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GA!-FECE:MVF� trill i-;J I I�i�� ci <br /> ENVIRONMENTAL HEALTHDEPARTMENT <br /> 304 B Weber Ave 3rd Floor Stockton, CA 95205 <br /> SFP t 468-3420 Fax; (209) 464-0138 Web: wwm,.co.sarL-joaqui:n.ca.us/eiiago <br /> joaqui:n.ca.us/eiia <br /> ENVIRONMENT HEALTH 'FUTLIC BECORDS RELEASE APPLICA,rzIGI <br /> t BUSINE"SSIAGENCY;�� <br /> .APU'7E'SS: to p.�-(..4J y� +�1a`a� ]l UJ P+-, <br /> FACSIMiLE: eAllark,'7 <br /> F-NTA,`IVE"AP?0IN-,MENT i)ATE, l� � :inner <br /> (please allow 10 Grisln®ss days from date of a - <br /> yK><sK 50XTO EAC:-F❑rI'c,tInQUE.,T-$93.00 FEE REQUEST tyRQGiTSS,_6;1 =3 CD <br /> �='IG,a}yATURM~ OF 0'li"'P41,-,/-5{`1T ....--- 1. Fw 4�.." <br /> Dr-flitw-nenUse Only <br /> FILE_ADDRESS aUNiT <br /> � Unit I <br /> F <br /> Q�yC�" - All .j !e Cit <br /> 0 r Y 54rri�(? 1� .�� � i l 1/ Clt .�- Q Unit 2 <br /> GI <br /> Git _ C <br /> _,, ss4c_et �9- N'j . _ �, -- Unit.3 U�7 <br /> FF e. siva; �51I of - J- 0 <br /> pT. Sirce: --- City Unit 4 <br /> t_ — Unit 5 <br /> e <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDEP(;1,3 JUMD TMK(UST)GLEANU?$ITE(LOP) W HOUSING AESATEMENT 11 SIDUD WASTE FACILITY <br /> FA OTHER Ct ZANUP SITi !NON-LOP) D FOOD FACILITY ❑ SOLIiJ WASTE VEHIGLF <br /> ,R. VNDE'RG�AUND TtVK MONITORINGIREMOVAL) El DOG KENNEL ❑ DAJRY <br /> 151 KA .qtr QUZ WASTE GENFP,AITQR i3 CHICKEN RANCH ❑ PKG TREA-MIENT LLAT <br /> T ERED PEI7;fi i-17D FACILITY MOTEL/HOTEL ❑ PUMPER TFR UCKNAR.W I--rM-'r-q1R :'S <br /> ❑ 1 ATTOOiBODY PIERC!NG ❑ POOLISPA ❑ LANia USE APPLiG.aTION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OWNER(PLE A$E SPECIFY) -o <br /> 1, List up to test addreSS9s In the space above. Select tate types)of piles fr01Ti the List above by checking <br /> the oppropr0ite box(es). At least one file type MUST be selected. Eato Rjj54-0'1:3$ or mail_1%0 t 1A <br /> adei��s�ie�ci��.at�d�bo}fie. <br /> 2. Ff='v=ili notify the applicant if any EHD files exist. An appofritment for review wlil b�-e,onfi mr-." <br /> approximately five business days but no later than ten(10)days Slier receipt of v--pplicativn. Thi.i. file <br /> will be hold for a maximum of five business days for review. Appointments should be s&edt led <br /> 3. A that is actively Feeing vrorVgd on by EHD staff may not be immediately available'Por rev;ei1t. A new <br /> aNr.'i satkon nia:y he submitted when the file is available. <br /> <._ <br /> Ar!,,, Fp nit ret.urr,le1 in the same condition as released will be reorganizecl by EHD staff at the expense <br /> of fife applicant. Futurc,file reviews by the same applicant may re;uirt a 593.00 deposit prior to ,t viefvl, <br /> a. ITl-KATiV>=appointment dates must be confirmed with EHD staff. <br /> s, Applications received after 3:00 pm will be processed the next business day. <br /> i ll',�F( Itni APPOINTMENT GATE �® TIME <br /> DATE 1:'N=; l.IMEr PHONE FAX loll T A!_:3 <br /> RE-VIs=1!'+/ED `t,'ES NO REVIEW DATE <br /> are;zacs <br />