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uA, Ju1. 17. 2005 4;03PM Adv �d CeoErvi ronmental <br /> )AN JOAQUIIN I.,OUIN'I'y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> D° ECEN D 304 East weber Avenue, 3"Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Jl!L 1 7 2006 PUBLIC RECORDS RELEASE APPLICATION <br /> t1�.1.FTiTiQi "Werwarmum am <br /> p !in BUSINESSIAGENI'Y: <br /> P <br /> ADD <br /> PHONE(1):�Oq %07- 100G PHONE(2.): a01`(001 -Z54 I FACSIMILE: X05- 5Z,,7 -LfL8 <br /> TENTATIVE*APPOINTMENT DATE. 7- f i` Oho Time: /S00 _ <br /> (Please allots 90 tumness days from date of application submittal-'Tentative only-must bo-eonfimied) <br /> t CHECK BOX TO EXAEorm,RE ti -$93.00 EE(CAS f3 CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS EIA"'; <br /> SIGNATURE:OF APPLICANT -� DATE <br /> UNIT DISTRIBUTION ❑ Urr9 M Unit 2 ❑ Unit 3 ❑ Unit 4 ❑ Unit 5 ❑ Unit b ❑ Other(olectronlcAL'sts/nl<tp4) <br /> �r�0�.i r.n.�erir�a��s��v�ws.wenw�mu_ws.�mmu< <br /> FILE ADDRESS EVE)UwE ONLV <br /> Street III Sbvet:Name City -- .---- <br /> 1. 51vo� <br /> 2. -- <br /> 4. — -- -- - <br /> 5. <br /> 6. <br /> 7. 54 'L — w - --- <br /> 7. .. <br /> 9. <br /> Specific Date Range of Information Requested: From to <br /> me�, <br /> EKORONMENTAL HEALTH DEPARTMENT FILESAr>a <br /> 1kI11ERRo(,nJD TAW(UST)CLEANUP SITE(t.OP) 0 HOUSING ABATEMENT ❑S01.10 WASTE FACTUTY(NEHICLE <br /> U OTNQR CLEANUP SITE(NON-LOP) © FOOD FACILITY O WASTE TIRE <br /> 14 I)C•IEIERGRpLI190*rAkW,(MENNITCIFING/REMOYAL.) ❑COG KENNEL 13 CINRY <br /> OLHkSARDOUS WAVE GENERATOR 0 CHICKEN RANCH ❑W4STEWATUR TREATMENT PLANT <br /> 13 Twimo PEWVTTE�.1 FACILITY ❑MOTELIHOTEL 13PtjtAPERTruCIUl'AFufCCHEMTOILET3 <br /> n TATTOOtOODY PIERCING ❑POOLISPAnn ❑tUjio UsE APFLICATION SRr:S i <br /> M IAI:I K:AL WASTE.FkCIL.r1Y 011: TNER(PLEASE SPEGFY)tA'A Ata. 1�a1 r7B`k raT 16 V=a <br /> WELL.AND SEPTIC PERMIT RECORDS ARE AVAILABLE rOR REv1EW - MONDAY-FRIDAY S:DO AM-5:00FM - EXCLUDING 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 <br /> a.ppFopriate box(es). At least one.file type MUST be selected. Fax to(209)46.4-0138 or mail to the address <br /> Indicated above. Address range3 will not be accepted-for additional assistance withfile addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD tiles exist. An appointment for review will be confirmed <br /> approximately ten (10)dayls after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 o¢the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> END 4802�?OB <br /> vt�roi <br />