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07/10/2009 11:25 925746U99 AEI CONSULTANTS - PAGE 01/01 <br /> V (J SAN✓OAQUM COUNTY CHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL 1 0 2009 600 East Main St. Stockton, CA 95202-2708qa`7 <br /> Telephone: (209)468-3420 Falx.(209)464-0138 Web: www.sjgoY. Jl 57 U <br /> ENVIROPJP,1EN T HEALTH <br /> PERMIT/SERVIICE$ PUBLIC/ RECORDS RELEASE APPLICATTOIV <br /> APPLICANT: <br /> _AA0An (�/rNPrnO / BUSINEWAGEN/FY: _.z �AHfrr�YlJ..r <br /> ADDRESS:_.Z$00 dill, ry7J L211Ih�o CITYISTATEJLP WC,IHiif /!L� r C/¢ 95597 <br /> PHONE(1r (171-5) 74/ —1e00Q PHONE(2):(QZ�) 766-00067 FACSIMILE: <br /> TENTATIVE"APPOIif rmENT DATE: Time: <br /> (Plaam alloy 10 business days from data of application submittal-"Tentative only-must be comlmrod) <br /> CHECK BOX TO EXPEDITE REQUEST-f10SX0 FEE(CASH OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map-Description., <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name ,t City ❑ unit 1 <br /> / lu <br /> 2. <br /> ---------------------------- <br /> 4 _ Unita V <br /> \1 <br /> 5• q35 -f'Y1ia4nae <br /> Z <br /> ❑ Unit 5 <br /> B. <br /> g ❑ unit E <br /> 10. <br /> Specific Date Range of Information Requested:From to f , <br /> —/ ENVIRONMENTAL HEALTH DEPARTMENT FILES I <br /> Nr UNSERGROUND TANK(USTI LYEANVO SITE(LOP) ❑HousmG ASATENENT ❑SOLID WASTE FACILRYNEHICLE t j lh{'�sL�• <br /> m .?;HER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> p•flab ERGROURD TANK(MONATORING(RESOVAI� O DOG Kr 0 DAIRY <br /> AZARDOUSWASTE GENERATORa 0CMCKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> OnEREOPERMTTEDFACILITVA ❑MOTELM40YEL ©PUMPER TRUCKNARDICHEN TOILETS <br /> ❑TATTOOIBODY PIERCING 0 POOL/SPA Q LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE BFEairY) <br /> WELL AND SEPTIC PERIAT REcORosAREAVAILAHLE FOR RENEW. MONOAY-FmDAV 5;00 AM-S:OOPN . EXCLUDING HOLIDAYS. <br /> 1. List up to tea addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4840138 or rngdl to the address Indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant If any END files exist. An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The files Will behold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked an by END staff may not be immediately available for review. A now application may be <br /> submitted when the file Is available. <br /> 4. Arty file not returned In the same condition as released will be reorgantzad by END staff at the expense of the appllcant <br /> Future file reviews by the same applicant may require a$105.00 deposit prior to review. <br /> END USE ONLY <br /> 'If you need further assistance please contact Diane MdrtineZ @ (209,{68-3425 dfrectl . Thank Yost*** <br /> :4115qC4 m 0 e F e.0 <br /> EHD ossa <br /> amorsooa <br />