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FEB. 8. 2006 9: 16AM COWIQ EARTH TECH _ NO. 5577 P. 2/2 <br /> �1 EHb LOG NUMBER <br /> [�J SAN JOAQUIN County <br /> FEPEN m0NXENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3'dFloor, Stockton,CA 95202-2708 <br /> ')telephone; (209)468-3420 Fax:(209)4640138 Webs www.sjgov.org/ehd <br /> EFMR0Nf0E 1'47 HEALTH Z200*1 <br /> PERMIT'S RVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: leaAPNI ff__ BUSINIESSIAGENCY: iiV rel <br /> ADDRESS: l • C it d e- - Yi~+ CA <br /> PHONE(t): A9 41W^O$(Q PHONE(Z): &c) K I$Q7 '_4 D FACSILIfILI E <br /> TENTATIVE"AppowmENT DATE: Thm: <br /> (Please allow 10 buslnew days from d of applimllon subnTl(tal-*renlabW only-must be confirmed) <br /> CHEGKI]OXTOEXPr. WF7glUEST493.00F ( H OR CHECK ONLY)-REQU5ST PROCESSED IN 3 Bus <br /> SIGNATUd OF APPLICA T DATE Q <br /> UNIT DISTRIBUTrON G Unit1 ClUnit 2 Unit 3 G Unit 4 13 Unit$ O Units O Other(eledronldYabslenaps) <br /> FILE ADDRESS EHD USE ONLY <br /> strC¢E t# Street Name Clty <br /> kL <br /> 4. p 13 4 i� <br /> 5. <br /> 6. I& d <br /> k7. <br /> Specific Date Range of Information Requested:From to <br /> �/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1�1NOERGRounv TANx(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT I!7 SOUD WASTE FAC$TVVEHICLE <br /> r� zxbx CLFANUr SITE(NON-LOP) oo FAcnm G7 WA5M TIRE <br /> UNDERGROURO TANK(11 owTORtNGIRENIOVAL) OG KEWEL E3 DAIRY <br /> Cl HAZAROOUs wASn G ENEttATORHKKEN RANCH O WASTEWATER TFWATMaw PLANT <br /> 0 TIEAND PERMITTED FACILFIY MOMLIHOTEL PUTAPERTRUCKIYARo1CNEM TOIL <br /> 0 TATTOO43ODY PIENGING 171POOLISPA LAND USE APPLIOATIDN Srms <br /> t7 MEDICAL WASTE FACILnY E3 OntiER(PLEASE SPECIFY) <br /> WELL AND SEPTIC REcOROs ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 6A0 ArA4:00Pnr - EXCLVDIWG HOLIDAYS. <br /> I. List up to ten addresses in the space above. Select the types)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected, Eax to L2091464-0138 or mail to the address <br /> indicated above. Address ranges Will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHO will notify the applicant if any EHD files exist, An appointment for review will be confirmed <br /> approximately ten(10)days atter receipt of application. The files will be held for a maximum 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 review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not reWmed In the same condition as released will be reorganized by EHD staff at the expense ofthe <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 21 , <br /> v �`` <br /> Een41 t-= <br /> 1MV05 <br />