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..__—@B/@3/2@@5 1@:@@ <br />RiN 0 3 7005 <br />ENVIRONMENT HEALTH <br />PERMIT/SERVICES <br />916-37' '09 RANEY GEOTECHNI <br />SAN JOAQULN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, rt Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax; (209) 464-0138 Web; wsw.sjgov.org/thd <br />PUBLIC RECORDS RELEASE APPLICATION <br />PAGE 02/0 <br />END LOG NUMBER <br />17 To 5 <br />BUSINESS/AGENCY: OfeGL412(.. I <br />VA' CALt-e " CA <br />PHONE (2): FACSIMILE: el 4)) - (809 <br />TENTATIVE* APPOINTMENT DATE: bill S Time: 01 00 I(Please allow 10 business days from ate f application submittal -*Tentative only.. must be confirmed) <br />SIGNATURE OF APPLICANT <br />APPLICANT: <br />ADDRESS: <br />PHONE (1): <br />VCHECK BOX TO EXPEDITE REQ ST $33.00 FEE ASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUS NESS DAYS <br />DATE <br />Gat. b 3 W e 4- ca4. <br />nit 5 In Unit 1 DUnhi2 Unit D Other (electronic/lists/maps) UNIT DISTRIBUTION <br />EHD USE ONLY FILE ADDRESS <br />Street # Street Name City <br />a <br /> <br /> <br /> <br /> <br />8 <br /> cr t <br />I 5-2-e <br />3i2 rJ iA.1 .15 vs <br />1 ,44;4 e_t <br />c rzve It) <br /> <br /> <br />Specific Date Range of Information Requested: From 1 ,1415 to <br />ViNDERGRODND TANK (MONITORINGIREMOVAL) <br />rpTituR CLEANUP SrrE (NON-LOP) <br />ErANOEROROUND TANK (UST) CLEANUP SITE (LOP) <br />vKAZARDOUS WASTE GENERATOR <br />TIEREo PERMMTEn FAciury <br /> <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />In HOUSING ABATEMENT <br />El F000 FAccrrY <br />171 DOG KENNEL <br />MOTEL/HOTEL <br />CHICKEN RANCH <br /> r4A-5TE TIRE <br />O WAsTrwATsR TREATMENT PLANT <br />M DAIRY <br />In PUMPER TRUCK/YARD/CHEM TOILETS <br />OLID WASTE FAcRiTT/YeNrcin <br />TATTOO/BODY PIERCINO <br /> 0 POOL/SPA <br /> 0 LAND USE APPLICATION SIMS <br />El OTHER (PLEASE SPECIFY) El MEticAL WA.STE FACILITY <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - thIoNoAr.FRmAy 8:00 Am-3:00pit 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 <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <br />Indicated above. Address ranges will not be accepted -for additional assistance with file addresses, contact <br />the END. 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 flies 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 END 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 />EHD 41-02-006 <br />VvVos <br />64.