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i�tr02/0172 <br /> 09/2:y/2006 03:13 FAX EHD _OG NUMBER <br /> ().`T SAINI JllAQi..)>ll\ COUNTY"'EVED <br /> y ,ONiNENTAL.HEALTH LI1� :� x E]'�1` <br /> EP 2 9 2006 (:as` uC l A•el� le. }rd F toor. Stockton, G, `a5202-2 7(;8 <br /> S Fax: (?-09)464-0138 Web: \N,, v.4jgov.ort`e;1�1 <br /> ENVIRONMENT HEOR <br /> pERMIT/SERVICES khUBUC RECORDS RELEASE APPLICATION <br /> .. SUSINESSIAGENC•t.APP­ ANT: <br /> J� i <br /> PHONE i2'' 3S tG S ,y cc T e1 ACS3MIf_E' - /f; �)Cf <br /> 4me: <br /> jTiT .T1Rr,l'-{A,FPOiN ;TIENT DATE: <br /> 'Please al1w,!10 business days from date of application submittal- TentaFrve only-must be confirmed; <br /> iEO.(SOX" AYS <br /> EXpE--DI i E PECUEST-$95.00 F�E,E,,(CASH OR CHECK �F2EOJEST PROCESSED IN 3 BUSINESS f , <br /> .1Gf�i`<ti y ! /� DATE ���� `< �`Z. <br /> �tsa �rc,rliK incorr=lation: C List 0 Map-Description. <br /> HD USEI <br /> FILE ADDRESS ..-........... ..........._�....._... <br /> City _...._........ . .. .- . E3 �........_�. <br /> c{reet Mame.—. <br /> - ...... <br /> v <br /> f Unit 2. <br /> • <br /> V <br /> i _ .... <br /> .........._T �f — <br /> '3, `-� F '` ) .�- r�fl:ri c _..r-�, f y.,t<•,.� ----..._..._....... —_.��G]_L�� U:f it 3 <br /> 4• ; .5 - :4f S,t ... ..__......... <br /> _._.._ <br /> < -(: Gam. 1%v`l L•<•- <br /> y <br /> . '•.;'ti.'(`'� •.()`•' �_( A i !e.. ._._ J w_ kis { s <br /> , <br /> t <br /> f _.. t <br /> . _. .....__ ... ...... <br /> J. <br /> Date Range of Information Regijested:From /( r��`<�f� 1 t. to <br /> r' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ' / vDERGROJND TANK r )CLEANUP LOPj 0 H..OUS!NG ABATEMENT 13 SOLID WAST <br /> E FACILITYfVEHICL£ <br /> br 13 WASTE TIRE <br /> �'`3FFFR CLEANUP SITE(NUN-LncI <br /> 0 FOOD FACILITY <br /> L DOG KENNEL D DAIRY <br /> ';.INDEnGRCiI•`iD tAn!14(ill-ICiN1TOR!�iGIt'<E�1:�VAL) E".1 WASTEWATER TREAT <br /> PL;',N 1 <br /> :,:,Ll;=-.i3:;L"S'+L`:',ST='-=1=.r-.R.`1TGR 1-J CHICKEN RANCH <br /> 'IEF.=C E.*:�7!-T£3 F+'I :?Y 0 NJOTEL/HOTEL 0 PUMPER TR!JCK,1 ARDIGH£M'ClL'_iS <br /> •:=.,TATTOO/BODY i•-'-:E+,CtNG El POOLISPA 13 LAND USE APPLICATION'SJ TES - <br /> Cl MEDICAL WASTE FACILI-:' 0 OTHER(PLEASE SPECIFY) <br /> U;'ELL AXD SEPTI^ ^ ARE AVAILABLE FOR REVIEW - A4ONDAY-FRIDAY 8:00 AM-5:QOPM - EXCLUDING HOLIDAYS.....:W..„�S1T--� <br /> T <br /> 1. '�-Fs.'up to ten ad are space above. Select the type(s)of files from the list above by checking the appropriate <br /> ^oxje a). fi:least ur ibe:elected- Fax to 209 464-0138 or mail to the address indicated above. Address <br /> ac c pied-fot additional assistance with file addresses,contact the EHD.Applications received af`te; <br /> f-�psrl wst4 ba r4<:essed the next bi:miriess day- <br /> 2. The EHD vAll :notify the applicant if any ElID files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of appftatior.. The files will be held for a maximum of five business days for review. Appointments <br /> should be scl aduied accordingly. <br /> 3, file,hat is activeiv being worked on by EHD staff may not be immediately available foF'review. A new application may be <br /> F t;mitited�fh, rn the file is avail ab?e. <br /> [t_ _,n; file not returned in the same cOr"Jition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file revievrs by the sante applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY --1 <br /> , - - - - --- _ <br /> r <br />