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SAN JOAQUIN COUNTY <br /> EIRRONIVIENTAL HEALTH DEPARANT <br /> MAY 0 2 2 13 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �B0LOG NUMBER <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: r-:7�(emary Kc)cc)5e, BUSINESSIAGENCY:- (AIRS <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of-application submittal-*Tentative only-must be confirmed) <br /> r-1CHECK BOX To EXPEDITE REQUEST $125 FEE CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: [VL!st El map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city .-Up it I <br /> 4. <br /> 6. <br /> it 4 <br /> El Unit 5 <br /> Eigo. El Unit 6 <br /> Specific Date Range ryInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> , UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY G~^.~WA.."FACILITYNEHICLE <br /> OTHER CLEANUP SITE(VoN'LDP) HOUSING ABATEMENT WASTE TIRE ' ��It)5-1/D/~/L4//-'^ <br /> UNDERGROUND TANK(MDwnommo/RcmoVxL)tL FOOD FACILITY DAIRY to fzc` t�1l~ <br /> ABOVEGROUND TANK c-- CHICKEN RANCH/DOG KENNEL VVxorcwwTsRT0aTm=NfPLANT- <br /> HAZARDOUS VKAoTE8HxaAmDouoMATERIALS MoTsUHoTsL PUMPER Tnuox8YAmoKCxsM|coLTOILETS <br /> TIERED PsmwnTeoFACILITY' PonUSpA LAND USE APPLICATION SITES <br /> � LJTArrno0]ooYPIERCING CoMpuwNTIReopomoeRsoonou [lOTHER(PLEASE Speo|FY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvAILABLE FOR F{ MONDAY-FRIDAY QUOA ~SnO <br /> Y. List up to ten addresses in the the <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received.after <br /> 3:00 pm will be processed the next business day. <br /> 2' The EHD will notify the applicant if any EHID files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt ofapplication. The files will beheld for omaximum offive business days for review. Appointments <br /> ehoU|dboscheduled accordingly. <br /> .3' A file that is actively being Worked on by EHD staff may not be immediately available for review. /\new application may be <br /> submitted when the file|oovai|ab|p� <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 bythe same applicant may require e$125 deposit prior toreview. *-BOXED AREA-EHD USE ONLY"* <br /> ! <br /> � 0 Records pro�ndbd by Staff-PPR CoMplete. Staff Name: D d ' ote L3Y <br /> --' <br /> ----------------------------- ---------------------------- ---- ------------ ------------------------------ _----'-- <br />