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03/2212009 2 - <br /> 2:b6 8182243; - NASIMAHMED PAGE 01/01 <br /> I DATE RECEIVED SAN ,IOAQUIN COUNTY END Loc NUMBER f <br /> Fri- <br /> �.` ( y'l l+ " ENVIRONMENTAL HEALTH DEPARTMENT <br /> Fri- : moi, <br /> 600 East Main Street, Stockton, CA 85202-3029 qy <br /> 009 Telephone: (209)4683420 Fax:(209)46 4-0138 Web:www.sjgov.org/eh6 <br /> FtM1(�t t i; G <br /> f PUBLIC RECORDS RELEASE APPLICATION <br /> 6USINESSfAGENCV; <br /> ,FAME / <br /> ADDRESS: <br /> PHONE(1): PHONE(2): FACSIMILE, t�" 7���� 7 <br /> TENTATIVE'APPOINTMENT DATE Time; <br /> C (Please allow ten 4vslnee3 days from data of Application submittal-'Ton(PlfYe only•must be cononped) <br /> 4 d CHECKBOXTOEXPEOITEREQUEST.$90,00 FEE(CASH PR CCHHHEECKK?yLY),REQUEST PROCESSED IN THREES SINESS DAYS <br /> + SIGNATURE OF APPLICANT '( /l�/� 6 zl DATE J9. <br /> Electronic Information: ❑List❑Map.Description <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name . Ciry��S bUnitl <br /> .. 2. 5"/` 0unit 2 <br /> 3. <br /> 4. <br /> 7. <br /> 13 Unita <br /> 9 <br /> tg, O Unita <br /> Specific Date Range of Information Requested:.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDCRGROUND TANK JUST)CLEANUP SITE(LOP) 13 HOLAING ADATCMENT E]800DWAera FACILRYNEHICLE <br /> CK,PT"CR CLEANut,SITE(NoN-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> NDeROROUNDTANK(MONT OAINOIREMovA) <br /> CI Doc KENNEL ❑DAIRY <br /> AZARDOUSWABTe GENERATOR 0CHICKEN RANCH El WASTEWATER TREATMENT PLANT _ <br /> O TIERED PERAnTIED FAU14 Y ❑MOTaUHOTEL C PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOD/BODY PIERGNO - 0P000SIVA Cl LAND U$6 APPLIGATDN SITE$ <br /> ❑MEDICAL WAem!FAC%n-r M OTHER(PIEASE SPECIFY) <br /> WELL AND SII PERMIT RWIPRO$ARE AVAILAELE ran REVIEW-MONOAY,FMDAY 8:00 AM5:00PM • EXCLUDING HOUDAYS <br /> 1. List up to tan addresses In the space above, Select the type(s)of files from the list above by checking the appropriate <br /> box(0s), At least one file type MUST be selected. E96 to(209148d-01 2$or mAILtk he ab V Address ranges will <br /> not be accepted�for addRionei aesistancawith file addresses,Contact the END. Applications received atter 3100 pm-will <br /> be procons id the next buslnera day. <br /> 2. The END will notify the applicant if any END'files exiaL An appointment for review will be confirmed 9pproxtivately ten <br /> days after receipt of appllcatlon• The files will be held for 010ximum of five buslness Clays for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by the END staff may not be Immediately available for review. A new application <br /> may be submitted when the file is available., <br /> 4. Any pie not returned In the same condition as released will be reorganized by END staff atthe expense of the applicant: <br /> Future Gla reviews by the Same applicant may require a$90.00 deposit prior to review. <br /> END USE OM;Y <br /> •oe twtser <br /> PURR mcoms ReUPUE7,roaM <br />