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10/10/2007 11:29 209-523-3084 RT ENTERPRISES <br /> PAGE 01/01 <br /> N"01� <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN,TOAQUIN COUNTY <br /> L,�,C. �� IfENVIRONMENTAL HEALTH AEPARTMEN <br /> if` I�--1, r�_ �, 1f L` J 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468.3420 Fax; (209)464-0138 Web: www.sjgov �eh� <br /> 2007 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESS/AGENCY; <br /> AtiD�13s�: � 3 <br /> PHONE(1): 'OD"i YJy 't PHONE(2): �O'I FACSIMILE: 7yq 52-3 �I�A y <br /> TENT TIVE APPOINTMEN DATE: AS <SOofl QS 'PbSSlbVr_. Time: <br /> (Please allow 10 business days from date of application subinIttal--renialive only-must be eonfinnod) <br /> CHECK BOX TO EXPEDITE REQUEST.$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU INES HAYS <br /> SIGNATURE OF APPLICANT DATE /O / �p7 <br /> Electronic Information: ❑List❑Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Nam CRY ❑ unit <br /> 2 Ut Yt` _ 1 e - Un1t2 <br /> 4 UMt 3 <br /> 5. — <br /> s. 1 <br /> 7. - <br /> ❑ unit 5 <br /> 9 s ❑ Unite <br /> Specific to Rang f of tion R �In _ j TOQIo to -_ &A,21(of 10 10 M0 <br /> E VI NTAL HE LTH DEPARTMENT FILES <br /> M UNDEROROUNDTANK ST)CLEAND D HOUSIN0 ADATEMENT D SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) DFOOD FACILITY DWASTE TRE <br /> 171 UNDERGROUND TANK(MONTORINGIR OML) Cl Doo KENNEL '�13 DAIRY <br /> Cl HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH )OASTEWATER TREATMENT PLANT <br /> U TIERED PERMITTED FACILITY D MOTELIHOTEL O PUMPER TFWOKIYARDICHEM TOILETS <br /> d TA1700/80DY PIEWNG 0 POOLISPA 0 LAA USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE POR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00rM - ExOLUDiNG HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type($)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to thqz address indicated above,_ Address <br /> ranges will not be accepted-for additional assistance with file addresses,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 files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled 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 same condltion as released will be reorganized by EHP staff at the expense of the applicant. <br /> Future file ravlews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END< WEB OWMDT <br />