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From: 08121 7 17:07 #729 P.0011001 <br /> (0 2094640136 ENVIRONMEIqTAL HERLTH PAGE Q1/01 <br /> EHD LOG NUMBER JOA QUtN COUNTY' <br /> AUG 2 2 2007 ENVIRONMENTAL ALTH DEPARTMF.N'>s .aft Aso% <br /> 600 East Main Street,Stockton,CA 45202 <br /> ENVIRONNIEIVT HEA!T�+Wephnne:(209)468.3420 Fax:(209)464-0138 Web: www.sjgo�. <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: l YO14 sin. BUSINESS/AGENCY: <br /> ADDRESS: I t ( ,, <br /> PHONE(1kzoc7 C) L -jamsm"t— �. 14 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Plaase allow 10 busines9 days from date of application submittal,*TentabVe only-must be c*nfir–m"ado 10 <br /> CHECK BOX TO EXPEDITE:WQ1jt=8E9FEE(, H Q CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS IUAYS <br /> SIG ATURE OF APPLICANT "i/1 DATE <br /> Electronic information: E]List❑Maps—Description: <br /> DILE ADDRESS EHD USE ONLY <br /> tifreet# Street Mame City d Unit t <br /> eAA <br /> �G2 ba5(62) 01 unit <br /> Ota' <br /> t, �_� r <br /> Unit 4S _(� <br /> n C.0 �A C -C✓; ® c/ © Unit 0 <br /> N G ( �ivtA 11 <br /> / •Specific Date Range of Information Requested:From to <br /> do <br /> �C <UNCERffi=ND <br /> ENVIRONMENTAL HEALTH DEPARTMENT FI S <br /> TANK(UST)GLemw,SITE(LOP) ❑HousiNe ABATEMENT *E]WASTEWATER <br /> D WASTE FACILI tE <br /> UDER ROUNI) NKITE(MtSV- M ❑FOOD oNFAcmr TL TIRE <br /> UNd�RouNn TANK(MONITORIN�fI�RMovAL) ❑Doo KENNEL DAIRY <br /> v HAZAREOUS WASTE GENERATOR ©CHICKEN TREATMENT PLANT <br /> O'f oREo PeRntMM FACILITY 0 MOTILIN L7 PuBernie TRucK/YAR01QHzM Tokm <br /> �( TATTOO/BODY PIERCING D PC"PA ©LAND USE APPLICATION SMS <br /> MODICAL WASTE FACILITY 0 OTHER(PL .SE SPECIFY) <br /> WELL AND SEPTIC PERW RECORDS ARE AYAKARLE FOR REVIL►w-MONDAY-FRIDAY 8:00 Am-S:OOPU - EXCLUDING HMIDAYS. <br /> 1. List up to ton addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one fele type MUST be selected. Fax to(x1751464.4198 or mail to the address indicated above Address <br /> ranges will not be accepted—for additional aselstance writh file addrasses,contact the EHO.Applications received after <br /> 3.00 pm will be processed the next business day. <br /> 2. The FHD will notify the applicant if any EHD files exiSL An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The Tiles will be held fora maximum of five business days for review, Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD 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 he reorganised by EHD staff at the expense of the applicant. <br /> Future file reviews by the same,spplicant may require a$95.40 deposit prior to review. <br /> END USE ONLY <br />