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1 <br /> 07/24/2007 1i:49 530887I4r -, BLACKBURN PAGE 01/01 y� <br /> EHO LUG NUMBER � <br /> SAN JOA.QUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ,j!..#[- 2 4 2007 600 E. Main Street, Stockton,CA 95202-3029 j <br /> Telepbvne: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov - <br /> FAIL <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BU81NESS/AGENCY^ <br /> ADDRESS: <br /> PHONE(1): <br /> TENTATIVE"APPOINTMENT DATE , Time, , <br /> (Ploasa allow 10 business days from data o appliG t subnjItt "Tentative only-must be conflrmad) <br /> �CH> CK BOX TO EXPEDITE REQUEST-$95.0 OR ECK LY)-REQUEST P f ESSED IN 3 13US[NESS DAYS <br /> SIGNATURE OF APPLICANT TE _ <br /> Electronic Information: ❑ List❑Ma Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name volty © unit 1 <br /> F2. (/�' � ` ❑ Unit 2 <br /> 3. <br /> 4. <br /> R050 0 — 5 <br /> 8. <br /> 9. <br /> El unit 6 <br /> 10. ao <br /> L -Ift <br /> Specific.Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,VNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOusIHG ABATEMENT ❑SOLID WASTE FACILITYIVEHFCLE <br /> ER CLEANUP SITR(NOWLOP) ❑FOOD FAciLrry 173WASTE TIRE <br /> QRGROUND TANK(MONITORINa1REMOVAL) 0 POG KENNEL 0 DAIRY <br /> Se HAZARDOUS WASTE GENERATOR O CHICKEN RANCH- ❑WASTEWATER TREATMENT PLANT -❑TIERED PERmrrrED FACILITY ❑MOTELMOTEL ©PUMPER TRUCKIYARDICHEM TOILE" <br /> d TATTOWsoDY PirRCINO 17 POOL/SPA ❑LAND USE APPLiCAnDN SrrEs <br /> C3 MEDICAL WASTE FACILITY Q OTHER(PLEA$1Z SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAIL.ABLR FOR RENEW - MONDAY-FRIDAY 6:00 AM-S:OOpM - ExCLUDINO HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one rile type MUST be selected. Fax to RPM 464-0138 or mail to the address indlcated above Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the ENI].Applications recelved after <br /> 3:00 pm will be processed the ne)h business day. <br /> 2. The EHD will notify the applicant if any 121-10files exist An appointment for review will be confirmed approximately ten(10) f <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the game condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future rile reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY I <br /> t <br /> s <br /> F <br /> F <br /> ., EH6�a.ps 9n agP08 wtrb _ }l• <br /> I <br />