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07 / 02 / 2007 10 : 16 FAX � $ 4- e001 / 001 <br /> 1 1 <br /> b DATF RECEIVED EHD LOC NUMUER <br /> �. i, =`•i SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTII DEPARTMTNT <br /> 600 L. Main Street, Stockton, CA 95202-3029 Q <br /> LC 17 Telephone: (209) 468-3420 Fax: (21)9) 164-0138 Web: w'ww s 8Ov.nrF/ <br /> ' `=k1- H PUBLIC RECORDS RELEASE APPLICATION ` ` <br /> APPLICANT: VF41 <br /> ^� 1` .S r1, RLr _`J BUSINESS/AGENCY: DEL77Q GA'J6t4 <br /> ADDRESS: <br /> i 6 •(rptsb LQ_L0�1U50vi &TNR2 <br /> PHONE (,j: _yV 503 IU &7 PHONE (2): 4163111L6 1 FACSIMILE: 4f,6 6 <br /> 7 , x <br /> TENTATIVE* APPOINTMENT DATE: /- <br /> Time= <br /> P/ r ^ AN y <br /> _ <br /> (Please allow 10 business days from date of appllcatton submits] - 7Tontative only . must bo Confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.- 95.00 F E (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7 " / 'w' 07 <br /> Electronic Information: ❑ List ❑ Map — Description: <br /> _.. FILE ADDRESS EHD USE ONLY <br /> StJL � <br /> Street Name ctry ❑ <br /> ?. 1H&Oil rlrr WAY7ocirorki unit , <br /> z 6s . S _ Lf) /712yP ❑ Units <br /> 3 ) 6c1Gt3Ml32fOtr,� �e4- JrU ) � tD0� ST 5 'lo CA !`UfJ V - 7js. 36uHoa/Ll t2 dL <br /> -� 6. 2375 Tf? dgcY 43L%fb . fJ T2RcY 3So2 /35a '' vnit4 <br /> T. <br /> - - <br /> 8. ❑ unci e <br /> 9. --- — — <br /> 70 - - Q units <br /> Specific Date Range of Information Requested: From R Lto LQ _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK (UST) CLEANUP SITE ILOP( ISI HOUSING AawTEMENT 13 SOLID WASTE FACILITY/VEHICLE <br /> rHER CLEANUP 31TE (NON-LDP) t7 FOOD FACILITY rT WASTE TIRE <br /> rrMDeROROUNO TANK (MONITORINOIREMOVAL) 0DOG KENNEL ❑ DAIRY <br /> }IAZARDOUS WASTE GENERATOR 0CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> P( TIERED PERMITTED FACILITY ❑ MOTELtHOTAL 0 PUMPER TRUCKIYARDIGHEM Tmism <br /> D TATrODIBOGY PIERCING 0 POOLISPA rT LAND USE APPLICATION SITES <br /> ❑ MEDICAL WA5TE FACILITY ❑ OTHER IPLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FLUDAY M00 AM•S:oePM - EXCLUDING HOLIOAYs. <br /> 1 . List up to ten addresses in the space above. Select the type($) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected_ Fax to (209) 464-01311 or mail to the address indicated above Address <br /> ranges will not be accepted — for additional assistance with file addresses, contact the END. Applications received after <br /> 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 approximately ten (10) <br /> days after receipt Of application. The files will be held for a maximum of five business days for review_ Appointments <br /> should be scheduled accordingly_ <br /> 3. A Nle that is actively being worked on by END staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in The same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require it $95.00 deposit prior to review. <br /> END USE ONLY <br /> EHo aaoa anarmun .m <br />