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07/02/2007 10:16 FAX <br />[a 001 /001 <br />DATF RECEIVED EHD LOG NI)M8CR <br />SAN JOAQUIN COUNTY <br />7— <br />ENVIRONMENTAL, HEAL'ri t DEPARTMENT <br />600 E. Main Sireet, Stockton, CA 95202-3029 <br />J!,n H07 Telephone: (209) 468-3420 Fax: (209) 164-0 1.' 38 Web. X& ww..Sjgov <br />t Yj_� 3,,,00 7 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT:S ! 0`q T_ L cz -7—BUSINESSIAGENCY: 51, <br />ADDRESS: �/6(_ � vLp cA-,tp pafvc- c ( c) <br />III _Oql�vv'l <br />PHONE (1):—Y16 50 M6 1 PHONE (2):'3 47 _:�) _I FACSIMILE: _qi4 6 3 F_5�M5- <br />TENTATIVE" APPOINTMENT DATE: 19_�11`10 - vr75e Time: /9n) Y <br />(Please allow 10 business days from date of appllcatl6n submittal -'Tentative only, must ba confirmed) <br />El CHECK BOX TO EXPEDITE REQUEST 15.00 5FE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ✓DATE <br />[Electronic Information: El List El Map - Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Street I Street Name city. <br />E] unit . I <br />' <br />H/*ZDI,-j Wig T?v C 1, <br />Sl 1-sm RW <br />1-4 7-N fZ 0 P El Unit 2 <br />TY <br />LPb G 'q M I's (Z f C) -1-M /Z 6 P -(!�s 4 <br />4e- 5()�L tvl�.._....51v C k 7-orJ ton unrtJt <br />%q 6 7Hw2rjT-D� 2v Tlrf� VS=F, 6� 111 W <br />�C (A 9r) 5 M W <br />T6,'T C Y SLVb. IJ rA 0 Unit 5 <br />X Unit 6 <br />requested: From L to L Q <br />.,s IENVIRONMENTAL HEALTH DEPARTMENT FILES <br />(LOP) HOUSING ABATEMENT 13 SOLID WASTE FACII-IrYlVEHICLE <br />tJ Fono FACILITY rI WASTE TIRE <br />JVAL) 0 DOG KENNEL 0 DAIRY <br />--------- IJ CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACIL ITY 0 MOTEL/HOTEL 0 PUMPER TRUCKIYARDICHr m Toiiers <br />0 TATTOO/BODY PIERCING 0 POOLISPA 1`1 LANE) USE APPLICATION SITES <br />0 MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECIFY) <br />WELL ANn SFPnC PERMIT RrCORuS ARE AVAILABLE FOR Rrvocw - MONDAY -FRIDAY 8:00 Am-5:OOPM - EXCLUDING HOLFoAY.5. <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected- Fax 09) 464-0138 or mail to the address indicated above. Address <br />ranges will not be accepted — for additional assistance with file addresses, contact the END. Applications received after <br />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 approximately ton (10) <br />days after receipt of application- The files will be held for a maximum of five business days for review- Appointments <br />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 now application may be <br />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 applicant, <br />Future File reviews by the same, applicant may require a $95.00 deposit prior to review- <br />EHD USE ONLY <br />EHO 48-06 0113t20Uts web <br />