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04/28/2009 11:06 SIERfaDELTA CONSULTANTS LLC 12894648138 NO.961 D01 <br /> EHD LOG NUMBER <br /> wftlNED SAN JOAQUIN C LINTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 2 8 2009 304 East Weber Avenue, 3"�Floor. Stockton,CA 95202.-270 <br /> `-' VIRONMENT HEALTWo1cphone.(209)468-3420 Fax:(249)464-0138 Web:www.sjgov.Urg hd <br /> ZjZZ <br /> PERMIT/SERWCES PUBLIC RECORDS RELEASE APPLICATION <br /> Y <br /> APPLICANT. � l <br /> ISUSINEWAGENC <br /> ADDRESS: E:14 4 <br /> " 4 <br /> d <br /> FACSIMIL <br /> TENTATIVE'APPOINTMENT DATE: Time, <br /> (Plell3s spow 90 business days from data of epplicatloo sub ictal-•Tentative only-must be co�rmad) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST,$93.00 FEE A N CH ONLY)-REQUEST PROCESSED IN 3 US <br /> INESS DAYS <br /> SIGNATURE OF APPLICANT �6L 'Di DATE '' g_ <br /> UNIT DISTRIBUTION l7 Unit 1 o Unit 2 t7 Untt3 ❑UnttA IJUMIS O Unit ti A Other(electronldllstsl maps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street* Street Name CRY _ - <br /> GGti <br /> 4. <br /> [2. <br /> Specific bate Range of Information Requested; From to <br /> ENVIRONMENTAL HEALTH 09 ARTMENT FILES <br /> UNDEROROUND TANK(UST)CLEANUP SITE(LOP) 13 Housma AeATFMENT 13 SOLID WASTE FACILITY/VEHtCLE <br /> Hett GL�ANUP SITE(NON4_OP) C3 FOOD FACitJTY C WASTE TIRE <br /> Ola <br /> DERUPOUND TANK(MCNITORINOMPMOVA0 r3 Doe KENNEL O DAIRY <br /> n HA oxwvs WA3TE GENERATOR C3 Cwme4 RANCH 0 WAgTpuVATER TREATMENT PLANT <br /> E3 TIERED PERMITTED FACILITY 0 MOTELIHOYEL E3 PYMPE;R TRUCtt1YARPjCHEM TOILETS <br /> G TATTDDIBOOY PIER01wo 0 POOLISPA E7 LAND USE APPLICATION SITES <br /> I:3 MPPICAL WASTE FACILITY CI IDTHER(PLEASE SPEC IFY) <br /> WELL.AND SEPTIC PERMIT'FFCORD9 ARE AVAILABLE FOR REVIEW- MON AY-FRIDAY 8:00 AM-5:0 M > r. <br /> =xCLUOiNa H4uDAYS- <br /> 1. list up to ten addresses in the space above. Select the type s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to 2 464-0128 or mail to the address <br /> indlcated abgve_ Address ranges will not be accepted--for additional assistance with file addresses,contact <br /> the EHD.Applications recelved after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. Anappointment for review will be confirmed <br /> approximately tan(10)days after 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 an by FHD staff may not ic immediately available for review, A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will 19 reorganized by EHO staff at the expense Of the <br /> applicant. Future file reviews by the same applicant may rei uire a$93-00 deposit prior to review, <br /> I Y <br /> inaMS <br /> r -- .------------- <br /> .--- <br />