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02/26/2007 10:39 2094640130`" ENVIRONMENTAL HEALTH PAGE 01/01 <br /> DAbfiE'Al� 61VEF3�U 15 L"J <br /> Y <br /> SAN JOAQUIN COUNTY ENO LOG NUMBER <br /> FFRd (� 007 ENVIItON11ENTAL HEALTH DypARTMENT <br /> 304 East Weber Avenue 3`l Floor Stockton,CA 95202.2708 ?j <br /> EPJViRON ,! ,I•iFA"phona:(209)'46$-3420 Fax:(209)464-0138 Web:www.sjgoy.org/chd <br /> PERMIT/SERVICES <br /> PU13LIC RECORDS RELEASE APPLICAMN <br /> APPLICANT: t4y1r, BUSINESSIAGENCY: ,�C� �i?1n r[�►oiYll�cZ1 Tt' <br /> AWRESS: 16 I0A At V vv/k ,b')c 5F CR qq/D3 _ <br /> PHONE(1): 45-- F67-4sYJ' PHONE(I): n C FACSIMILE: 46_,.70 3-0701 <br /> TEINT <br /> TENTATIVE'APPOINTMENT DATE: A51ae Time: <br /> (Please allow 10 business days from Babe of application cubmitW-'TentsUwe only-must be conilmled) <br /> n CHECK SOX TO EXPEDITE RE-QUEST•$95.00 E(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 226 107 <br /> Electronic InfonTtatlon: ❑List❑Map-Descrlpltlon: <br /> ME ADDRESS EHO USE ONLY <br /> a3trtel S Strret hent$ City O Unit 1 <br /> ` i• 2057 s. EJ j�ra o 5�a n ��2 -nit 2 <br /> 3. <br /> 4, Unit 7 \ <br /> S. <br /> (i. Unit 4 <br /> 7. <br /> 8. (] Unit 5 <br /> 1 D unit c <br /> Specific Data Ranps of Ihfonnadots Requ*%fad:From to <br /> ENVIR014MENTAL.HEALTH DEPARTMENT FILES <br /> 2fWtt "=ouW TAW(USM CLLWM Sm;(LOP) HOUSING A/AnM04T YDS$0W WASTE FACLrr&M1 E <br /> 4 OTHOR CLEmur.snrz ptot+d.QPI to Food FAcLr1Y O WAsn TwE -� <br /> 'ALU <br /> NuKokOtmb TAw(MomtoRw-mmovAL) C Doo K&mL O pap <br /> Am KVARt70=WAM Gfwwti roit 0 CKCKEN RANCH At WA"MATM TPEATMWT PLAW <br /> ATWtEb PERI1 IID FACLitY d 11110'Mr om 29 PUmPettTttucWYARDACWI4 Tema <br /> D TATtooMmY PmMa 13 PooUSPA A LAw U6E APPt.1CAmm Sm.r <br /> ©111MCAL WAS1E FACILITT C3 OTWR(PLEASE SPECIFY) <br /> WELL AND$ache Pfmff ReCOMS ARE AVAL Rk E rpt REwEW• MoKOAY*MAY 0:00 AM.5:00PM'- EXcLuom HaiDAYL <br /> 1. List up to ton addrasses In Cha space Dt>dye. &elect the type(s)of flies from the list above,by Checking the appropriate <br /> box(es). At least one file,type MUST be selected. Fax to 1209)4114.0198 or mall to the edidmes Indicated above, Address <br /> ranges will not be accepted-for oddWonW asslstafto With Me addret ses,contact the Elio.Applications rece{Yed after <br /> 3:00 pm will be processed the next business day, <br /> 2. The EMD will notify the applicant If any END tiles exist. An appointment for review will be,confirmed approxemntely ten(10) <br /> days altar recelpt of application. The files will be hold for s maximum of Me busine"days for ravlow. Appointments <br /> should be schoduled accordingly. <br /> 3. A,file that Is activeiy.bt)ng worked on by BID staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any salt not returned In the,same condition as released will be reorganized by ERD staff at the expense of the applicant <br /> Future fila reviews by the same,applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> TOOE 'TV.LAIHNNOHIANH VOS TOLOEOLSTV YVJ 89:TT NON L0/9Z/90 <br />