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08/09/2007 MU 15:05 FAX 2094682999 SJC PUBLIC WORKS X1004/006 <br /> DA7F,RECEIVED - Nftwl <br /> - EHD LOG NUMBER <br /> SAN J•OAQUTN COUNTY <br /> El NVIHONMENTAL HEALTH DEPARTMF <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> 7(209)468-3420 Fax:(209)464-0138 Web:www.co-san joaquin.ca.us/ i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Claudia Gembe;ling BUSINESS/AGENCY San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, Cali,forAia 95205 <br /> PHONE: 953--7624 FAcsIMILE: 468-2999 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal) <br /> El ,l <br /> CHECK BOX Tp EXPEDn-E REQUES)�-$993.00 FEE-�REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT CIC <br /> -BGG-� DATE I 1—LJ <br /> 10 Department Uso Only <br /> FILE ADDRESS UNIT. <br /> �. sem+ (o. '�' �- © Unit 1 - <br /> 3. I�/ Unit 2 <br /> a. s,.�ac D C; T <br /> 5. spa Q ai <br /> e. swet 1Unit 3CKV <br /> XO\ <br /> a. Unit 4 <br /> 9. Sa.et 2 p p aty ❑ Unit 5 <br /> ,o. so-cc, Q DOt <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACT <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL, DAIRY <br /> HAZARDOU8 WASTE GENERATOR Q CHICKEN RANCH PKG TREATMENT PLANT <br /> I"TIERED PERMITTED FACILITY ❑ MOTELIHOTEI PUMPER TRUCKIYARD/CHEM TOILETS <br /> 7 TATTOOIBODY PIERCING ❑ POOLISPA Cl LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITy Q OTHER(PLEASE SPEciFY) <br /> 7. 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(209)464-0138 or mail to the <br /> address indicated above, <br /> 2. EHD will notify the applicant if any EHD files 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 held 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 news <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 the expense <br /> Of the applicant. Future file reviews by the same applicant 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 /> _._.. <br /> :DA7E, t�IF1FtMED <br /> FIf (tIE- <br /> IINIT <br /> RWf R <br /> ............ <br /> ererzoos <br />