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07/30/2007 12:47 FAX 209 384 8218 KLEINFELDER 002/002 <br /> DgfE RECEIVf:C7 EHO Las NUMBER <br /> SAN JOAQUIN COUNTY <br /> jlJ J( ENVIRONMENTAL MALTH DEPARTMENT <br /> 600 E.Main Street, Stockton, CA 95202-3029 D <br /> - Telephone: (209)468.3420 Fax: (209)464-0138 Web: www <br /> o r 0 <br /> l/ PUBLIC RECORDS RELEASE APPLI ION <br /> APPLICANT: / <br /> D 6"A t 77%, BUSINESSIAGENCY: K�'�I �✓ IAC I dam, <br /> ADDRESS: e 2- 1 W jV&�L_ <br /> PHONE(1); 9 � ,I$y— S•L PHONE(61: Ze 1— 4SL-3Y S FACSIMILE; <br /> TENTATIVE"APPOINTMENT DATE; jQ-J bs 4 Time:, 10: Oer� <br /> (Please allow 10 business days from date of application aubmltta -'remfoOve only-must be confirmed) <br /> d CHECK BOX TO EXPEDITE REQUEST.$86,00 FEE CASH OR CHECK 0 Y)•REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: D List❑ Mpg—Deyoriptlon: <br /> FILE ADDRESS EOD USE ONLY <br /> 8kreetif Street Name city 1►�6Z r 1_1"'p <br /> Iv" i Unit 1 <br /> [Iunit2 <br /> 2. <br /> 3. <br /> 4. Unit 8 <br /> S. <br /> 6. <br /> 7. ❑ unit <br /> 6. <br /> 9. ❑ unite <br /> 1M <br /> Specific Date Range of Information Requested: From P" . <br /> ENVIRONMENTAL a EALTe DEPARTMENT FILES <br /> 114-0614OROUND TANK(UST)CLEANUP SITE(LOP) =HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) d FOoo FACILITY 0 WASTE TIRE <br /> OPONOERGROUND TANK(MONITOWNOIREMOvAL) M DOG KENNEL M DAIRY <br /> M-fDZARDOU8 WASTE GENERATOR In CHICKEN RANCH A WASTEWATER TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 173 MOTELMOTEL ❑PUMPER TRUCKIYARO/CHEM TOILETS <br /> d TATTOOIBODY P15RCINQ ❑POOLISPA 0 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY Q.0rHER(PLEASE SPECIFY) $4 d /N Y P*-447 -d o-, <br /> WELL AND SEP'nC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-NuDAY 8:00 AM-6:00PM , EXCLUDING HOLIDAYS. <br /> 1. Gist Up to ten addraaeas In the space above. Select the type(s)Of flies from the list above by checking the appropriate <br /> box(es), At least one file type MUST be selected. Fax to(2091464-0138_or mall to the adgress Indicated aboveAddreaa <br /> ranges will not be accepted—IRr additional aaslatance with file addre"es,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD flies exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be hold for a maximum of five bueinasa days for review. Appointment$ <br /> should be achedulad accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the some condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the some applicant may require a$96.00 deposit prior to review, <br /> EHD USE ONLY <br /> eHuW49 OMMOU9 we <br />