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si ed 2012 1 : 01 FM HP :+ <br /> ASERJET PAX <br /> DATE RECEWED P• 2 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 800 East Main St. Stockton, CA 93202-3029 <br /> RFCENIAdhone: <br /> (200) 468-3420 Pax: (209) 464-0138-Web- www.sjgov.org/ehd <br /> Gq <br /> so 2 3 COQ PUBLIC RECORDS <br /> RELEASE APPLICATION . <br /> L HALT <br /> APE p 1 rc <br /> BU8INESSIAGENCY: <br /> J <br /> ADD RI 't $ Y V)Vt L2rul L_ <br /> C CITY/$TATEIZiP: i <br /> PHONE(i). � b �.3� 0 %`� PHONE (2) <br /> TENTAT1VE''APA01NT4DATE: ) I FACSIMILE=: "5Tfl <br /> (pies"allow 10 buslnsas from dateopal stlon submltta!-'flartmNw orif-- Time: <br /> CHECK ". D <br /> y must be carfflrrnCHECKBOX TO EXFEC7IT UES E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN $!{� 3S DAYS <br /> 3 U <br /> SIGNATURE OF API}LICAN <br /> GATE 1 �� 1 <br /> Electronic Information: ❑ List ElM p 4 Description; <br /> FILE AODRI;8S <br /> Street.# Stroot nirm• tYLY <br /> City <br /> �. 'a... V1/• Liv PL-D L'4Sn Unit I <br /> 2. <br /> 2 <br /> 8, S, l Unft 2 <br /> 4. k <br /> {, unit 3 <br /> !•Fe)_e.r t�,o<,t�.fr� tX'o,.a,., lAr�-( J1� <br /> e. <br /> 7. tt"+I� 17i�1LCZ.OPi, ��.f�I°1ye•� UnIt4 <br /> 9. <br /> Unit 5 <br /> 10. <br /> Unit 0 <br /> Specific Date Rana9 of Information RaqusSted: From, to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> M,,,�v+NDEROROUNDTANK(LIST)CLEANUP SITE(LOP) El0 LOUSING ABATEMENT HER CLEANUP SITE(NON-LOP) El FACILITY �uL10 WASTE FACILRYNEHIGIE <br /> L_y <br /> NEED <br /> ROROUND TANK(MONiTORiNG1REMOVAL) ❑DOG K NNEL El WASTE EIRE <br /> RDOIJS WASTE GENERATOR ❑DAIRY <br /> �" El RANCH ❑WASTEWATfeR TREATMENT PLANT <br /> PERMITTED FAC TY ❑MOTELIHOTEL ❑PVMPER TRUCK1YARflICHEMICAL TOILETS <br /> ❑TATMOMODY PIEKING ❑P LISPA ❑LANE)USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FAr.LrTY PLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> ) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAIL.AI3LE FOR REVIEW; MONDAY-FRIDAY 8:40 AM-6:00151111 EXCLUDING HOLIDAYS) <br /> 1 in the space above. Select the type(s)of filen from the Ilst Rbovo by Checking the appropriate <br /> box(es)_ At least one file type MUST be selected. EaX to][2011464-0138 or m411,to the address Indicalyd jibgve, Address <br /> ranges will not be accepted-for additional asslatance with file addressee,contact the EHD. Applications received after <br /> 5:00 pm will be processed the next business day, <br /> 2. The EHC will notify the:applicant If any EHA flies oxlsk An appointment for review will be confirmeda�pproxlmately ton(10) ' <br /> days after rscelpt of appllcation. The flies will-be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that le actively being worked on by EHD staff may not be Immediately available for review. A new application may be { <br /> Submitted when the file In svallable, <br /> 4. Any file not Murned In the same condition as released will be reorganized by EHO staff at the expense of the appllcant, { <br /> Future fila reviews by the same applicant may require a$125 deposit prior to review. <br /> sF <br /> l <br /> a <br /> arta� <br /> f <br />