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EIB/11/2006 10.02 916446317"' MATT PAGE 01 <br /> �w �lwl <br /> SAN JOAQUIN COUNTY <br /> ENIr RONMENTAL HEALTH 1)IiFART,,,N1ENT <br /> AI)G 1 1 2006 301 East Weber Avenue,3`d Floor,Stockton, CA 95X)"1-2708 <br /> TelepAane:(209)468-3420 Fax:(209)464-0138 Web:v<vrw.sj,3ov.org/efid <br /> ENVIRONMENT HEALTH - �! <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE A,PPLT�QA1'[CIN� � � <br /> AFTUCANT: 111A 7JI1 60%* ' Ai4 Y 6USfNESgrAGzNCY:14'!( `tC (ie� t �!► f, <br /> '15 5e IT <br /> PHONE(1):..LLE._ - PHONE(2): JZ0 5" '� _—FM8IMILE--yy <br /> TENTAIWE"APPOINTME11t DATE: � �P �� Time:t 7 <br /> (Please alIM 10 IiueinesS days from data of appikason submittal-'re"Who0 only--must be evrLfirnted) <br /> Ci,EC-t;Box To EYPEOME"REOL+EST- .86.00 F°p(CASH OR CHECK ONLY)-REQUEST PF;0CE".3Mno IN,.BLISIIAES13(DAYS <br /> Ar ON,ATU RRE OF APPLICANT � � DATE <br /> U011T VISTRIBUMN ❑U it 1 ❑Unit 2 13 Unit 3 Q Unit S ❑ Unft 6 M Other(elsctmnjcnisplmaps) <br /> _ FILE ADDRESS i ti>a USE ONLY •e <br /> _ str��st;l_ 9trmN dame _ city <br /> 1. l'1 2n .�It.trR>,� T" .__���c1C cZ '' <br /> 2. esti HrG Iu;��3. ' - ..-_... <br /> - .. <br /> .... ; F2��►trf <br /> !i. 0 l 4"ft fi�T�F` gel- 5?'0 C-ftTpAJ _ -- ---- - <br /> 2-001 <br /> 7. .77 -. . .. 2 "irF C !� Roo -- - _ <br /> 7-12 4C y <br /> Specific Date Range of information Requested:From 5170T47-1- to �G 3Iew7 —.—_—_ <br /> �/I EPMRONMENTAL HEALTH DEPARTMENT FILES <br /> Z,thim.RGrxcmD Tvw(UST)CLEANUF,WE(LOP) ❑HousiNo AsATEmENT 13 Soun WASTE FA%.m'1V£HIC1E <br /> C!OTHER CLEANUP SITE(NON-1.01P) 13 FOOD FACILITY ❑WA67F TIRE <br /> C1 U1401:RGROUND TA14K(MONnVfdHGlRf WNAt) E3 DOG KENNEL E3 DAIRY <br /> ❑HAZARoauv,W13TE GENERATOR ❑CHICKEN RANCH ❑WAS70vATcR TFIKATMENT PLANT <br /> 0 71n'RED PERIAITICD FACILITY O MOTELIHOTEL ❑PUMPER TRUCIVYARMCNEM TOILETS <br /> 01.TATP3OftY7Y PIERCING ❑POOLISPA 0 LAND USE APPLI AnoV SIMS <br /> M lVzDN::AL WASTE FACILITY ❑OTHER(PLEASE SPECIFY)_�� <br /> WELL AW SEPTIC PfRmt RE-CORDS ARE AVAILA13LIE FOR RMEw- MONDAY-FRIDAY 8:00 AF7-5.-I)Wv - P—MLUDIN o HOUDAYS. <br /> 1. List up to Cen addresses in the space above. Select the type(s)of files from the Iilst above b:f checking the <br /> cppropriate hox(es). At least one file type MUST be selected. Fax to209,464-00838 or mnll to_ the address <br /> Indicated above. Address rangte will not be accepted-for additional assistance file addresses,contacx <br /> the EHD.Appiication:3 recelved efrter 3:00 pm will be processed the next buslnevq day. <br /> 2. The EMU Krill notify the applicant If any EHO flies exist- An appointment for revlow will be confirmed <br /> €.pproximatniy ten (10)day-after receipt of application. The files will be held for a maximum of five busineSS <br /> days for review. Appointrilents f tiould be scheduled accordingly. <br /> 3. A ffle that ls actively being worked on by EHD staff may not be Immediately ava1lable for revierf. A neer <br /> application may be submMedI when the file Is available. <br /> 4, Any files not rsturned in the some condition an released will be reorganized by E14D staff at the expense of the <br /> ,applicant. 1suture file reviews by the same applicant may require a$95.00 deposit prior to (Twiow. <br /> EMD 11-0E. ..� <br /> B/rAF <br />