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09/30/2103 12:05 209476 <br /> 1 ua .�ui [ug3 1L;lYJ 4b4YJ11 EXCELLENCE-REAL <br /> ' tnv ta�urvrttrl r wt ., PAGE 01/0 <br /> I a..., !ZcltiYED I ri rr�Ut nl <br /> b <br /> Crl[J LU%-3 <br /> SA,NJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH 1)FPARx'lV E:N'T <br /> F p 3 0 2 � 9) 304 E Weber Ave 3`d Floor Stockton, CA 95205 <br /> � 468-3420 Fax: (209)464,0138 Web: W w.co,san jaaquin.ca-us,0ehd <br /> :(Ji`Ii3 )(�lV9tiv'f 1-1Ei U-H i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> r ly.�r+l,}GAtdT: �%1 tlVl BUS(NESSIAGENCY. C.fA Cj'1 G4. <br /> :z:aRE'yS: 7r�D hh1 1MY'oew' <br /> PHONE: (zog) FACSIMILE:� arc- <br /> TENTATIVE'APPOINTMENT DATE: A5_So on O.-A P a SS i�i ma; 10 0 0 tim <br /> (Please allow 10 buslnass COPS from data of appllcatlon submittal) <br /> CHUCK,BO%TO EXPEDITE REQUEST 193.00 E—REQUEST PROCESSED IN 3 13USINKSO DAYS <br /> SIGNATURI`OF APPI-tCANT BATE R S0 4 <br /> apartment Use Only <br /> FILE ADE)RES9 UNIT , <br /> cl Co, 504 © Unit i <br /> 1 1 e01 1 CI 1 7 <br /> 3. sr " CI Sfi C ?52a, Unit 2 ry <br /> ad _ Cl <br /> a Unit 3 <br /> a sl�a� Sri 9� k <br /> Urnit 4 <br /> s I <br /> s aveel <br /> City ❑ Unit 5 ID <br /> t0. 3 rtes <br /> elty <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> �r'O FER CLEANUP SITE(NON-IOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ERGROUND YANK(MONITORING/REMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH Q PKG TREATMENT PLANT <br /> tJ TIERED PERMITTED FACILITY 0 MOTEWHOTEL O PVAWER TKUGK/YARDICHEM TOIL <br /> 17 TATTOO/BODY PIERCING ❑ POOLISPA USE APPLICATION SITES <br /> `❑ MEDIGAL.WASTR FAMLt'TY' 10 OTHER(PLEASE SPEGIFY),.�____ <br /> 1. List up to tort addresses In the spslca above. Select the type(s)of file&from the list above by checkit <br /> the approphots box(as). At least one fl(e type MUST be selected. Fax to (709) 464-0138 or mail to th! <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHO flies exist. An appointment for review will be confirmed i <br /> approximately five business days but no later than tan (10) days after receipt of application. The file <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> S. A file that Is aodvely being worked on by EHD staff may not be Immediately available fQr review. A r <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will ba reorganized by EHD staff at the expel <br /> of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to rev t. <br /> `TENTATIVE appointment dates must be confirmed with EHO staff. <br /> + .. Applleations received after 3:00 Orn wiii be proceaved the next business day- <br /> CONFIRMECl APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIEWED YES NO REVIEW DATE" <br /> CHO �— <br /> nranoaa <br /> I <br />