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g <br /> Aug-1818 13 : 58 From-BROWN AND �L'DWELL 916 635 8805 ) T-758 P . DOIAD1 F-537 <br /> EHD LOG NUMBER <br /> 1� 1r SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 ^// <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vAvw.sjg V. hd <br /> sJl;? L; �Ye1EN-1 ff:ACIH 1 <br /> PUBLIC RECORDS REI.EASE APPLICATION <br /> APPLICANT: a�1Y t?t. eUSINESSlAGENCY: jj <br /> Sta <br /> ADDRESS: ^ .N R- I"'-'L �` a J !' ` CiTyltomp V`U'Vlc-t�.0 ( /3r�i�dr' IJNf" f.J�l 7 <br /> PHONE `X53 " 'S'' '- PHONE (2): 9 '3355k,/ v FACSIMILE: <br /> U ` TENTATIVE' APPOINTMENT DATE: z )�S�4T Gyw Z '641 90e Time: <br /> �3 (Please allow ID business days from date of plicate n submittal -"Tentative only - must be confirmed) <br /> ❑ CHECK SOXTO EXPEDITE RE EST - St0 E ASH OR�H_EC7K ONLY) - REQUEST PROCESSED IN 313USINESS DAYS <br /> SIGNATURE OF APPLICANT ,Gtl� " � " DATE 5<� f ,/y/ 9 1� <br /> Electronic Information: ❑ List ❑ Map — Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street # Street Name City <br /> r3w <br /> to06 iiC r"iX4.Yv�1 fr Units <br /> [3 unn2 <br /> Io V7 vl� Unita <br /> 1tJ J OS [ tfL XPi <br /> 0WFUnit4 <br /> 7, o jidtd j 7GF Fk ❑ Units <br /> 8. .005 we/0 4' f <br /> 9- lJ r Clg J^ ' Ea Unit 6 <br /> 10. bl A), 17u �ta� hsz zq � t <br /> Specific Date Range of Information Requested: From I � I AD in <br /> ENVIRONME=NTAL HEALTH DEPARTMENT FILES <br /> 0G UNDERGROUND TANK (UST) CLEANUP SITE [LOP) ❑ HOUSING ABATEMENT © SOLID WASTE FACILITYIVEHICLE <br /> iX OTHER CLEANUP SITE (NON-LOP) ❑ FOOD FACILITY Q WASTE TIRE <br /> UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL D DAIRY <br /> HA]ARWUSWAsM GENERATOR 0CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> kTIERED PERMITTED FACILITY 13 MOTEL)HOTEL ❑ PUMPER TRUCK/YARD(CHEM TOILETS <br /> P TATTOO/BODY PIERCING O POOLISPA ❑ LANG USE APPLICATION SITES <br /> I7 MEDICAL WASTE FAcii_ Y ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW ^ MONDAY-FRIDAY 8:00 AM^S--OOPM - ExaLUDING HOLIDAYS. <br /> 1 - List up to ton addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address indicated above_ Address <br /> ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any FHD files exist. An appointment for review will be Confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> shoved be scheduled accor1ingly- <br /> 3, A file that is actively being worked on by EHD staff may not be immediately available for review- A new application may be <br /> submitted when the file is available. <br /> 4. Any fila not returned In the same condition as releasedwill be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a $10S deposit prior in review. <br /> EHD USE ONLY <br /> F�-1048-p8 elDQlDB PURLIC RECORDS F2ELEASE APP FORM <br />