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05/31/220r006 WED 10:44 FAI 55? '"7 2886 BSK Environmental X002/002 <br /> OAItvINCPPeI F� LI Ire- D SAN JOAQUIN COUN'T'Y EHD LOG NUMBER <br /> L� ENvjRoNMENTAL HEALTH DEPARTMENT 3q3 <br /> M;Ai 3 1. 2006 304 Bast Weber Avenue,aro Floor, Stockton,CA 95202-2708ENVIRONMENT HEXLlgphoae:(209)468-3420 Fax:(209)464- :w0138 Web .sjgov.org/ehd <br /> PERMIT/SERVICES puBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: <br /> APPLICANT: M))CIZ 1"ILILEN'ZLG BUSINESSIAGENCY:_ t k A.t(oalATr w <br /> ADDRESS:_5.0 W. CNAW AIUCNV¢I Lura Z , PAxsAO, C/I )O37U, 41 _ <br /> PHONE(T):_557. Y97.2.3Y6 12.7 PHONE(2): 559. V79.d[S'" ZPf <br /> TENTATIVE"APPOINTMENT DATE: �O,/Y/642, Tkm: /QQr!! <br /> (Please allow 10 business days from date of application submhtal-•TenudVo Dnly-roast be confirmed) <br /> 171 CFIECK 60X TO IXPEOITE 1i�F/�/VES -$.93.00 E H OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT //! DATE 3°- 9 d-- <br /> UNIT DIS, <br /> UNITDISTRIBUTION [] Umtl O UnRf CrUna3 M Unit4 ❑Unit5 11 Unne M Othor(BlmhvclidaPtThw9ps) <br /> FILE ADDRESS F Illa 1<ONIV <br /> D9ETtme Uay <br /> 1AVYA1AJu&r _. Szoderewl <br /> `� 2. 4,1(/7 ✓Y D,V✓d• cl ° <br /> 3.--?O/S�— _ AY1` —1).QJUf•�— .T�Tc. o..__—---._ _—'_� .___'_,_ <br /> 4. 80o3Mu <br /> AIN OA, V• <br /> 2.5,V" SyP�vraa✓ _ �� <br /> 5. 2.5,V" NVn r, Le�Ys' SToeb°,3✓ _ <br /> 6... 3a Z e n/A i✓Y- ✓_<C • S7o ge!er/ <br /> .7•. .2.E 3J" AIA✓Y_12A../✓6' <br /> 8. zF 2 9 ✓Y_ nciuE N�(-.If- <br /> "A <br /> 9. <br /> specific Date Range of Information Requested:From �/�5'O two <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IINDERCRDuNn TAHK(V$T)CLEANUP SITE(LOP) O HOUSING ABATEMENT 17 SOLm WATm FA AuTdVEHICLE <br /> OTHER CLEANUP SITE(NONIOP) 11 FOOD FACRrrr O WASTE TIRE <br /> `�.�UNDERGROVND TANK(MONIIDRINGIREMOVAL) 0DOG KENKEL 13DIUM' <br /> p HAZARDOUS WASTEGENERATOR M CHICKEN RANCH ❑WA•.TEYIATERTRAT -.PLANT <br /> '[]TIERED PERMITTED FACILnT ❑MOTEUHOTEL O PUMPERTRUCIOYARDICHEM TOILETS <br /> 0 TATTOrMmy PIERLTNG ❑POOL/SPA D LAND USE APPLRAMON SR3 <br /> ❑MEOCc YUAS FACILIW CIOmER(PLEASE$PEQP1') _— <br /> WELL ANDaLTrICPEMTRECOPH)S mE AVAILABLE FOR REVIEW- MomAY-FRIOAY$.09 AM-5:00PM - EXCLUDINO HOUDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall to the addrDss <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contract <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <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 availahle 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 END staff at the expense of the <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> - - f <br /> Eno•aaMw <br /> visas <br />