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� J <br /> Sep 01 OS 06: 23p Pa:,' Humphrey (559' -226-3408 >/ p. 1 <br /> EHD LUG NUMBER <br /> DATE SAN JOAQM COUNTY <br /> EENV]RONMENTAL HEALTH DEPARTMENT 40 <br /> 6 L006304 East weber Avenue,3p4 Floor, Stockton,CA 95202-2708 <br /> MAP. Y Telepbone:(209)468-3420 Fax:(209)464-0138 Web:www.sj9ov.or8/ehd <br /> ENVIRGNMENT HEALTH PUBLIC RECORDS RELEASE APPLICA11ON <br /> PE APPLICANT: BUSINESSIAriENCY: <br /> ADDRESS: 7YL2 ;7 E C EITA <br /> EI — <br /> PHONE(1): 551-177 —�Lq/ 3 PHONE(/): FA(SfNpLE: <br /> TENTATIVE"APPORRMEHT DATE: Thne: _ <br /> (Planes Blow 10 hlnlrleas days Isom date of epptkmm submittal-'TMtsWe only-mwt b0 cordlnNed) <br /> CHECK BOX TO EXPEDITE REQU $93.00 FEE ASH OR HECK ONLY)-REQUEST PROCESSED 1113 BUSINESS;DAYS <br /> SIGNATURE OF APPLICANT _DATE <br /> uNrraisroauTiDN 13 Unit t7 Unit 17 WINS D une4 0unit s O Units 0 o91x felRWnrlVolBstah naps) <br /> FILE AW SS3a1 .b, ENC USED <br /> streets sled tan. C11y <br /> 1. 1 CIT <br /> 2, <br /> 3. A/ <br /> 7.. <br /> B. <br /> 9. - <br /> 10. <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �l <br /> !-=J <br /> AS URDERGR 0 TANK(UST)CLEANUP SITE(LOP) 0 HOusMo ABATEMENT IKSOuO WABTE FACUTYNENICLE. <br /> 0 OTHER CLEANUP SriE(NowLOP) 0 rood FACHmf Nt WAaTE TIME <br /> 'R UNDERGROUND TMK(WHITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENeRATOR 0CHICKEN RANCH EWASTEWATERTReATMENT*W 2 7 2006 <br /> 0 TERfl1 PeRMRTED FAccm in MOTEUHOTEL ❑PIIIAPFRTRWKIYARDICHEM TDILers <br /> •TATTOOMMY PERCMO 0 POMJSPA w yBE APPLK:A770N S1TE9 <br /> oWw.AtWAcrEFAalmr ,LSOTHER(PLEASEsmarY) <br /> WELL AND SE,,,PERMR RE <HIM ARE AVAILABLE FOR REVWW- MONOAY-FRMAY 9.-00 AaS:00PM - ExCLUDMG HOUOAY:L <br /> 1. List up to ten addresses in the space above. Select the type($)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2Q8)464-0138 or mail to the gr *ss <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addreesos,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHO files exist An appointment for review will be confirmed <br /> approximately tan(10)days after receipt of application. The fibs will be held for a maximum of fire 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 be immediately available for review. A new <br /> application may be submitted when the file la available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the exrwnse of the <br /> applicant- Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> EHD NL@2tr — — <br /> vuas <br />