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64ouo WASTE FACILITYNENIcLE <br />0 WASTE TIRE <br />DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />0 PWAPERTNucRIYARWCHEm TOIL <br />grrAmo USE APPLICATION SITES <br />BERGROUNo TANK (UST) CLEANUP SITE (LOP) <br />Prf TNER CLEANUP SITE (Non-LOP) <br />JNatneROuNo TANK (MourroluNGIFtEMOVAL) <br />ID HAZARDOUS WASTE GENERATOR <br />TIEREo PERMITTED FACILITY <br />TArroo/I3our PlociNG <br />0 MEDICAL WASTE FAclUTY <br />WELL AND SEPIIC <br />HOUSING ABATEMENT <br />000 FACIUTY <br />OG KENNEL <br />HICKEN RANCH <br />MOTEUHOTEL o PooLISPA <br />ID OTHER (PLEASE SPECIFY) <br />RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-PnmAy 0:00 AM-5:00pm - EXCLUDING HOLIDAYS, <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />FEB. 8. 2UO6 9:16AM CDF -' EARTH TECH <br /> <br />O. 5527 P. 2/2 <br />EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENNTRONIVIENTAL HEALTH DEPARTMENT <br />FED - 0 2006 304 East Weber Avenue, ri r foor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgiehd <br />ENVII-30N4ENT HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />---rh eitLosA JpI,Jcs BUSINESSIAGENCY: 60 <br />ADDRESS: e riZetrik.Su 1e.Tt 1 5-1-teec-1-ern <br />PHONE (1): 409 *-41,34 ^05 I PHONE (2): 2o9--....w4 $o/ DAIL <br />TENTATIVE* APPOINTMENT DATE: <br />FACSIMILE: Abq -abik -b(ag <br /> <br />Time: <br /> <br />CHECK BOX TO EXP RE • EST - $93.00 ,atkii OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUS <br />. Air502, DATE <br />UNIT DISTRIBUTION CI Unit 1 El Unit 2 kMit 3 MT.-7-dt 4 ID Unit 5 0 Unit 6 MI Other (electronic/lists/map* <br />FILE ADDRESS EHD USE ONLY Street # Street Name City <br />• & *415e361511 , - la <br />2. <br />riatiri <br />I I r <br />3. 21,4P- Lemur& -:.3 -,-,-.•:)t. <br />• 0 1 liavarmwrw, --;,-,-)/_ /14 <br />• P I a ow. • <br /> 315,1-, kktkt, s <br />...7,47h(7.75r1; <br /> ..:: :- n; A , --i — G . ' g IA, <br />. tcr a., -46-.,-.) i 1 <br />10. Z. 1 60 fi-660-.INc.-- d ''''2,4,- ;.',) i? l'Y'l <br />A <br />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)464-0136 or mail to the address <br />indicated above. Address ranges will not be accepted -for additional assistance with file addresses, contact <br />the EHD. Applications received after 3:00 pm will be processed the next business day. <br />The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br />approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br />days for review. Appointments 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 <br />application may be 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 <br />applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />I, te„A.1-4 <br />(Please allow 10 business days from d of application submittal - *TentabVe only - must be confirmed) <br />SIGNATURE OF APPLICA <br />• <br />, <br />' \ \ \I. <br />••' / <br />' <br />EHD 4/11-02406 <br />111455