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,mn fax Fax:(2o9),w0-4o03 To: pax: +1 (2o9)4e40138 Page z m2 08/2e201610:06mw <br /> DATE EHoLoGNuwa�n <br /> - ���� �������{� »���UNTY <br /> R <br /> ������A� ����� � � ~~��� ��� 0 �� ��N � � `� �� ��������° � ���� u~��[���������/�� : x������ ����/����MENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6.232 <br /> ` A� � <br /> � � ( �� L7eph#ne: QOg\ 488-342OFax: C2OgA4G4-013Web: vmwv�'Qov.n/g/ehd <br /> / <br /> PER&Aj',TiFEFW,C�� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Heather Gemmri BUS(NESS/AGENCY/ snw,oAssessment po <br /> ADDRESS: PC)Box 11c4 C\TY/STATE/Z|p; aonn°rsFerry,/onunoa <br /> PHONE(1): 844-742-7311 PHONE(2): FACSIMILE:877-623-5493 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please al I ow 10 bu sine ss days from date of application submittal -*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICANT Heather eemmrig DATE*uoustuo.2o1a <br /> Electronic Information: F] List 7. Map — Description: <br /> FILE ADDRESS EHID USE ONLY <br /> Street# Street Name y 0 unit I <br /> 1212 Performance Drive Stoc�,ton <br /> 3. <br /> 5. <br /> ED Unit-4 <br /> 10. <br /> Specific Date Range ofInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UmoenanouwoT�wx(U��C�sxwup�Ts(LOP) �so|nx�VWxmeF�n|�nv <br /> -- SnL0WASTE F«c|LnrJsmnLs� <br /> ^Si / <br /> OTHER CLEANUP Houo/waAa*�s�ewr WASTE TIRE <br /> UNDERGROUND TANK(MuN|TuR|ws/R£MOVAL) FonDFAo|LRY DAIRY <br /> ABOVEGROUND TANK CH{CKENFANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WAxTE/H4ZxRooUuMATE0ALo MOTEL/HOTEL PUmPERTRVCK/YARD/CHEMICAL TOILETS <br /> T|enEo Psnm|nEo FACILITY PooL/Sp4 LAND USE APPLICATION GnEn <br /> L�TxTroo/BoovP|enn|wo ��Co�pu^|wT/R�xpowosRsoonon E]OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC: PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:0O/\M'5:ODPm (EXcLuo|NGHOLIDAYS) <br /> 1. List up to ten addresses |nthe space above. Se|eotthetype(s)offiles from the list above bychecking the appropriate <br /> box(es). At least one file type MUST hoselected. Address <br /> ranges will not be accepted -for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00pmwill beprocessed the next business day. <br /> 2. The EHDwill notify the applicant/fany EHofiles exist. Anappointment for review will uwconfirmed approximately ten (1V) <br /> days after receipt pfapplication. The files will heheld for amaxim umuffive business days for review. Appointments <br /> should bwscheduled accordingly. <br /> o. Afile that io actively being worked on by EHDstaff may not be immediately available for review. A new application may be <br /> submitted when the fl|e Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expenseof the U t <br /> Future file reviews by the same applicant may require a $125 deposit prior to review. UAM ' <br />