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06/06/2007 WED 15;36 FAX 209N82999 SJC PULIC WORKS X001/002 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUtN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3d Floor Stockton,CA 95205 <br /> J N O f9t6p-3420 Rax: (209)464-0138 Web: www.co.san ju. <br /> oaqu ca.us/eh <br /> pp, L! L"BLIC RECORDS RELEASE APPLICATION vj <br /> APPLICA�r"1fil\&46� mberling BUSINESSIAGENCY: San Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, California 95205 <br /> PHONE: 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE`APPOINTMENT DATE: Timo: <br /> (Please allow 10 business days from data of application submittal) <br /> CHECK BOX TO EXPEWTE REQUEST-593.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS / <br /> SIGNATURE OF APPLICANT ,�+ DATE -L 6-1)/q <br /> Department U; Only <br /> FILE ADDRESS UNIT <br /> " l <br /> a.. ODO S. 0/4- - - LIST OLA ElUnit 1 <br /> / 4 z. suet L14;0'/ i' ,.� i. IV psk <br /> i sem, IV&41 ❑ Unit2 � <br /> Or Unit 3 \ 1 <br /> e� e. so 1{YO7 — �" s� <br /> b spa 37 (� Un t 4ID <br /> a. ': r <br /> area 51 <br /> ,o, ssom Pcrpm" r� ft ❑ Unit5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES , <br /> UNDERGROUND TANK(VST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY LI SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY El MOTEUHOTEL C7 PUMPER TRUGKIYARUICHEM TOILETS <br /> TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES �\ <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) \V�\'\, <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking v <br /> the appropriate box(es). At least one file type MUST be selected. Fp_x to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments Should be scheduled <br /> 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 is available, <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review, LU <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> �0C3NFIRVW':APP#711NTMENT"D�"lr:„ - ._'; _ lII�E' . <br /> t9'IA'fE t%�NFIRMED PfiOME FAX 14mALS: <br /> EM 042� <br /> a=om <br />