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08/09/2007 THU 15.01 FAX 209",°9999 SJC PUBLIC WORKS 2001/006 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> El NVIRONMENTAL HEALTH DEPARTMENT <br /> 304] Weber Ave P Floor Stockton,CA 95205 <br /> (209)468-3420 Rax: (209)464-0138 Web: www.co.sanjoaquin.c - � i. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Claudia Cemberl.ing BUSINESS/AGENCY: San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, California 95205 <br /> PHONE: 953-7624 FACSIMILE: 468--2999 <br /> TENTATIVE*APPOINTMENT DATE: Tlmo: <br /> (Please allow 10 bus(ness days from data of application submittal) <br /> El CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS Q r7 <br /> SIGNATURE OF APPLICANT ���LG �! /- DATE <br /> Department Use Only I <br /> FILE ADDRESS UNIT <br /> ,. smX4 DS Al UD4 U! . St <br /> (� i D ❑ Unit 1 <br /> z. s - <br /> veei h - <br /> 9. S., "60 0 <br /> <. spa, CJ .F.P. 2 <br /> Unit /j <br /> 14 c, O r/ <br /> �. sheep 0 <br /> CRY �, Unit 3 t� <br /> e. sveei 0 <br /> citv <br /> 7. Sheel a I P0 <br /> Unit 4 <br /> 8, SIrAe4 Ci <br /> s. say baa C1 A �F © Unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES fo <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY SOLIO WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEMTOILETS <br /> TATTOO/BODY PIERCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)Of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled 4 <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review. A new, <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. f=uture file reviews by the same applicant may require a$93.00 deposit prior to reviow. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> –8.-----pplirations-received–# ter3b0 Pm-will-be-proce-s9edrthenext-b­Ujsihess_day— — T <br /> C4[ P�[ IVIED h �ClI�TTMENT�ATE 2' AE <br /> pATE:: ONF[f IVIED PHONE FA>t [4 IAI�; <br /> EVIEW,E13. 1� :I ti�Vt/tidTE <br /> YDS <br />