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07/14/2008 14:35 CLAY W PLEASANTON � 12094640138 NO.954 9001 <br /> i 1 EHD lOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> EastWeoNAENTAIdHEALTHDon,CA MENT ^ �� <br /> 304 East Reber Avenue,3 Floor,Stockton,CA 45202-270 (/ <br /> ny c y i T#� Telephone:(209)468-3420 Fax:(209)464-0138 Web:wwwsjgov.org/e <br /> E�! v , :�t <br /> .1u11 '1 o PUBLJC RECORDS RELEASE APPLICATION <br /> APPLICANT:ftt ItSOYA 01(G�4f BUMNEs51ACENCY: &L ll)��0174J <br /> AaoREssl4�lzp Voll Crn4fr P1rta�� C2� Q14^c^AA*'+) !`k �itlQietr <br /> PHONE(1)KL'S 42-g— HONE(2. -'7 IrZZ FACSIIAIt.E:�' `y2lQ�Dl tib <br /> TENTATIVE'APPWNTNEN7 HATE: I " 6K Time: <br /> (Please allow to business days from date of application svhmitlal •Tentative only•muct be coidDmed) <br /> CI CHECK BOX TO EXPEITTE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE <br /> UNrr DISTRIBUTION 1 Dunit 1 Dunit 2 ❑Uai/3 DUnit 4 13 Units rl Unit ❑ Uthsr feIPMOnicWs dmalb <br /> FILEADORES_S EHD USE <br /> // St eetY Sheet Name city2. <br /> V I <br /> s. 0,66 Ani I <br /> rril � y �� <br /> 4. 0 W, /' y <br /> N <br /> 7. <br /> 8. I <br /> Specific Date frange of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Utmtx tum TANK(UST)CLEmw Sne(LOP) OhouwNGAexmNi Nr BOLIOwARTE FA <br /> 3kOTHER CLEANUP EnE(HON-LDP) rao FAnun WAsie Tete <br /> UNDExaa)utm TANK(MGNnc.JREMeM)K Ooc KPNNFl FAIRY <br /> HA2ARDDUa WA$TE GErhTlAlYIM1 n/ $cwafEN RANCH ;c,,.WnA61CwATen TREATNEHTPuNT <br /> aee <br /> O'nePamirmOFAC0.n1' V` MMUHUML ftPumP TNucr,/YAF4"DtGHW1oi <br /> 'fir TATTUOIBODY PIERCING V §WOOLISPA AId..AND USE APPLICATION SMS ',y l'e � <br /> QT`, EDCAL WASTE FACIUti(y, Lj OTHM(pLr:"9 Smtry) <br /> WELL ANO SEPnC PUWMRECORM ARI!AYAILASL POR PE M- etnNOAY-FWDAY a:00 AU.5:00PN - EXCLUDING HOUGAYS. <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 /> appropriate box(es). At(east one file type MUST be selected Fax to(209)484.0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for addit onal assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm Will be processed the next business day. <br /> 2. The EHD will notrry,the applicant if any END files exist. An appointment for review will be combined <br /> approximately ten(10)days after receipt of application. The files wOt 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 EHD staff may not be immediately available for review. Anew <br /> application may be submitted when the file is available, <br /> 4. Any Nle not returned In the same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> - n15 Is for o a wm + <br /> �9r15 11►� <br /> --M <br /> ON "_XIAN <br /> 1n� <br />