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JHN-60-20Ul ; 06 : 12 PM P. 01 <br /> DAT4!FZEC.��Vp� <br /> EH[)LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAI. HEALTH DEPARTMENT <br /> t 2008 6001 East Maill Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fox, (209)464-0138 Web: www.sjgo3arl4? <br /> -1;A <br /> PUBLIC RECORDS ORDS RELEASE APPLICATION <br /> APPLICANT: 11 <br /> BUSINE6VAGENCY: C ROY. 1 Rd !pew <br /> ADDRESS:_ �'� ,r� <br /> PHONE(1); � 7 i PHONE(2):� Jc .___FAC51lMIt.E; '�71/f <br /> TENTATIVE*APPOINTMENT DATE: <br /> (Plasso allow 10 buelneaee da Cm dale of eppeti <br /> llCort aubrnittal.'Iantsfive and Imo: <br /> y-must st be be confirmed) <br /> CHECK BOX TO EXPEDITE REQUES -S e � H OR CHECK ONLY)-REQUEST PROCE$$ED IN 3 SINES 8AY8 <br /> SIGNATUREOF ApPLIGANT DATE -i-7. 4 4 <br /> 9 <br /> 1:octrcrnll;Infortnatlon: 0 List 0 Map--Description: <br /> _— FILE ADDRESS EHD U$E ONLY <br /> Street Name - .—..... _ _.__ _..____T,._,.,,.W„�,.,, <br /> seat <br /> City t _�.-- <br /> _ <br /> U.N._.. <br /> [7�. Unit <br /> 1 <br /> 2. -PST <br /> tfllt <br /> Unita <br /> T Unit4_ <br /> 7, unit 5 <br /> 9. <br /> UnitBfG. <br /> _ <br /> Speclfic Date Range of Information Requested:From to _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES — - -- - � -2 t <br /> XUNDERWOUND TANK(UST)CLEANUP SITE 11-03) D HOUSING AAATEMENT n SOLID WASTE FACa[TVIVEHICLE c— i UI <br /> OTHER CLEANUP$rTE(NON-LOP) 0 FOOD FACILITY 0 WASTE TYRE <br /> UNOEROROUND TANK(MONITORINWREMOVAL)✓ 0 DOG KENNEL ❑ DAIRY ult(O <br /> HAZARoOv$WASTE GENERATOR 0 CHICtt€N RANCH 0 WASTEWATER TREAirmENY PLANT <br /> d TIERED PERMIMO FACILITY Q MOTELIHOTEL 0 PUMPER TRUCIL/YARDICHEM TOILETS <br /> C'1'rATTOOMODY PIERCING M POOL/SPA M LAND USF.APPLICATION SITES <br /> ©MEDICAL WAStF FACIUTI' I1 OTHER(PLEA$E SPECIFY)_ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY$:DD AM-6;00PM -ExCLupNO HOupAY3. <br /> 1. U*t up to ten addresses In the spare above. Select the types)of flies from the list above by checking the appropriate <br /> box(e*). At least one file type MUST be selected. Fax tQ f?Og)404-2138 or mall to q address Indl alma A42yj Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Application*received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant It any EHD flies exist An appointment for review will be confirmed approximately Ion(10) <br /> days after receipt of application. The flies will be hold for a maximum of five business days for review. Appo}ntments <br /> should be achtduied accordingly, <br /> 3, A filo that Is actively being worked on by EHD staff may not be Immedlataly available for review. A new application may be <br /> submitted when the file is available, <br /> 4, Any fila not returned in the same condition as released will be reorganized by EHO staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> ---- -- -- ----- . . -- - - EHD USE ONLY <br /> 0'V b mof. Y <br />