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,Feb. 28. 20071' 9:0804tUO- ` GIVv 1KVIVI"IGIVIH� r min No1391 P 1— Gi <br /> yf\IR n�uouEy L ��, tHU LULS NUM610 <br /> SAN JOAQUIN COUNTY <br /> il�-j1 'LL=D ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Fr'R `L 6 M5 Telephone:(209)466-3420 Fax:(209)464-0138 Web:www.sjgov.orechd <br /> Ef'NRION&IENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> frA TiP�i`tnrrc <br /> APPLICANT: lVl{t't�f' hmw t-AF,��1�tewe- _ BUSINEWAOENCY: itglLLi�n)tyM rw& - t,J6 <br /> ADDRESS: 1 L4(I S i'�jM>P.A'u AV/EX 5r-(45�-(7 1.. tU'1Qe•N.4- GA- Cl2-g7q <br /> PHONE(1): 01$I—RCI9^II4?3 —PRONE(1l:- 61-2-5J?-58-7) FACSIMILE:+ A51—jage—(ic <br /> TENTATNE�APPOINTMENT DATE: O-S-I H-06 Time: I-CSO PAA <br /> (Please allow 10 business days from date of applicatlon submittal."TenlaUve only.must by confirmed) <br /> ❑ CHECK BOX TO EAPEOITE REQUEST-$93,00 FEE(CASH OR CHECK ONLY)^REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT `� yam` DATE the z '�pS` <br /> UNtTD15TRIBUTION DUnit 1 01 nit3� nlIA ❑ Units ❑ Unift ❑ Other(alectronldlistslmaps) <br /> s <br /> FILE ADDRESS { SE ONLY <br /> $tont R Streat Nama City <br /> NUJ Us 1. LCJ <br /> 2. 12 r: <br /> N wONSTt <br /> — <br /> Nai_ 6. <br /> a. <br /> 9. <br /> 10. <br /> Speelfle Data Range of Information Requested:From <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> 64ERGRWND TANK(UST)CLEANUP SITE(LOP) C HOUEM <br /> SING ADATENT ❑SoLmwIU <br /> Asre FAGYYIVERMLE <br /> ❑ ER CLEANUP SHE(NON-LOP) 'J FOLD FACILm' O WAs7E TIRE <br /> DBROROuND TANK(MGNrroRiNG1REnOVAL) Cl DOG KENNEL G DAIRY <br /> nous WASTt QaNaRA70R ❑ 1N El E TN1rMPNr PLANT <br /> M0T9LWjTEL C PUMpEaTAVCKYARCTOILETS <br /> TIERED TArroofBoor PIERCMo PERMITTED FACIU7Y EI d LAND USE APPLICATrON 8nE9 <br /> PIE <br /> 0 MoIcAL WASTE FACLnY 0 OITIRR(PLIAS!8PNIM <br /> WDLL AND SEP71c POWT RECORDS ARE AvALAELE FOR REVIEW - MQNDAY-FAIDAY 8:00 A94:00PM • IUMUDINO HOUDAYIL t <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the <br /> iate <br /> Ma <br /> approprbOX(se). At least one file type MUST be selected. Fax to f 041464-0138 or mail to the address <br /> Indicated above. Address ranges will not be accepted-�for additional assistance with file addresses,contact <br /> the EHD. +ppi;ccst ..:. :- w w` 2.^G tr,T-,v b^ rocs£>ed the next business day. 4hoom_- <br /> 2. The END will notify the applicant if any END 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 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 the same condition as released will be reorganized by END staff retheme expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior <br /> i IrnN/ <br />