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85/20/2011 12:32 4085597-ql AEI SAN JOSE PAGE 81/0I <br /> cENED ENVIRONMENTAL, HEALTH DEPARTMENT <br /> 600 Ei3st Main st.Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 r-ax; (209)464-0138 W01):WWW.sjgov,org h <br /> I TtA PUBLIC RECORDS RELEASE APPLICATION <br /> E]CHECK BOX To EXPEDITE REQUEST-$11 FEIj(CASH OR.CHECK ONLY)-REQuF-ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPUCANT== <br /> Electronic InfortnatiOn' List map vescripition: <br /> FILE AODRESS City unit I <br /> FILE Ao) ESS <br /> 8hT <br /> _e No'� 77 1 <br /> -N.MaeArthur Drive <br /> 015 Tmcy <br /> _2 ___j2j 9 N.MacArthur Drive Tracy <br /> 3. 2227 N. MacArthur Dlive Tra Y <br /> rant L <br /> 5. 426 E.Grant Line Road�� Tracy <br /> 450 E.Grant Line Road a� Tracy <br /> 7. 500 E.G int Line Road C9 Tracy <br /> unit 5 <br /> 502 E.Grant Line Road -T(acY �2 Unit 5 <br /> 9. <br /> UnILU <br /> to <br /> Specific D*ta RaMe of Information Roquestad: From <br /> EINVIRONmINTAC HEALTH DEPAPETMENT FILES <br /> UNDEpirROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABAFMF-NT SouD WASTE FACILaYNEHICLE <br /> ojHEp CLEANup StTr(Now-LOP) Fool)FACILITY WASTE TIRE <br /> 21 UNDERGROUND TANK(MoNrMRjNGfRwvA0 DoG KENNEL [j 0AIRY <br /> 2]Hp.ZARDOUS WASTE GENERATOR CHICKEN RANCH E]WASTEWATER TREAfMENT PLANT <br /> F1 MEDICAL WASTE FACILITY OTHER(PLEASE SPEC]rY) <br /> WELL AN13 SEpTIC PFRMIT RECORDS ApF AVAILABLE FOR RLVIEw: MONDAY-FRioAy$.-111)AM-5:0017M(ExCLUDING HOLIDAYS) <br /> Llst.Mp W ton#ddM&M in the space above. Select the typo(s)of filas from the list above by checking the appropriate <br /> box(es). At least on@ file type sAUST be selected. F&S-IM-IMI 4WQ13�or mall to 02 Morose indicated 909". Address <br /> range*will not he accepted-for additional n*s1stance with file addresses,contoct the EHV. Applications received vfthir <br /> 3:00 prn will be procal the pext business day. <br /> 2. The MHD will notify the applicant N any EHD fl)nA exist An appointmeid for review will be confirmed approximately ton(I <br /> days wftr receipt of application, The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled occordingly. <br /> S. A file that Is actively being worked on by EHD staff may riot be immediately 1xvollable for row". A now application may be <br /> submifted when the file Is dv8ll8blQ. <br /> 4. Any file not returned in Om same condlHon as role"#d will be reorganized by IEHD staff at the expense of the applji�ant. <br /> ruture flie reviews by the same applicant may require a$1 iS deposit prior to review. <br /> S. If you need furt"t assistance,please contact Diane Martinez,at(209)MI&S425. <br /> Ell 40-09 <br /> | <br />