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Mar. 29. 2007 cnj <br />'•\ /7 <br />MAR 2 9 2007 <br />E NMR ON NA EN 'HEALTH <br />PERMT,3ERVGES <br />10:09AM ced GecEnvi ronmental No. 8078 P. 1/1 <br />T1) EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3 rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: ART1AUR Delc BUSINESS/AGENCY: A8401(0i GeoEmiloymikto4at (tic <br />ADDRESS: SIAAW R040 SIO IN) C <br />PHONE (1): (W) 41-16R PHONE (2): (PI) q0a-gq50 FACSIMILE: <br /> <br />L7 - (11 $ <br /> <br />TENTATIVE* APPOINTMENT DATE: 01 ASIzt , 16D1 Time: <br />(Please allow 10 business days from date of application submittal • 'Tentative only - must be confirmed) <br />0 CHECK BOX TO EXPEDITE REQUE $95 FEE ( R CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />DATE 54-D7 <br />Electronic Information: 0 List E Map — Description; <br />FILE ADDRESS EHD USE ONLY <br />street* street Name City .- <br />7-, ---- --- 0 Unitt <br /> <br />1. la60 5 <br />11 25 <br />N. "ntio,(nhy, Rocka Tho.(A-1-rm <br />E• NoS-twNi%-e Ave- mcui4.ecc, ti fr. i— <br />r, e /O. <br />0 Unit 2 <br /> 1 I l_ct E. yoseyviti-e Ave, Pitan-i-ecc, <br />/ i. ir , F--- fj,r1nIt 3 to 11 N. A s-vfecv "Drac'y <br /> 1019 N . A sitre.6" T rat, / elereUnit 4 <br /> <br /> 0 Unit 5 <br /> <br /> 0 Unit 6 <br /> <br />SIGNATURE OF APPLICANT <br />Specific Date Range of Information Requested: From to <br /> <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />IR UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />15/ OTHER CLEANUP SITE (NON-LOP) <br />/Pi UNDERGROUND TANK (MONITORINCUREMOVAL) <br />HAZARDOUS WASTE GENERATOR <br />0 TIERED PERMITTED FACILITY <br />0 TATTOO/BODY PIERCING <br />MEDICAL WASTE FACIUTY <br />HOUSING ABATEMENT <br /> <br />171 SOLID WASTE FACILITYA/EHICLE <br />0 FOOD FAGILfTY <br /> <br />In WASTE TIRE <br />DOG KENNEL <br /> <br />DAIRY <br />In CHICKEN RANCH <br /> <br />WASTEWATER TREATMENT PLANT <br />0 momiNcyrn 0 PUMPER TRUCK/YARD/CHEM TOILETS <br />POOLJSPA 0 LAND USE APPLICATION SITES <br />0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-6:00pm EXCLUDING HOLIDAYS. <br />List up to ten addresses 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 (2(J9) 464-01313 or mall to the address Indicated above. Address <br />ranges will riot 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 />The END will notify the applicant If any END files exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />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 />Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $96.00 deposit prior to review. <br />END USE ONLY <br />EHD 4B-08 g/13/2000