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0 in <br /> RHO LOG NUNMERon SAN am; E D <br /> JOAQUIN COUNTY <br /> HEALTHENVIRONMENTAL T { <br /> s t 8 East Hazelton Avenue, Stockton, t'A 95205-6232 <br /> Telephone- (209)468-3420 (209) •64-013 www.sjgQv.org/'-,hd <br /> ENVIRONMENTAL HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT, BUSINESS/AGENCY: r� <br /> ESS; Z- ( Ci /STAT Ipe <br /> PHONE(1)a P (2): FACSIMILE: 3 — �- <br /> Plena allow 10 business days from date of application u i for the records to be available. <br /> Staff will contact you to arrange an appointment date and Ume to review the requested records. <br /> CHECK BOX TO EXPEDITE REQUEST-$134 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE F APPLICANT DATE <br /> Electronic Information: ListDescription o ° <br /> FILE ADDRESS USE ONLY <br /> Street Name City Unit 7 <br /> • t- PU1 1 vert- <br /> p g <br /> I) InsInN23. <br /> r <br /> (} Unit 3 <br /> 6. <br /> y <br /> Unit 4 <br /> 7. t <br /> . 7_0� Una <br /> 9. <br /> E7 unit <br /> Specific Date Range of Information Requested: f t® <br /> ENVIRONMENTAL LT E FILES <br /> ,�fRQ TANK( ) FACT E FACMNEHICLE <br /> uP WE( L ENT AmTiRE <br /> NDERGROND TANK T K(MowToPjN9RwY ) DAIRY <br /> RANcW DOG NELAS A FLANT <br /> ® U TRucKIYARaICHEmica TOILEM <br /> A 0 LAND USE AMXATION RMS <br /> ®TATs Y IG C E H ( E SPEQW) <br /> MONDAY-F D" Am-5:00p (ExcLuDING HOUDAYS) <br /> 1. Llst u n ad r2Int ct ( )of i®� s listab® y the kln ro ate <br /> box(es). At least one file UST be select F iadd ini t vo Add <br /> n ® will a Applicationsreceivedr e ism will be processed the next business day. <br /> For assistance in klentlifying the nature and content of END records,please EHD at the number noted above. <br /> 3. The EHO will noft the applicant if any EHD files exist An appointment for review will be confirmed approximately tart(10) <br /> afterdays recelpt of application, The fi!es will be hold for a maximum of five business days for review. Appotntmon <br /> should be scheduled accordingly. <br /> 4< Any His not returned In the same condition as released will be roorgariLted by EHD staff at the expense of the applicant, <br /> Future fila reviews by the same applicant may require a$1303 deposit prior to review. —* QED E -IUIP <br /> r prQvlt y t � Crng. Nig a <br /> Received Time Feb. 26. 2015 10 .00AM No. 0217 <br />