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SEP-03-2010 03 :26 PM GIS 4INS. ENV&ENG 949 47,'J 0517 P. 01 <br /> Ff <br /> `, -'' F)) SAN JOAQUIN COUNTY hHDLOU NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton,CA 95202.3029 <br /> TH Telephone: (209)468-3420 Pax: (209)464-0138 Web:www,sjgov.p <br /> et- `7/ RV k PUBLIC RECORDS RELEASE APPLICATION <br /> t_ wi++r-irrwr�^liar rr_r�wr�w��w��r�iwww�,N <br /> APi114ICt*kt: J O rti % a�i t+I�N R BU81NEs8/A(3ENCY: Csi1^f i lig <br /> CITY/STATE/ZIP: h1 I SS I o v, VI b CA Q'z 6?( <br /> I�HI N 0).. . 3g PHONE(2): <br /> FACSIMILE: 949 - 0�! 7 <br /> V4'NTAT/VE*APPOINTMENT DATE: -- ! — t b Time: ?_ p t` <br /> (Pleat+e allow 10 business days from date o appllcatlon tsubmlttal•'Tentative only-must be confirmed) <br /> O,OHECK 8OX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 00E OF APPLICANT DATE R -3 -10 <br /> e! ,aril `l' formeition: Q List Map—Description: <br /> FILE ADDF2E$_S EHD USE ONLY <br /> . f�iI1 N Street Name City <br /> Unit <br /> 2. "?•` , '`x;S" L_oaf"+i s Road $tocki�h <br /> S. 1 4 OCs)h $ __. Un)t 2 <br /> Rtoad S�roc 6C ►, Sa alt /�-- <br /> :'a• ,.>Z 1, ovh1F6 R,AaA $toel�t-ow s`z <br /> t�: :,. . � L ooamftS �ioad. 'oL+{� _OeUnIt3 <br /> 'tb vi, <br /> 9. ©UnIt Ii <br /> HIP <br /> Unit e <br /> 800 IfvCio *'-Itbnge of Intormation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTmirT FILES <br /> UNCAdkbUN6 UNK(UST)CLEANUP SITE(LOP) HOUSINO ABATEMENT SOLID WASTE FACILRYNEHlCLE <br /> (yTHski�;(�I 01� (60 SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> Ei)ldD.TANK(MONITORIN©IREMOVAL) 004 KENNEL []DAIRY <br /> NAhlittl044Wµx6TE 0ENERl174R CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> rliI(96P6lMf1TED FACILITY Q MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> fATibdJ! bt1Y�lERCINO []POOL/SPA ❑LAND USE APPLICATION SITES <br /> MEICAL IIYASTE FACILITY Q OTHER(PLEASE SPECIFY) <br /> :_W9400. WIC PERMIT FRECORD$ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8.00 AM-5:00PM(EXCLUDING HOLIDAYS <br /> I . ggdresses In the space above. Select the typ6(5)of files from the list above by checking the appropriate <br /> WAST:one file type MUST be selected. F 2 I d In above, Address <br /> flifr 041'lPhot be accepted-for additional assistance with file addresses,Contact the EHD. Applications received after <br /> 3:6 Pn**111 be processed the next business day. <br /> '. Tlal400 gill notify the applicant If any END files exist. An appointment for review will be confirmed approximately tan(10) <br /> daY.i Bhar iOCOlPt of applieatlon. The files will be hold fora maximum of five business days for review. Appointments <br /> 4.000d F. 'd'cheduled accordingly. <br /> A 6th*l'`*Actively being worked on by EHD staff may not be Immediately available forreview. Anew application may be <br /> au}Wtt *hen:tho file Is available. <br /> t)1,�'yi'1iti returned In the same condition as released will be reorganized by EMD staff at the expense of the applicant. <br /> FO lyre II!;t!aiviews by the same applicant may require a$122 deposit prior to review. <br /> er <br /> 4 <br />