,UND"cROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATE NIENIT 0 SOLID WASTE FACIUTYIVEHICLE <br /> �oTHER CLEANUP SITE(NON-LOP) C3 Foot)FACILITY 0 WASTE TIRE <br /> 'K <br /> UNDERGROUND TANK(M0NrroRINGfREM0VAL)De 0 Doo KENNEL 0 DAIRYM11 :3- <br /> HAZARDOUS WASTE GENERATOR 07 0 CHICKEN RANCH 0 WA37EWATER TREATMENT PLANT <br /> TIERED PERMITTED FAciuTY C3 MOTELfHOTEL 171 PUMPER TRUCKIYARDICHEm TOILETS 511�vq <br /> ❑TATroon3ouy PIERCING Cl POOLISPA 0 LAND USE APPLICATION SITES <br /> ❑FAr-oioAL wmie rAciuTy 0 OTHER(PLEASE SPrCIFY) <br /> WELL AND&EP-nc PERMIT RECORDS ARE AvAji-Aatz FOR REVIEW-MONDAY-FRIDAY 8:00 Am S:Oopm -EXCLUDING HOLIDAYS, <br /> 1. List up to ten addresses in the space above- Select the Weis)Of 902 from the list above by checking the appropriate <br /> box(es). At least one rile type MUST be selected, Fax to(209)464-0138 or it to the address ioLdlcated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,Contact the EHD. Applications receivod 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. 'nip 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 a"may not be immediately available for review. A new application may be <br /> submitted when the rile is available. <br /> 4. Any file not returned in the same condition as released will be re rganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a $105 deposit prior to review. <br /> r=HD USE-04Y <br /> EMD 48.M AA14MA PUBLIC RECOKLIS HEL.EA315 APP FORM <br />