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05/18/2005 WED 8:32 FAg 910 rg54356 2001/001 <br /> ( <br /> 05/13/2085 16:43 4640198 ENVIRdNMENTAL HEALTH PAGE 01 <br /> DATE RECEIVLD enu LVIi TWJMmet1( <br /> SAN JOAquiN COuN7 X <br /> ENMoNMENTAL EM&LTH DEPARTMENT <br /> nD W ECC V ED 304 Fast Weber ALvepue,3r4 Floor,Stockton,CA 95202-2708 <br /> W l� I Telephone:(209)46&3420I=;(209)464-0138 Web:www.sjgov.orlr/ehd116.ql <br /> / PUBLIC RECORDS RELEASE APPLICATION <br /> ( so�Pqqp hn6i� eUMP"SW'A <br /> GENCY: <br /> kOmv3M t �l7Q W E.,✓:rO�Ynrn}dL� <br /> PHONE(i): Ib 5(A5 .35a- PHONE(2). FAC$IMItE:� ) 565-t{'�516 <br /> TENTATIVE"APPOINTMENT DATE.- A3 May 0 5 Tana Alm_ <br /> (Please alloy 10 bosun",days from date or appreadon submiwi-•Teafaffvs o dy•must De o—anhed) <br /> 0 CHECK BOR TO EXPEDrrE REQUEST.$93.00 FES(CASH OR CHECK ONLY)•REQUE6T PROCESS®INA ausMEss NAYS <br /> SIGNATURE OF APPLICANT DATE )3 P d r. �1660 <br /> UHn'WSTRBVTION OUnat R TIICZ Mt4 ❑Units Unit D other(Pk-tron(cnlatshaaps) V <br /> FILE ADDRESS END U <br /> Stresti Street Hams Clty � �. <br /> 20 (Sr 1 ocL+o <br /> 2. <br /> 3, <br /> 4• rCa � <br /> S c <br /> 8 <br /> Z <br /> 8. <br /> 10. - <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,0UNDERG OUND TANK(USTI CLEANUP Srm(LOP) ❑HOU304 ADATEMENT WASIN FACIUrYNauCLE <br /> ;;r.onteR CLEANUP STIE(NON Lop) Q FORD FACILITY TIRE <br /> /1 UNDERORWND TANK(MomTomNCJRFMovAL) . ❑DDD KENNEL ❑DAIRy <br /> PLANT <br /> AZARVDUS WASTE GERMATOR ❑CHIVKI RANCH �VmrEwATm TReAtMmT <br /> �TIEAED PomarTm FACa71Y OMonajHoM XPVMPERTRuCWYAAp'cKI ToLM <br /> D1BW <br /> O TATfOY RRRCING ❑ 2pomISpA LAND USE APPUCATIoN&TIES <br /> ❑MEDICAL WASTE FACILITY Q OTNeR(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVA%AaLE FOR REVIEW- McNDAY-FRIDAY 8:00 AMS:OOPM • FXCLUOING HOLIDAYS. <br /> 1 List up to ten addresses in the space above. Select the types)of files from the list above by checking the i <br /> appropriate box(es). At Least one file type MUST be selected. Fax to(209)464-0138 or trail 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 /> 2. The END will notify the applicant if any END Tiles exist An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The Hiles will be held for a maximum of five business <br /> days for review, Appointments should be scheduled accordingly. <br /> 3. A file that is actively being Worked on by END staff may not be immediately available for review. A new <br /> application may be submitted'when the file is available. <br /> 4. Any file not returned in thQ 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 /> . A <br /> FND YAIa06 . <br />