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Dec 14 06 08: 59a T •Ad Burnett (20914727-5048 p. 2 <br /> P.02 <br /> EHD LOG NUMBER <br /> JOAQ.,I'N COUNTY <br /> DEC 14 2006 ENVIRONMENTAL, HF,ALTH DEPARTMENT <br /> NT <br /> HE304 Fast Weber Avenue, Std 1=1oor,Stockton,CA 95202 <br /> ENVIRONMENT <br /> HEkJ�, 468-3420 Fax: (209)464-0138 Web: www.co.san-joaquin.camstchd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:� Ti-10-n—c-d SUSINESSIAGENCY: er(t rl ti b' <br /> ADORES& 1725 sf -� ,,t-_/ e6 u -1 <br /> PnoNe(26 727 — 5,e[ 7 FACSIMILE: s4e 5048 <br /> TENTATIVE`APPOINTMENT DATE: i Z rL g ^ U(P Time: 10°0V am <br /> p (Please allow 10 buelnesa drys from date of IPPOC®tion subMIMI) <br /> t-I CHECK BOX TO EXPEDITE REQUEST•03.00 FEE-REQUEST PROCESSED IN±BUSINESS DAYS <br /> SIGNATURE OF APPLICANT " !"Id DATE /Z /N Z4010 <br /> Deoartmam Usv odd <br /> / I7 1/� k FILE ADDRESS UNIT <br /> t Slreel/ ( (L.6/ Sirant Name AAA LdA4,, <br /> z. ...a alreer kerne Coy ❑ Unit 1 <br /> 9 9teeat R Nvme se Unit 2 <br /> e. t rm:l Nairn Ch <br /> s swe a sl.e�e cn U Unit 3 <br /> S & F WO&I Nkrrs U <br /> 7. Silent i Swnu_I Nenvee„---- City Unit 4 <br /> tl. Srroes a $sem aPvw C( <br /> 9 SUeet a );Neel Nemo <br /> 70 auvol a St'velsomn .....-.. ___.-. <br /> ...._ _....Crl _._-.. .._.___ __. -._ --_- --_.. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O MOUSING ABATEMENT 76I-SOLID WASTE FSyA <br /> OTHER CLEANUP SITE(NON-LOA) 0 FOOD FACILITY 0 SOLID WASTE VE <br /> ❑ UNDERGROUND TANK(MONITORINGIREMOVAL) M DOG KENNEL D DAIRY <br /> O HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH O PKG TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY O MOTELIHOTEL O PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOfBODY PIERCING 0 POOLISPA LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 1209)464-0138 or mail to the <br /> gddrgAs Indicated above. <br /> 2. EHD will notify the applicant if any END flies exist. An.appointment for review will be confirmed <br /> approximately five business days but no.later than ten(10)days after-receipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted When the file is available. <br /> 4. Any file not returned in the$ame condition as released will be reorganized by-IE;HO staff at the expense <br /> Of the applicant. Future file reviews by the same appficant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME -- --- __ <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES ?AQ REVIEW DATE <br /> END 40.02.009 — <br /> srwzvv� <br />