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00/11/2006 10:02 9164463 MATT PAGE 01 <br /> SA1 T JOAQUIN COUNTY E <br /> I N7rfRONl4IENTAi HEALTH DEPARTMENT <br /> AUG 1 1 2006 ;;304 East Weber Avenue,3'd Floor, Stockton, CA 95202-2708 <br /> Teiepltnnc:(209)468-3420 Fax:(209)464-0138 Web:µwwsj$ov.org/ehd <br /> ENVIRONMENT HEALTH (� <br /> PERMIT/SERVICES PUfB: ,1C RECORDS RELEASE APPL1CAT;[ON <br /> Y� Yw�� <br /> nFvucANr: �1�i. TTT�E(,1��y+1ly{�f y BUSINE9alAGEwcv ( �rt�ycF2 GB gym" i <br /> ADDRESS:, . 7 I� !! Us43-0 W/}( SIlC4 *S�>If <br /> PHONE(ep30 PHorre(s):_R/G azo 546, , a}'iG [E 3 0 <br /> d FACa1NuLE: 6 4- 3. <br /> TE.NTATIHE"AIPOINTIAErn'DAi'E: 45A� pLc;¢ <br /> Time: <br /> (Plarne dlmw 10 business days Trow tlara of Npplkadan*Pbmitral-•r"darPoe only•must Cclfiet ilmd) <br /> Cr1EC"OX TO EMEDtn'REOLIEST- as-00 FU CASH OR <br /> 1 CHECK ONLY)-R _ <br /> REQUEST PF:000aSCO IN."^.BUSINESS DAYS <br /> SI2tNATURE OF APPL I(:ANT / DATE: ���C"V4 <br /> UNIT rusrRl®urroo u m r D Una z ❑uaa s o uNn s o uKM a ❑ oener *Mn <br /> ---- —_--FTLF ADDRESS <br /> D USE QNy <br /> l <br /> _ 9tPnrC name ^� <br /> -r2— -- <br /> 4 ! Gee s'f %:_._ .._�J_STn�de6f — <br /> _ , R2 trr crf — <br /> f>. t91 rt^ <br /> �_:r17 am <br /> . <br /> VI_ le t2m <br /> - - <br /> 9. - <br /> 10. 2.2 M A� �•--- ---' <br /> 8paclydc Date Range of IrHorrmadan Requested-From to. -Ail <br /> EN'PRONMENTAL HEALTH DEPARTMENT FILES <br /> &,{)iMMGROUNO TANK(LIST)C-LVrmr SITE(LOP) G Hmsma AsjtmwNT ❑SOUP WASTE FA <br /> DE.rrY7Y£NKLE <br /> O'nIERCLEANUP ane(NON-LOP) OFOOD FACILRy ❑WABTf.71RE <br /> 0 UNMAGROUND TANK(RIONnMNCIRTMDVAL) ODOG KENNEL 13 OAWf <br /> G HAZAADOIIEw%ITE GENERATCR 4'NICKEN RANCHTOILETS <br /> El wASTI:VlATER TREATN;ENT PUNT . <br /> CJ TimmPERNm7ED FACILITY O a OMUNOTEL ❑PUMPERTRUCH/YAROICNEM . <br /> G t'ATIDUIBO]y PIERDm0 O POOUBPA n LAND USE APP=710oV aT1E:i <br /> l4-W-.AL WASTE FACILRY OTHER(PLEASE SPED")_ <br /> _ WELL AND SEPRC PERIT 6IECORDS ARE AVAILABLE roR RwEiy- MONDAY-FMDAY 8:00 Aws.-Oapv - F7;CLUOIN'o MOU0AY9—v� <br /> 1. List up to Ren aiddrewses in the:irate above. Select the types)of files from the lust above by checking the <br /> appropriate box(es). At laast ono file type MUST be selected. fjajo,209 4 .2138 or r�mil M the address <br /> Indicated. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Application received after 3:00 pm will be processed the next business day. <br /> 2. the EHD will notify the appncant If any EHI)files exist. An appointment for ravkrw will be confirmed <br /> t.pproximately ten(10)day;after receipt of application. The files will be held fora maximum of fore business <br /> days for review. Appointlnotnts should be scheduled accordingly. <br /> 3.. A file that is actively beim worked on by EHD staff may not be Immediately aveliable for review. A new <br /> application may be submWed when the file IS available. <br /> 4, Any file not returned in She same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. future file reviews by the same applicant may require a$95.00 deposit prior to review. ' <br /> MA 414E <br /> I <br /> t <br /> f <br />