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08/11/200b 12:02 9164463 '"l MATT PAGE= 01 <br /> SAN JoAQUIrr COUNTY <br /> 1",N A ONMENTAL HEALTH JDEPARif',,% ENr- <br /> A I1 G 1 1 2006 3011 East 'Veber Avenue,P Floor;Stockton, CA 95202-2708 <br /> !;) <br /> Telephone:(209)468-3424 JFux:(209)464=0138 Web:www.sjgov.0rg/ehd <br /> ENVIRONMENT I�EA!�f� •� <br /> PERMIT/SERVICES FU)B�.�C CORDS RELEASE APPLTICA.`T; 01 <br /> rrr.�..�w�2.rr.�.,..�.�smr �_ - <br /> ��F rOuatitiT: a'I TTS #n1 �/''(�9 sUSIXEMAGENCY:_HL `.t.Ciu,, <br /> �r ca', 0.To � � /tf, �=N� f5 f <br /> FMONE(9)-.L - 3 � — PHONE Ee(T): �I�i. S2-0 S 5—F1V: IMILE! Ifl�S <br /> TEh1,TA17VE"APFOINI'MErm[)ATH: `7 R P P4 r Thus: ry!t' <br /> (Flange allow 10 litreinees days from date M application subin t i-'renmmfe only-suit(6n ec nfiinnad) <br /> CNEC-t:rax TO EYPEDME'REWLIEST86.00 F (CASH oR CHECK ONLY)-REQUEST PF:a CE&9iCb IN ;SUSINFSIS RAYS <br /> :;f�C NATURE=OF APPLICANT DATE: <br /> unraT L7IM SU'E Iq>ti I7 UIP 1 O Unit 2 4 unit 3 [3 units 0 Ijn1 a Gl Qthir(elactronlclllstrkrtapasl�� <br /> FILM ADDRESS f»i 1D USE ONLY <br /> _ sari st r Stmad Name _ _ City <br /> LctT�_ <br /> E� <br /> s ;�.- 277 ,_�:2c.+'tl'f_� fitla �la+1f�_ M;4N <br /> 7 vu<Trij <br /> Spaclfic Data:Range of Infomadon Requested:Froin '�7?P2L:. __ to <br /> ERVIRDNEMIENTAL HEALTH DEPARTMENT FILES <br /> TANK(VST' CA1=rNUF'SrreILOP). C3 H0 mGAeA-MMFKt ❑SOLID WAsMFAal.n'1VEkKiE <br /> C,0114ER GLFANUP 8rTe(NOWLUP) E3 Foon F=uTY 13 WAGW..TIRE <br /> 0 U14MRGROUND TANK(NomTcxn(qWRfWWAt) DOG KENNEL 0 DAIRY <br /> ❑HAZARODUE WAUTE GEIEKATCR E3 CHICKEN RANG" 13 WAS'TL-1KATER TRF;ATVENT PLANT <br /> 0 MUD PERMMED FACtUrY 4 VOTEL/HoItL C PUMPFIt TFtuCYJYARWCFEM TOILETS <br /> G 1`i,rr ao craY IMFROW M PMUSPA 0 LA1to USE L1PF•Llcdnoi ul'tt---c <br /> C E#-WAL 1IIfRSn FACILITY E3 0THER(PLEAsr_8PEciFY) <br /> WELL A-iD SEF+TIC Pam?RECORDS ARE AVAtl.AIPLO FOR Fkt'IrW- MONDAY-FRMAY 8:40 AFI-3:OM3V - EXCLUDIN:s HCUDAYS. <br /> 1. List up l:o Irn addresu=in the spuce above. Select the type(s)of files from the lust groin:by checking the <br /> cppropriate box(es).' At least ono file type MUST.be selected.-i:Fax to 209 X484-0.838 or rn4jtl to the addr"s <br /> indicated above. Address rangcs:will not be accepted—for additional assistance with file addresses,contain, <br /> the EHE}.A4i piicatiom� reaeEvN after 3:00 pm will be processed the next buslnesq day. <br /> 2. Thr EHD will not)fy tbo applicant If any EHD flies exist- Ara appointment ftrr reviow will be confirmed <br /> €.pproximately ten (lop days after receipt of application. The files will be held for a maxlMurn of five businesn' <br /> days for revia w. Appolret'ne-ilt*',should be scheduled accordingly. <br /> 3,• A Tile that is;actively being Avrhertl on by EHD staff may not be Immediately ava,llable For oevierr. A neer <br /> P pplication may be submkt ed when the file is available. <br /> 4,• Any file not raturned In the some condition as released wrilf be reorganized by EHD staff at the expense of the <br /> tpplieant. Ftdure file reviews by the same applicant may require a$95.00 depou-1t prior to reyl w, <br /> tea*.me <br />