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06,-29.2006 13:48 CLRYTON GROUP 4 12094640138 <br /> 40 0 NO.797 P02 <br /> OATE.RECEM <br /> SAN JOAQUIN COUNTY IEHD Lac NUMSER <br /> G° C C�C��C D r>vrIR®r�NTALHEALTH DEPARTMENT <br /> 304 East Weber Avenue,3"Floor, Stockton, CA 95202-2708 D <br /> JUN 7 9 2006 Telephone: (209)468-3420 Fox;(209)464-0138 Web: www.sjg0y.0rg/ehd <br /> ENVIRONPUBLIC RECORDS RELEASE APPLICATION <br /> ar% Solum <br /> PERh�I�E ' auslNEsalASEncY: Clc�rfou Src r� <br /> AOPRFS.4:�p,�'�20'1lCl)!I Ct,rtit2� f�ir,pks�n Sv�{e zf� Plor—sdlr kF CR 9y5(o!o <br /> P91DWE(11=_1,� 'TZ�'. 2(c1Q PHONE(2i;�2$ Z-bo-3117 - _ FACSIMILE: Ra.S. <(2L.01410 <br /> TENTATIVE*APPOINTMENT DATE: FXXI b!Q Tlme: <br /> (Please allow 10 b0olnass days tram data o1 919111100011 aLlbmlttel-'TWWIY a only-must be aone;Tne9) <br /> © CHE,:I(BOX To EXPEDITE REQUEST-(;83.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT [TATEG, 'FI o G <br /> UHIT DISTRlalITlOh Unit1 0Unit 2 0Unit 3 QUnit 4 0Unit e ❑ Unit O Othor(alactrjnfS2LatNrosPs) <br /> FILE ADDRESS <br /> St to StraetName "'4yty EHD USE ONLY <br /> W. YA.1 /ca Trac <br /> 2. <br /> fi I <br /> 10. I <br /> Specific Date Range of Information Requested:From t0 <br /> �/ ENMRONMENTAL HEALTH DEPARTMENT FILES <br /> NI,ONOERGTR3UND TANK(UST)CLEANUP SITE F-OP) Cl HOUSING ABATEMENT to SOLIDf1ASTE FAMrryArERoix <br /> g Jtr ERCLEAFNFSITE(NON-LOP) 13 FOOD FAceN E3 WASTE <br /> IM <br /> !;f, NOCRGR3WV TANK(MONmsMMOREW)IAL) 0Doe KENNEL r7 <br /> MAdAPOOUa WAxTEGENERATORQCHICKEN RANCH XWASTENVATUR TREATN(:NT PLUIr <br /> Cl TIERED PCIU1770 FACILrrY ❑MOTWHOTEL ❑PUMPERTRUCKIYARDICHEMTOU-is <br /> O TATMORWY PIRCINO CPOOLISFA ©LAND Ui-t AAPLICATAn1 Sm <br /> Q M9MCAL WAer,FACRITT ❑OTHER(PLEASE aPECiF1') _ <br /> W_-LL AND SEM0 PERIM P.F.CORDR ARE AVAILABLE FOR RENEW. MONDAY-FFIDAY 4:00 AwSMP(A - EN1%UW4Q HOLIDAY& <br /> 1. List ufI to ten addresses in the space above. Select the types)of files From the list above by checking the^� <br /> appropriate box(es). At least one file type DUST be selociad. Fax to(2091464-0138 or mallto the address( <br /> Indicated above. Address ranges will not be accepted—for additional assistance N1th filo addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next buslnesas day. <br /> S. The EHO will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approxilnataly ten(10)days aftor receipt of application. The files W01 be held for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 5. /(file that is acdvely being worked on by EHD staff may not be Immedlateiy available for review. A new <br /> 611illIC3 011 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 at the expense of the <br /> applicand. Futuro file revlmAs by the same applicant may require a$93.00 deposit prior to review. <br /> MNP FMax �- <br /> 1H4eT <br />