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Nov 13 08 01:19p Sinrra Delta Corp 1-5.5"-229-1452 75c u ..3 <br />w SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />NOV 1 3 2008 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax; (209) 464-0138 Web: www.sjgov.orgiehd <br />ENVIRONMENT HEALTH <br />PERMiT/SERVICES I PUBLIC RECORDS RELEASE APPLICATION <br />p.1 <br />HID LOG NUMBER <br />YV-1•11 <br />APPLICANT: 7AVIE WL-LA1 <br />ADDRESS: 5(I1() 11/4.1, s <br />PHONE (1): c5cb-/11.-c) - PHONE (2): <br />BUSINESS/AGENCY: M,LIAL1)Litahr1at.3 <br />FEZ 5 be) CI ,. 41-31 tO <br />FACSIMILE; (55ci) Z.Z1 <br />City/State/4p <br />TENTATIVE* APPOINTMENT DATE: 1111 es /06 <br />(please allow 10 business days from date of application submittal -*Tentative only - must be confirmed) <br />0 CHECK BOX TO EXPEDITE REQUEST - $106 FEE (CASH on CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE \ 113168 <br />Electronic Information: Ei List fl Map - Description: 1 <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City Ei Unit 1 <br />3_50 30-7.- losi 11.T-02_(.-00 r t o nb 516 LC toN <br /> Unit 2 <br />ZeFt <br /> <br />3 <br />I i4‘10 <br /> <br />6. <br />- <br /> <br /> Unit 6 <br /> <br /> El unit s <br />-- <br />Specific Date Range of Information Requested'. From to ??..‹SgIAT <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Time: ..+Cr-deptv <br />112 UNDERGROUND TANK (UST) QLEANup SME (LOP) <br />OTHER CLEANUP SHE (NON-LOP) <br />Fa UNDERGROUND TANK (MONITORING/REMOVAL) <br />PO HAZARDOUS WASTE GENERATOR <br />El TIERED PERMITTED FACILRY <br />O TATTOO/BODY PIERCING <br />El MEDICAL WASTE FACILITY <br />ri Houma AHATEhiENI <br />1:1 Soup WASTE FACIUTYNEHICLE <br />FOOD FACILrn' <br /> <br />171 WASTE TIRE <br />0 Dog KENNEL <br /> 0 DAIRY <br />CHictcEN RANCH <br /> 0 WASTEWATER TREATMENT PLANT <br />0 morn/HOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETs <br />O PooLJSpA El LAND USE APPLIcATioN SITES <br />OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT REcortErs ARE AVAJLABLE FOR REVIEW - IVIONDAY-FRIDAT 8:00 Am-6:00 PM - EXCLUDING HOLIDAYS. <br />List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). Al lame one file type MUST be selected Fax to (209) 464-0138 or mail to_th,e 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 />The EHD will notify the applicant if any EHD flies 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 />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 EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $105 deposit prior to review. <br />EHD USE ONLY