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0 2 /15 /2 005 16:29 2096342883 FEDEXKINKOS PAGE 02/02 <br /> <br />DATE RECEIVED <br />FFA 1 5 200D <br />ND LOG NUMBER <br />(taZ:;1 ( <br />PUBLIC RECORDS RELEASE APPLICATION - <br />SAN JOAQUIN COUNTY <br />ENVIRON/VJENIAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3id Floor, Stockton, CA 95202-2708 <br />Telephooe: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.ordebd <br />BUSINFxSiAGENCY; <br />ADDRESS: \AA ‘41 ru,r (OCK cA cts-3.'e?_ <br />PHoNE `31.C, - (C..SN piloN€ (2): .?."Yf (DT° ^ FACS11011LE: <br />TENTATIVE" Ai:Tom-mew DATE: 7-655 Wm <br />(Please allow 10 business days from date of application submittal -*Tardafive only - must be confirmed) <br />0 CHECK BOX TO E)(PEDITE REQUEST - $93.00 FEE (CASH OF( CHECK ONLY) - REQUEST PROCESSED IN 3 BUTNESS DAYS <br />SIGNATURE OF APPUCANT DATE <br />UNIT DISTRIDWION 0 Unit 1 0 Unit 2 0 Unit 3 13 Unit 4 0 UnIt 6 0 Unit 6 0 Other (electronic:Allis/maps) <br />. <br />FILE ADDRESS EHD USE ONLY Street 0 / Street Name City <br />// <br />2. tot-15 vr <br />3- le>3) ‘•// W yti- $1-4,06,14- A <br /> -51-:Yn 'V 666-kA k.)..i.z.i- l_com, SiCfs.c.Sta-^ - ' ' ' 'I ilc't <br /> ,•=3 3 <br />""5-53-- <br />iiZc.,.kr-., c-A-V, (41-zx isk--=:.-A ..n ' ? .:,:-./ rs, I) 0. <br />st-ll ‘7 <br />- k.-bc.Any4c.,.e- LAM,. <br />C.L.,e.vAl• <br />ItczA:C.-ItCkn ,;•-:': ',. ' <br />7- '3•Erc_r:k<=-", <br />c-4- Lp.,...04...._ A...pc-4,ft A-kg...A-eke, 'd.." ) a <br />1,W:=v+ W c—^1 SliW,L1(z.-q <br />. - . „ ' <br />10. Vic7.. =. PQ1c.Jts.._ AQ-1...-A--A- , Jb,../..y..-iria-A --, =-5-.:")1 /, :-1. /, \ <br />Specific Date Range of information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />PiCAViakilitTRViM,,,, if-\\LL," <br />XUNDENOROUND TANK (UST) CLEANUP SITE (LOP) <br />(3 OTHER CLEANUP SITE (NON-LOP) <br />UNDEROROUND TANK (MORITORINCIFREMOVAL) <br />El MAzArtrous WASTE GENERATOR <br />El TW_FtED PERMITTED FACILITY <br />CI TAT-too/Sow PiERceici <br />1:1 KEDiCALWASTE FACILITY <br />0 Hamm ARATEWRIT <br />0 Fon() Fawn' <br />r3 Doc Nam_ <br />0 Cm-ma RANCH <br />0 rani-akin/a. <br />El PoWSPA <br />CI Oriel (Ku.= SP8CtrY) <br />WELL ARO SEPTIC PERMIT Ftecogod ARE AVAILABLE FOR REvitel - MONDAY-FRiDAY 8:00 AM-6:00 Pet - EXCLuDINO 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 the EI-10. Applications received after 3:00 pm will be processed the next business day. <br />The EHD will notify the applicant if any EHD file* 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 ENO start at the expense of the <br />applicant Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />DiD 0-024013 <br />111.4106 <br />0 Sow WASTE FacarryAflitact,E <br />El WASTE TIRE <br />0 Duro' <br />El wAsTEWArER TRFAMENT PLANT <br />El PUMPER ThuairfAitOICHEet TtleErs <br />0 LAND USg APPLIOATIoN Gaffs