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EHD LOGNUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT :2X <br /> cu IU 60() East Main St. Stockton, CA 95202-3029 <br /> ephone; (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.o <br /> L <br /> Vil-cEsPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: allSINESSIAGENCY: <br /> ADDRESS: CITYISTATEIZIP:—. <br /> FACSIMILE: 440'�gk-63 <br /> PHONE(i): k), qqb PHONE(2) �&A Time, <br /> TENTATIVE*APPOINTMENT DATE- KUI•.'TentatIve only-must be <br /> confirmed)allow lo business days from vie of appiiration 5um.bESSEL)1N.3 5 S NES$QAYS <br /> CHECK 5QX'TO EXPEDITE REQUEST 22 FF_f�(CASH OR CH FLECK ONLY)-RE�QU EST PROC <br /> DATE 4 <br /> SIGNATURE OF APPLICANT- /� <br /> r <br /> information: 0 List E] Map—Description: <br /> lilsc�vr� ic <br /> 5D USE:ONLY <br /> FILE ADDRESS <br /> Street# Street Name City Unit I <br /> 1. 416 <br /> _4 <br /> 3. <br /> 4, <br /> 5. nii <br /> 26) <br /> 6. <br /> Unit 5 <br /> B. <br /> 9. unit610. i <br /> to <br /> specific Date Range of Information Requested: From <br /> ENVIRONMENTAL RALTH DEPARTMENT FILES SOLIE)WASTE FACILrryNEHICLE <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) L]HOUSING AuATEMENT WASTE TIRE <br /> o r ❑FOOD FACILITY DAIRY <br /> V_R CLEANUP SrrF-(NoN-LOP) IAQ ❑0 DOG KENNEL PLANT <br /> UNDERGROUND TANK(WONUORINGIREMOI El CHICKEN RANCH ❑WASTEWATER TREATMENT _ <br /> HAZARDOUS WASTE GENERATOR E]MOTELIHOTLL E]PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERM"TED FACILITY PoOLISPA ❑LAND USE APPLICATION SITES <br /> E]TA-rrOO/BODY PIERCING <br /> k OTHER(PLEASE SPECIFY) .. . I <br /> E] MEDICAL WASTE FACILITY LE FOR REVIEW: MONDAY-FRIDAY 9:00 AM-5:00PM(EXCLUDING HOLIDAYS)— <br /> WELL AHD SEPTIC PERMIT RE0 ORDSAREAvAiLAS <br /> Select the.tYPO(s)of flies from the list above by checking the appropriatO <br /> 1. LWjg2A2AWLAddLQ§M ail to the address indicated above. AddraBs <br /> In the space above 4SM4-0113185 of M <br /> At least Ong file type MUST be selected. Fax to 2091-$,contact the hHu. Applications received <br /> ranges will not be acceptod-for additional 88misbin--cewith tile addraBse <br /> 3:00 pm will be processed the next business day. <br /> Joe exist. An appointment for review will be confirmed approximately ten(10) <br /> 2. The EHD wIll-notify the applicant If any EHD fl review. Appointments <br /> days after receipt Of application. The files will be hold for a maxirflurn of five business days for rev[ w <br /> should be scheduled accordingly. staff may not be ImmodlatolY avail ok)ie for review. Anew application may be <br /> 3. A file that Is actively being worked on by EHD <br /> submitted When the file Is available. released will be reorganized by lalril)staff at the expanse of the applicant <br /> 4. Any file not returned in the some condition as <br /> Future file reviews by the same applicant may require a S1122 deposit prior to review. <br /> ERV USE ONLY <br /> Q7129MO <br /> 11161. <br /> AAW <br />