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May. 18. 2 00 6 9'"52PM Adva,;-cod GeoEnvi ronmental No. 49�b P. 2 <br /> DATE o .ER(�ECEfYED i i� � � EHC�lOG NUb'IBEf'i <br /> L VVE <br /> D ENVIRONMENTAL OA � N COUNTY <br /> ][HEALTH DEPARTMENT <br /> MAf 1 [006 304 East Weber Avenue,Yd Floor, Stockton,CA 95202.2705 <br /> Telephone: (209)468-3420 Fax: (209)454-0I38 Web: www.sjg0v,0rg/eh <br /> P�vv�Ra 1�r r HEA�rrl dZ3 Iq <br /> PUBLIC RECORDS RUEASE APPLICATION <br /> APPLICANT. U Y1 BUSlNESSlAGENCY: i) n <br /> ADDRESS, o Q n f, <br /> PHONE(+): � - A�l—�DC�Ca PHONE(2): <br /> FACSIMILE: Q T 7 "fir <br /> TENTATIVE*APPOINTMENT DATE: �� TEme; 42 � <br /> (Pisses show 10 business days from date of apps tion submlttai-"Tentative only-must be canflrtslad} <br /> i` <br /> CHECK BOX TO EJCPEafTE E T-$$8,40 FEE(CA CH I ONLY)-REQUEST PROCE43120 IN 3 sUSIN SS DAYS <br /> 4 SIGNATURE OF APPLICANT DATE —�� <br /> UNIT DISTRIBUTION ❑ Unit 1 Un[t 2 ❑Unit 3 C] Unit 4 E3 Unfit S ❑ Limit s I[] Other(eiectronlcllistrlmaps) <br /> FILE ADDRESS <br /> Bfraet Street Name city EHD USE ONLY <br /> 9, el <br /> f 3. 1 [I eirS— <br /> �� � tr <br /> 4. .V , <br /> V6. <br /> Specific Date Range Of,infOrmation Requested:From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> fHA7ARDOU3V1A,$Tr <br /> NMRGROUND TANK(UST)CLEANUP$ITE(LOP) CI HOusima ABATEMENT 1:1THER CLEANUP 8M(NON-LOP) ❑rOOD FACILITY ❑ I�Ip wAST6 rACILITYNEFiK LE <br /> NDERGROUND TANK(MONITORiNrdFtR IQYAL) ❑ wA„YE TIRE <br /> DOO KENNEL GENERATOR 0 DAIRY <br /> ❑TIERED PERMITTED FACILRY ❑CHICKEm Rm(;ii ❑WP STEWATER TREATMENT PLAPT <br /> ❑TA'iTO0I80tw PICRcINa ❑MOTELfHOTEL ❑PUVPPR TRuWYARD/CNE-m TorLETs <br /> •MEDICAL WASTE rACILrrY 0 PvOUSNAALANI)USE APPLICATION SITE& <br /> C3 OTHER(PLEASE SPECIFY) <br /> WELL AND SEP-ria PERairr RECORDS ARE AVAILABLE FOR REVMw- MONDAY-FRIDAY$:530 AM-5:00PM - EXCLU0IfQ HOLIDAYS. <br /> 3. I-Ist sip to ten addresses in the space above. Select the types)Of flies from the list above by checking the <br /> appropriate box(es)."At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address <br /> Indicated above. Address ranges will not be accepted-for additional assistance with file addresses, contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business clay, <br /> 2. The EHD will notify tiie$pplicant if any EHD files exist. An appointment for review will be confirmed <br /> apprOximately ten 00)days after receipt of application. The files will be hold for a maximum of five busiraew <br /> days for review. Appointments should be scheduled accordingly. <br /> 3- A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any File not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file',reviews by the same applicant may require a$93.40 deposit prier to review. <br /> Y <br /> w 2 <br /> • r�.f.�..� y7 <br /> I L <br /> END 4942.DM <br /> 7l7UG5 <br />