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M1 , SAN JOAQM COLTN-T t' EHO i-OG NLIF8ER <br /> ENvmoNm, ENTAL HEALTH DE.FA RTim pa <br /> MAY 31 2006 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Tclephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ohd <br /> ENVIROPIME(�T HEALTi� 3 3 <br /> PERMITISERViCES_ PUBLIC .RECORDS RELEASE APPLJCA I.71ON <br /> APPLICANT:_ Tina Cheney 1 Dave Welch <br /> ADDFcESS; { <br /> BUSINESSIAGENCY: 1VPjV O,Ander.,on &A ssot aInc. <br /> „�IZ I�1a'UStCf�l l�/ LadCA 9r <br /> PHONE(1):�'Q��367�X701 PHONE(2): FACSIMILE: 209-369-42,28 <br /> TEHTATiVE'APPOINTMENT DATE: Julie 14,-2096 <br /> (Pleasa allow 10 busirtm days from data of applicatlon submMal-"Tentatfve only-must be corifi rued) <br /> 13 CHEW COX TO EXnD[7E:REQUEST-_ 3.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSi=[)ltd 3 SUSINES S DAYS <br /> -SiGNATURE OF APPLICANT r'AAK'or DATE MaY 31, 2006 <br /> UNrr DISTRIBP�ilphl ❑ UD(t 1 0 Unit 2 ❑Unit 3 Untt 4 ❑Unit 5 ❑ Untt 8 •❑ Other(Olt.amrticAIs`tshnaPs) w <br /> FILE AEY5kESS <br /> SueQt R Street Mania Chy END USE p Y <br /> 1• 11293 S.Man N•F, L�IItrCso <br /> 2. 10999 $.klartan Fid Fr nch Caren <br /> 6, <br /> 7, — — <br /> Specific pate Range of Information Requested:From to <br /> Eit` ARONMENTAL HEALTH DEPARTMENT FiLE$ <br /> ©UNDERGROUND TANK(UST)CLEANUP Sn-E(LOP) ❑HOUSING ABATEMENT C3 SOLID WASTE FACiLrrY/YEHiCLE <br /> 13 OT ER CL r-Auur SITE(NON-LOP) ❑FOOD FACILITY M WASTE TIRE <br /> ©UNDERGROUND TA14K(MONITORINGIREMOVAL.) 0 DOG KENNEL ❑DATRY <br /> I3 HAZARDOUS VVK TE GENERATOR C3 CMK:KHN RANCH A WASIEWATER TFTATMENT PLANT <br /> n 11,RED PERPimmD FACILrrY ❑MOTEL/HOTEL G PUMPER TRUCKrrARDIGHEM TOILETS <br /> 13 TATTOoSour PirmcSNo ❑POOLISPA C3 LAND USE APPLIOA11ON StM3 <br /> 13 MEDICAL WASTE F,4CIurr El OTHER(PLEASE SPECIrY) N(fn#Rj9y��� <br /> WELL AND SE?TIC PERMIT RECORD;ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00rm - EXCLUDtNG HOLIDAY£. _ <br /> 11 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(209)46"138 or inall to the addrass <br /> indurated a (lye. Address ranges will not be accepted—for addttaonal assistance with fife addresses,contact <br /> the EHD.Applications recelved after 3:00 pm will be processed the next business day. <br /> 2, The EMD will notify the applicant if any END files exist. An appointment for review will lie confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> da}rs for review. Appointments should be scheduled accordingly. <br /> 3- A file that R;actively being worked on by END staff may not be Immediately available for revievr. A new <br /> application may Ge submltted when the file is available. <br /> 4. Any file rot returned in the same condltlon as released will be reorganized by i_HD staff'at the expense of tiae <br /> applicant. Firture file reviews by the same applicant may require a$93.00 depcmit prior to review. <br /> ,: ; <br /> j li <br /> EMD 40-02-006 ^-- <br /> 1114106 <br />