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�e,/261,206ti lA;4� 4646136• • <br /> ENVIRONMENTAL HEALTH <br /> SAN OAQUIIY COUNTY PAGE ei <br /> ENVIRC)MfENTAL HEALTH DR)PARTAMNT / <br /> IS L�08 304$asf Weber Avenue, aro Floor,Stockton,CA 95202.2708 2 (^ 1/ <br /> L• I nn, li I dG , 1 L�_-t,TckPhenot(209)468-;3420 Fax: (209)464-0138 Web: www,sjgov.org//vh /� <br /> PUBLIC RECORDS RELEASE APPLICA9('iON <br /> APPLICANT`.71 El1SINFSS/AQ&NdY;'-h7F I Cp N 'a(�.TSN i,5 <br /> ADDRESS: 00 I- i YL ICL(G I I(. � <br /> PHONE(1): PHONE(2)i FACSIMILE: �ZS YcS^ <br /> TENTATIVE*"POlNTmENT0ATr;:_ t ! ag gym,_ I I 3o A-M <br /> (Please allow 10 business days from date of appileaden subrenal-"Tcetaave on moat bC coMlrmgdf <br /> ❑ CHECK 60X7.0 F-xPEpITB REQU $95. (GASH OR CHECK ONLY)•HEOugs r PROct:ssFD IN 9 suSINESs DAYS <br /> SIGNATURE OF APPLICANT DATE / i7 F' <br /> Electronic Information: ❑Lisp❑Map--DescripHoh: <br /> FILE ADDRESS EHO U5 ONLY <br /> 6��. <br /> $tract# Street Name city }•W of :a E5 [3 Unit 1 <br /> i 0cicizsv, �s+fie (s C J <br /> 2. IAJ Q S f-- S11 rT o � N F. I • Unit 2 <br /> 3. <br /> 4. unit 3 <br /> 5. <br /> 6 001nit 4 <br /> 7. <br /> 8. C7 Unh s <br /> Unit 6 <br /> �J\, Specific Data Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIL98 3 Vl r/1� 3 �� <br /> 21 DERDkOUNO TANK(UST)CLEANUP Sne(LOP) Q MOU$INc ABATEMENT 41.901.10 WASTE FACILrrY1VFHICLE <br /> M CI.FJ+NUP$nE(NON-LOP) l7 FOOD FACItm IrZWA.�'rE TRE <br /> 'ITHNpMWRDUND TANK(MONIMRINa1REMOVAL)V a000 KENNEL QpAiRV <br /> DOus WASTn GENERATOR✓ n ,r MCREN RANCN tLW]( EWATER TRUTNURNT PLANT <br /> IFRFD PERMITTED FAMny✓ 13 MOTEUHOM P PUMPER TRUCKlYARDICHEM Tba.ere <br /> Q TArItalSODY PIMOINO ❑V0008PA tome USE APPLICATION ftiis <br /> C MEDICAL WASTE FACNITr Q OTHER(PLEASE SPEGIPY) <br /> WELL AND SEM PNRMIY REcORDB ARC AVAILAuw FOR PXV;s• MONOAY.FRIPAY 640 AM-S:OOPM . MXCLUDINO HOLIDAYS. <br /> 1, List up to ten addressas In the space above, Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least ono file type MUST be selactod. Fax to(20914G4-0138 or matt to fhQ address indicated Above. Address <br /> ranges will not be accepted—for addidanal assistance with file address",contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notifythe applicant if any EOD filAs exist. An appointment for review will be confirmed approximatelyten(1a) <br /> days after receipt of application. The files will be held far a maxhnum of five business days for review. Appointments <br /> should be schodulad accordingly. <br /> 3. A file that IS actively being worked on by EF10 staff may not be Immedlately avallable for review. A new 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 revlews by the same applicant ma,/require a$95.00 deposit prior to revlewo <br /> EMD USE ONLY <br /> cam DnppE <br /> TO 39Vd Tb8L88L0TET LT :9T 800Z/E0/TO <br />