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ENV NMENTAL HEALTH DEPARTME <br /> ��J 1868 E�azelton Avenue, Stockton, CA 95205-67M <br /> 1 t Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> 'f PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: \Ne_W-ti jj/\ , <br /> BLSINESSIAGENCY:_ vr_, <br /> ADDRESS: ]c ' - <br /> PHONE(1): -Lail PHONE(2): FACSIMILE: <br /> TENTATIVE°APPOINTMENT DATE: Time: Qr-A Y-�Vif_re <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirme y <br /> ❑CHECK BOX'TO EXPEDITE REQU T-5125 F ( H O CHECK ONLY)-REQUEST PROCESSED IN 3 BU INESS AYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ,Q List ❑Map-- escription: <br /> FILE ADDRESS EHD Use ONLY <br /> Street 9 Street Name City F1 Unit 1 <br /> 2. unit 2 <br /> 3. <br /> 4. nit 3 <br /> 5, <br /> 6. nit 4 <br /> 7. 1-a3-ILI- AM O'ca fl n <br /> 8. (.;c�4-- CotnV, in r�ivt td/ i"Ifrt-. rov:r co/,qc. f�fla�wn� <br /> i <br /> 1`et.,` y Unit 5 <br /> _Ut� lift'9. �. (��rltb y \/7 Ir Lt roD+��a ug3 LvOUz�fws) <br /> 0p 5, U�vvl 9 7r� cO�DI 3sl u76q l � I�JC�J �r71O5 �vd�ryi� � cv00u�13� <br /> (p, ❑Unit 6 <br /> I r t <br /> Speclfic Bate Range of Informatlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY SOLID WASTE FACILiTYNEHIC4E' i <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTETIRE f 11 K / <br /> UNDERGROUND TANK(MONITOMNGIREMOVAL)c,� FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK UL CHICKEN RANCHFDOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS C-- MOTEt1HOTEL PUMPER TRUCKIYARDICHEMICALTOILEI`v <br /> ❑TIERED PERMITTED FACILITY POOLISPA LAND USE APPLICATION SITE$ I- 11 <br /> Ni�� 4-n <br /> ❑TATTOOBODY PIERCING ,KoMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) c <br /> WELL.AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RmEw: MONDAY-FRIDAY 8:00 AM-5:8OPM(EXCLUDING HOLIDAYS) 8 s <br /> 9. List un to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate '!� •s <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0938 or mail to the address indicated above.- Address R It a <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after V, <br /> 3:00 pm will be processed the next_business.day. "" - <br /> 2. The EHD will notify the applicant if any END files exist. An appointment for review will be confirmed approximately ten <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 /> 3. A file that is actively being worked on by EHD staff may not be immediately avallable for review. A new application may be <br /> submitter)when the file is available. 3� , <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO'staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. DXEtRu ) "USEpt�Llfi <br /> MOWN <br /> r� <br /> EHD 48-08 914172 <br /> 23 4 -71!(v e cA i 47 �,I ��� �e. , 431 q <br /> 014 ,Ilro),n µw Ie. ,C0312gq I 60C&t-p ;n U'r �• ��3t� rp�5loi✓,.pyo s :� <br /> � � (;l e cod 0 Z_6��Pt).., f ti ke- ;,o(7�aq kr3��c�p�)`,� WV .1P o��� �[n!Arora sP�((� 5�� <br /> ca(p��lS��r�t-); , I}tn) hie w+�a1�f3-tp( 5r0Far�oo11351(�Pfi5r+�so7; <br /> 4w_F►lev w001-7 aa-I(cTz rr7i o r K'00 F�Ir= COW 1'710 s(�(C rpt),., Nv*fife' Lc0 <br />