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SAN JOAQUIRECEI V Eeironmental Health Department <br /> r.; p <br /> PUBLIP RECORDS RELEASE APPLICATION <br /> MAR 2 , -� 3 <br /> 5 8Y EMAIL 3"Z� � 1 <br /> _ EHD LOG NUMBER: <br /> • APPLICANT BUSINESSIAGENCV: <br /> ADDRESS. .wr%a brcn sc. CITYISTATE1ZIP:w r J L J120 <br /> PHONE(1): nsoi iC.9is:. PHONE(2): FAXORE-MAIL: :4na'_Hea� �nmeras�r <br /> Please allow 10 business days tom d to of application submittal for the records to be available, <br /> Staff will corttacKy�q}fra <br /> ea ppomtment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT �l / DATE rda��t i..Ota _ <br /> 1. List up to ten addresses in the space below. A dress ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below ar email to info(dslcohd•com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted below. <br /> 3. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held far a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <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 reviews by the same applicant may require a$152 deposit prior to review. `6 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:08PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: [I List❑Map—Description: <br /> Specific Date Range of infomlation Requested: From to <br /> ENVIRONMENTAL IFILE ADDRESS Q� 3'3� <br /> HEALTH DEPARTMENT <br /> _ FILES iS000tsc actlmsszs Irl'f aticrnss rangeswill not M:arceptedi EHD USE NLY <br /> ❑x u:a1•gII4 Tank tbSTI street# Straot Name City CIO C:hW•Jt Sun J 00, ry: _, W <br /> []X Caa+rCr6n.y'Sla,hxhLoP; ° 3440 East Main Street Stockton u �P o f►� <br /> p lt:v,.uws,va le <br /> Q tsmo Pnne-9F ury <br /> RAWIi@ o oTnl <br /> -, <br /> x <br /> LIST tMonnrr �^nnl <br /> Ro . I <br /> ©0 Mnrn-A hA I -:ale a <br /> ._..... —.__ <br /> Q gJn:aes�Feel Jr'vfrar a <br /> 15 <br /> Lana use Ag0,G-LI ',slC. .___ ......___ <br /> :9Pw Panyur T,u ' tl <br /> YAM.r•nr-er 4 T,?se <br /> Viabt4wefrs lrcavroal Pfunl �...__ — --' . <br /> nOwO�apnv.:rciA r :.€T -'r -:y <br /> n C�:Ae,R:iii.."I l t3C9 KOn:M' <br /> tl <br /> El <br /> h1a:L:-al VJ9Sit Fe.Play <br /> 1 <br /> Q cwrx>Im <br /> �'01114r{PI!JAM S:.nSdyy '7:': ." <br /> 13�� �bWt <br /> "C"' '*'BOXED AREA.EHD USE ONLY"' <br /> 3,2.9-ltd-E."'0 0k W_ wti e . ✓�� Il8 <br /> a1 <br /> ❑ Records provided by Staff-PPR Complete. sun Name. F e Abat <br /> • 1568 E. Hazel:an Avenue I Stockton, Ca;irorwa 95205 1 T 209 468 3420 ! F 209 464-013: 1 wv.%v.siCei'Id cum <br />