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i <br /> Jan-06-06 08: 10A Kraz: and Assoc. 559 .7`1.8 2190 ' P-01 � <br /> GATE RECVVED EMU LVU MUMOtH <br /> SAN JOAQUIN COUNI'X, <br /> i <br /> �'fl�' E+NVYRONMENTAL HEALTH DEPAR'�'mNT <br /> l [ 304 East Weber Avenue,Yd Floor,Stockton,CA 95202-2708 , ': <br /> t- f� Telephone:(209)468-3420 Fax:(209)X464-0138 Web:www.9jgw.orgfthd � <br /> C LAG' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> p` � tiilslNESS1A E.HCY: - <br /> TENTATIVE'APPOINTNIEpST DATE: Tlmr: r <br /> (Ploaee"low 1e business days of appocatlan• itR31-•remorA a only-musk be conflnn") ` <br /> CHECK sox To rxPEDm REQUEST.SM06 FEE(CASH OR CHECKONLY)-REQUEST PROCESS0 M 3"'*SS SS3 DAYS, <br /> SIGNATURE OF APPLICANT ELATE i <br /> lntormsYoforme ft n t] ust Cl low_Deeartpllon <br /> FILE ADDRESS EHD USE ONLY <br /> Street R Street Name City <br /> �. —4 l_ 07 Unit 7 <br /> 3. 0nit 2 �Q . <br /> 4. ZML2 122,2 1 <br /> g, ;. Unit 3 <br /> Unit's <br /> 10. ❑. Unit 6 <br /> Speetfic Data Range of information Requested:From to -- <br /> ENV1RONldmm HEALTH or:PARTMENT FILES <br /> Ram mm TANK(UST)CLCAmvP Stns(LOP) ❑ Housm ADATEMEWT Q SoLM WASTE FAC4JTWVENCL9 <br /> R CLFANUP Sfrm(NON4.OP) M FOOD FACIUTY 0 WASTE TIRE <br /> ROROUNO TANK(M40"MR VOffltELOYAL) ❑Dw Keumm Q VARY <br /> AtMGCU!WA 'M GEWERATOR 0 CHM4%+RAMC34 ❑WAMWATM TMATMENT PLAIN' <br /> D TetPDPm Mr=FAC1LffY 0 UCTEu1•tQ't1eL G PUMPERTRVotd'IAtmfCt+E�TO&Cm <br /> D TAT 00towY PIERMC 0 POOUSPA a LAND USE APK)CATMN Sari <br /> 13 MEOeCAL WAVTE FACRM r7 01"M(PLEAM SWCW1ri <br /> WnL Anq SzFv 1 PeMr ReColms ARP AVAtLADL!FOR REVtcttl-MomDAY-FRoAy e:00 AMM6 GCPM - 15ttuofMO Hou A'V& <br /> 1, List up to ten addresses In the space above. SaleA the types)of files from tete List abdve by ch'r eking the <br /> appropriate box(es). At least one file type MUST be selected. Fwx to(20914"-01;8 or,msn Igoe a ddms_ <br /> In�cated above. Address ranges will not be accepted-for additional asaietence wlth file oddemmes,contact <br /> the EHO.Applications received after 3,00 pm will be processed the next business day, <br /> 2. The EHO will natity the applicant If any EHO flies ental, An appointment for review wilft"confirmed <br /> appraximatety tarn(10)days after receipt of application. The files will be Heid for a rnsadmurn of tine business i <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that(s actively being worked an by EHE}staff may not be Irnmedlotely available fpr review. A now <br /> application may be Submitted when the file is available. <br /> 4. Any file not returned in the sante condition as mgeaeed will be reorgan)zod by EHE)Stiff at tate expense of the <br /> applicant Future file revlewst by the steno applicant may require a 193.00 deposit prior to review. <br /> Elto a.ec <br /> raTtaml <br /> I <br />