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-- -_' ---� •�.�� iuDry41 PAGE 01 <br /> DArI"r=� EHU LOG NUMI:BIER <br /> � SAN JOAQUIN COUNTY <br /> ENVIRONmEENTAL HEALTH DEPARTMENT <br /> S E P - S L„Uo e3304 East Weber Avenue, Td Floor, Stockton,CA 95202-2708 <br /> MOON;'I WT NE Tele hone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehdLTI <br /> PERN,Ir '--; ':DICES PUBLIC RECORDS RELEASE APPLICATFON _ <br /> APPLICANT:— � .A�VI� R 1111 QQ 13USINESSJAGENCY:, N tonfa�S�t9l.'t1Qi�_�,�P__ <br /> ADDR�: 2.6(ZP)) cAol1oQ V t _V SV CA 7� <br /> .7 0114(q PHONE(2); Z� FAC$IaIiLE: LS)Z`b�a�-61Z1 <br /> TENTATIVE*APPDiNTMENT DATE: <br /> (Pka se allow 10 buaimss days from data of application submitral-'Ti-= ve only-must ba oonfirmd) <br /> El CHECK Sox To MEVITE RE=QUEST-;95.00 FEE(CASH oo�CHECK ONLY)-REQUE$T PR=SSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � �`� --DATE A•C6-6- <br /> 1 UNI'DISTRIBUTION Unit 9 Cl Unit 2 C7 Unit 3 P Unk4 E7 Unit 5 0 Unit a C Cttw(olextronionlstalmaps) mm <br /> FILE ADDRESS a.v END USE ONLY <br /> Straet0 scant Name _ city <br /> f��i f <br /> 3. <br /> $pedfic Dace Panpe of Infomation P,ecum.ted:From to _ <br /> yy/,( ENVIRONMENTAL HEALTH DEPARTMENT <br /> �yy FILES <br /> ' .U1XrROROUND TANIC(UST)CLEANUP SlT (LOP*, E7 HOusING A13A.TEMENT SOUD WASTE FAC1uTY(VEW.0 E, . <br /> QTYF-R CLEANUP Sur(NON-LAP)-� OFOOD FACILITY E3 WASTE TIRE <br /> UNDERGROUND TANK(MC)NRORIPIGIREWNAL)X ❑ DCG KENNEL 0DAIRY <br /> 'Q(HAZARDOU9 WWTE GENE TQRk 0CHICKEN RANCH wASTEWATER TREATMENT PLANT'/ <br /> ATIEREO PERMITTED FAQUTYX ❑1110TELIHOTEL PUMPER TRL"KrYARWC:HEM TO:LETE/1 <br /> F1 TATTQQIBOIYY FVR�NG C7 POOLI$PA ❑LAND USE APPLICATION SIT-d <br /> s<AdIEOICAL WASTE FACILITY' t7 OTHER(PLEASE SPECm — <br /> _ WELL AND SEPTIC PERMIT RECORDS ARE AVAILAELE FOR REAEW- MONDAY-FRIDAY 8:00 A—5:OOPM - ExOLUQING Houmys. <br /> 1, list up to ten addre$Sm In the space above. Select the type(s)of fifes from the list above by checking the <br /> appropriate box(OS), At least one file type MUST be selected. Fax to(220091464.0138 mail to the ad -m <br /> Indicated_above. Address ranges will not be eccepteG-11RUEfditional assistance with file addresses,contact <br /> the END.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant If any END files exist An appointment for review will be confirmed <br /> approximately ten (10)days after receipt of applicateon. The files will be held for a maximum of five business <br /> da;rs for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked an by END staff may not be Immediately available for review. A now <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganlzevi by END staff at the expense of the <br /> applicant Future file reviews by the same applicant may require a$96.00 deposit prior to review. <br /> ellDewe <br /> am= <br />