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05/20/2008 14 .34 FA); 001/001 <br /> ,DSI R,�CEIVP <br /> EHD LOG NUMBER <br /> JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MA" 9600 EMain ain Stre0t, Stockton, CA 95202�3029 <br /> 0 Ur"8 �? <br /> Telephone: (209)468-3420 Fax- (209)464-0138 Web: www.sjgov.org/v.org hd <br /> v; <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: r _ <br /> BUSINIESWAGENCY: <br /> ADDRESS: <br /> PHONE(1): '2 (h G]- PHONE(2):70 q5 qq <br /> —FACSIMILE-719' - <br /> TENTATIVE*APPOINTMENT DATE: Tlrrw: <br /> (Please allow ton business days from data OT application Submittal-'Tentative only-must be Confirmed) <br /> CHECK BOX TO EXPEDITE REQUrtST-$96.0 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: [I List[I Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stret—N.r. City <br /> '7 uUnit 1 <br /> �7 <br /> 2.. <br /> 3. Unit 2 <br /> 3 <br /> a. <br /> 6. <br /> 7. i <br /> 8. <br /> Unit 6 <br /> Unit 6 <br /> Specific Date Range of Information Requested-From -:50;,n 1960 to. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tl(UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) 171 HOUSING ABATEMENT ❑SOLID WASTE FACILITYrVEHICLE <br /> t3 OTHER CLEANUP S]Te(NON-LOP) M I'Doo FACILITY <br /> UNDEROROUND TANK(MDNITORINaIREMOVAL) WASTE TIRE <br /> AzARj:ioLLs WASTE GENER�T)DR M DOG KENNEL 13 DAiRy <br /> H <br /> 13 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 7 MOTI!LfHOTEL 13 PUMPER TRUCKNARDICHrm TOILETS <br /> ❑TATTOO/BODY PIERCING 13 POOLISPA IM LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FAGILiry C:OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR R.EmEw - MONDAY-FRIDAY 0:00 Am.&Oopm - EXCLUDING HOLIDAYS. <br /> 1, List up to ten addresses in the space above. Select the type(g)of files from the list above by checking the appropriate <br /> box(es). At least one Me type MUST be selected. Fax to (209)464:9138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed Approximately tan <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 file that Is actively being worked on by the EHD staff may not be ImmedlaWy available for review. A new application <br /> may be submitted when the file is available. <br /> 4. Any file not retumgd in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Futurs file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EH04—&-N iIW2.7 EHD WE ONLY PUBLIC RECORD-S RELEASE-4AprMORM <br />