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07/14/2008 14:35 CLAY- 'd PLEASANTON 4 12094640138 <br />NO.954 P001 <br />EHO LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVMONWNTAL HEALTH DEPARTMENT <br />`� ���j R 304 East Weber Avenue, 3"I Floor, Stockton, CA 95202-2708 <br />.Y.i <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sjgov.org1C <br />`4,1 <br />' <br />1`;`` PUBLIC RECORDS RELEASE APPLICATION <br />APPUCANT: f1i 11 Wn 1 toff L,,( BU5INE5S/A6kIcY;01 .%_V4�rL'-ftJ <br />AP DRESS: D I C Zl a ►L'1 a" ► yid t/ <br />PHONE(1)14 ?_q 11 1) PHONE(2) FACSIMILE,9'M­—gt1e colo <br />TENTATIVE' APPOINTMENT DATE.: A" by Time: <br />(Plsase allow 10 Businaes days from data of application submittal-'7enfahve Poly, mW4t be confirmed) <br />d CHECK BOX TO UPFJIITE REQUEST- $93.09 FEE (GASH OR CHECK ONLY) -REQUEST PROCESSED IN a BUSINESS DAYS <br />SIGNATUPJ=- OF APPLICANT DATE nbettiag <br />Specific bate Range of Information Requested; From to IN <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />U00FMRouNo TANK (UST) CL -MuP SITE (LOP) <br />Q7HER CLEANUP SITE (NON-LOi')WOOD <br />UNDERGROUND TANK(MPNITOPUNGIREMQVAL)'� <br />)KHAZARnous WAsTF; GENERArllD( <br />d TLrl+ep PIAIT YI wEG FACILITY <br />TATTOO/BODY PiERallo -x <br />© HouslNa ABATEMENT <br />FACILITY <br />DOG. KENNEL <br />CmcKEN RANCH <br />NiQTELIHaYt L <br />FPOOLISPA <br />SOUO WASTE FACI <br />YVA87ETIRB <br />DAIRY <br />:; �PWAMTWAMTRCATMENT PLANT <br />PUMPER TTtUCF(iYAROiCHEM Tbl <br />ALANO USE APPUcArON SIMS � f J I -e <br />tiOICAL WASTE FACILIi'Yx OTHER (P�+Se SPMtPY) <br />IRVWELL AND SEPTIC PERfl RECORDS AIS' AVAILABLE FOR REMMEW - k0NDAY_FRI0AY 8:00 A99S;00PM - EXCLUDING HOUOAY9. <br />,,,,,D�,i4 fi�. <br />�" "l ".- ✓ ./.t. <br />FILE •D. <br />Strill Name <br />MA <br />1. Its- <br />2. qTr <br />lw-hkol <br />I <br />■7Ili1Ji�� �� 'ji'rr <br />W- 004!�All& <br />u <br />At <br />m <br />Specific bate Range of Information Requested; From to IN <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />U00FMRouNo TANK (UST) CL -MuP SITE (LOP) <br />Q7HER CLEANUP SITE (NON-LOi')WOOD <br />UNDERGROUND TANK(MPNITOPUNGIREMQVAL)'� <br />)KHAZARnous WAsTF; GENERArllD( <br />d TLrl+ep PIAIT YI wEG FACILITY <br />TATTOO/BODY PiERallo -x <br />© HouslNa ABATEMENT <br />FACILITY <br />DOG. KENNEL <br />CmcKEN RANCH <br />NiQTELIHaYt L <br />FPOOLISPA <br />SOUO WASTE FACI <br />YVA87ETIRB <br />DAIRY <br />:; �PWAMTWAMTRCATMENT PLANT <br />PUMPER TTtUCF(iYAROiCHEM Tbl <br />ALANO USE APPUcArON SIMS � f J I -e <br />tiOICAL WASTE FACILIi'Yx OTHER (P�+Se SPMtPY) <br />IRVWELL AND SEPTIC PERfl RECORDS AIS' AVAILABLE FOR REMMEW - k0NDAY_FRI0AY 8:00 A99S;00PM - EXCLUDING HOUOAY9. <br />,,,,,D�,i4 fi�. <br />�" "l ".- ✓ ./.t. <br />1. List up to ten addresses in the space above. Select the type(s) of Tiles 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_tp the address <br />indicated above. Address ranges will not be accepted —for additional assistance with file addresses, contact <br />the EMD. Applications received after 3:00 pm will be processed the next business day. <br />2. 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 />3. A file that Is actively being worked on by EHD staff may not he immediately available for review. A new <br />application may be submitted when the file is available. <br />4. 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 />znu 4# Ill <br />1,1449 <br />KIM <br />