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Aug 16 07 11 : 37a Male Tyree Herbert (925) 5-3738 <br /> DI�$ p. i <br /> MO EHD LOO NUMBER <br /> DIM,Em <br /> SANJOA.QUINCOUNTY <br /> Eu V ED ENVIRONMENTAL HEALTH DEPAR ^l <br /> A1) 600 East Main Street, Stockton,CA 95202 <br /> 1 g 200? Telephone:(209)468-3420 Fax:(209)464-0138 Web:www, <br /> PERAdi_ FIFA,r PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAf 7T �DA E-{E213EI7__T BUSINEnIAGENCY: WCMZ_ - Sow'h.r.)esj- <br /> ADDRESS: 3 I S W. P l Kl E ST. STE. g LAD I Cf5 Z-40 <br /> PHONE(1): C 4zs)g'+-1- 3-13 a PHONE FACSIMILE: (Zo91 334-5374 <br /> TENTATIVE'APPOW TAIENT DATE: 8- S I -D'f <br /> (Plane allw 10 business days fm dle!afcahen eubm - me; I O 0.m <br /> & T. <br /> must beeonrRrl M <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.3ep00 FEE(CASH OR CHECK ONL EST PROCESSED IN 3 RUSI(ESS DAYS <br /> SIGNATURE OF APPLICANT _ �I /`�i�(-I_E= <br /> --�--� DATE _ g- I (o- 0_4 <br /> Electronic Information: ❑List❑Map-Description: <br /> street# FILE ADDRESS EHD USE ONLY <br /> Sires)Nene city . ._ <br /> t. 20¢o W. Wash? +o.•� St. StDGk}pV1 L1ons, <br /> 6 z 2 i l s w. tA/asF i Fzsr, sr stack-} v, �d ur;t2 <br /> �l� 3. 21?�o w. WaSWZ A-c' St . tock For( <br /> \ < ZZDI W. wa h, +an SY. ST-ockhnr% unit3 \ <br /> 5• 23oS W. washi ion st. 5rock+,�vt `� <br /> s. 2321 VV. YJgsh�n�.4-on Sr. Stocicf-ov, tmlta <br /> p�r I- <br /> . 2b5o W. Wctsh�n +on 5Y. Siock}ovt ❑ units <br /> 9. 'Z-1 C>0 yv. VUa_sh ton St. 5toc_k{oh <br /> rS �4 to 2'11-1 W. %A) +a✓i St �SFoclL+cvt Erne <br /> fl SpeclHc Date Ra"W of inWrrlation Requested:From 4.11 d.ak{-s <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 'eUNDERGROU o TAw(UST)CIEANtrp SEE(lop) O HOURMC ABATEMENT tea' <br /> OMER cote"tiv SR (NW-LOP) O13 FOOD <br /> FACanrE•UNDERWICUND TAW (MONIN)"WR9AyAL) gWSoAuSMp <br /> WTIRE <br /> 1ZHA[AepeaWA3IXGEWRATM DWtwNM 0 DAIRY <br /> JaTEREOPERMITtnFAamr O EN T <br /> E FACanTNEHMIE <br /> MOTVAfOTEI. WASTEWATER Tim...T.T PLANT <br /> i"'TAiTOp/aOOTpERCMe 0 POOLI$PA R 'VMPrR TRUpdYARD/QIEM TOILETS <br /> 1c:lUEDICAL WASTE FACILITY (7 LAND USE APPLnARON SITES <br /> �OTHER(PLEASE$PECIFTt <br /> WCU A.SE JC PCM.T Ri, d SARE AVAILABLEFonREYtEvr- <br /> MoaoArfmWAY 8;00 AMA:OOPM _ Exawmc HaL1oAYa. <br /> 1. List up tel addresses In the space above. Select the types) <br /> s). At least of Eles from the list above by checking the appropriate <br /> mn90s will not be acac file type MUST da eDiected. Fax to 2M4"-0138 or mail to the address lndkated above Address <br /> 3;00 pm will be processed the next business day. mSiH6•contact the EHD.ApPBEagtNts raceivad after <br /> 2. The EHD will notify the apPlimnt if any EtiD files exist. An appolnVnent for review will be confirmed approximately ten(10) <br /> days after racolpt of application. The files will be held for a maximum of five business days for revb <br /> should be scheduled accordingly. w. Appointments <br /> 3. A file that is actively being woukad on by EHD staff may not be immediately available for review. A new APPiicahon may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the awns condition os released will be reorganized by EHD staff at the expanse of the applicant. <br /> Future file raviewa by the lame applicant may require a$95.00 deposit prior to review. <br /> EHO USE ONLY <br /> cno year vey<aor <br />