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i <br /> Jan-06-06 08: 10A Kraz and Assoc 559 ?, 3 2190 tHU LUti HUMVtKOl <br /> DATE REDErVED SAN JOAQUIN COUNTY <br /> '7E ENVIRONMENTALHEALTHDEPARTMENT <br /> 304 East Weber Avenue, 3t°Floor, StoektoD,CA 95202-2708 G / <br /> Telephone.(209)468-3420 Fax:(209)464-0138 Web:www,sjg0v.ory/ehd I J <br /> 66 2000 <br /> _ PUBLIC RECORDS RELEASE APPLICATION n <br /> EMPPL' BUSINE'VA ENCY: <br /> ngs:� d aTr ('��/� <br /> PHONE(T1: y`�- �� PHONE( FACSIMILE <br /> TENTATIVE'APPOINTMENT GATE: �nma:IO <br /> (Pbaen fllow 10 buSirl"s days trilwooft of applleaeoNa Mal-'TeAmOve Only-must be confim,ed) <br /> 13 CHECK BOX TO UPEDrM REQUEST•$MOO FEE(CASH OR CHECK ONLY)•REQUEST PROC"3101"W SINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> hlfENoctrenic O flat C3 Map•Dgc,Pllon <br /> lmarron <br /> FILE ADDRESS END USE ONLY <br /> Sprat a Street Name city <br /> 1. r r L O Und 1 <br /> O nit 2 <br /> s, <br /> ,Unit 3 <br /> 6. <br /> w <br /> tttlnd`4 .� <br /> 9 C1 Unit 5 <br /> 1O. D Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Rd "*TARR(UST)CLEANUPS"T(LOP) O(WUSEK:AEATEMErrt O SOLID WASTE FAC&MIVEHICLe <br /> R CLFANYP SIZE(MON10P) C FOOD FACILITY O WAm TIRE <br /> RGROUND TAM(MONnO1MN(WREYOVAL) Cl DW KENNEL D DAIRY <br /> AEMiOCUA WAB?1 GENERATOR O CHICKEN RANCH C WASTEWATER TiMATIRM PLANT <br /> 4 TERPo Potalrlen FACARy C MOTEIINOTEL C PUW R TRUCKIYA0.OK:NeNICAL To1Lere <br /> C TATTOOtBODY PIEWANC O PCOLSPA Cl LAND Use APPL$tAUM StM <br /> ❑ME&CAL WASTE FACILITY Cl OTHelt(PLEASE SPWCW . <br /> W0..AND SEPTIC PERNITRECOMS ARE AvAILAne MR RMM-MONDAY-FAIDAY 1:00 A":DOw - E7�LUDNO HOLIDATIL <br /> I. List up to ten addresses In the space above. Select the type(S)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUSTbeselected. Fax to(2°81464-0138 gumatl to the address <br /> Indicated above. Address ranges will not be accepted—for additional asa)atance veldt file add►esses,contact <br /> the END.Applications received atter 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant H any END files exist, An appointment for review willibe confirmed <br /> approximately ten(10)days after receipt of appNcation. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be Immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Arty fite not returned in the same condition as released will Ibe reorganized by END staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a 193.00 deposit print to review. <br /> rr�iar� k <br />