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09/29/2006 0318 FAX Fe4 (102/00 2 <br />EHD:-OG NUNIISER <br />EVSD SiaJOAQUIN COUNTY <br />ENVIRONMENTAL. HEALTH DEPARTMENT <br />SF.p 2 9 2006 04 E"V3astIieber Avenue. "d FA 9 <br />loor, Stockton. C5202-2708 <br />A 14 hone: (209) 4168-3420 Fax- (209) 464-0138 Web: \N;",w.Fjgov.org/ehd <br />E-WRONMENT HEALTal <br />PERMIT/SERIACES PUBLIC RECORDS RELEASE APPLICATION <br />APPLi"CANT: 4' <br />BUSINESSIAGENCY; <br />Q <br />PHONE (211: <br />E _01-3S 3 i 'L4_LCSIMILE: <br />TENTATIVE* APPOINTMIENT DATE: Time: <br />iPiease allow 10 business days from date of application submittal - zTeritatibe only - must be confi rMF d) <br />� <br />; ,t K f- E,' -'.P EDITEREI-�UES-r.$�-F).00FEt--(CASHORC ECKREQUEST PROCESSED IN 3 BUSINESS DAYS . C 7 <br />C <br />DATE <br />Etectronic Information: El List. 0 Map — Description: <br />FILE ADDRESS EHD USE ONLY <br />City .......... <br />S'r�t 7K S*reet Name EJ Unit I <br />Unit <br />r'j <br />. . ........ <br />Z�u <br />4. <br />. <br />... .......... . ...... .. ..... .......... <br />... <br />51, 4 <br />T_ C <br />.7 ....._....... ........np, m P <br />IQ M UVUU I= W L= LW <br />"7 <br />unit 5 <br />C' <br />IV <br />— — 2006 <br />` <br />6 <br />Unit 6*** <br />17 �5r <br />7- <br />0"a -e Range of information Requested: From 4 to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />�DERGROI-IND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACIUTYNEHICLE ''4HER LEA ,P SITE (NoN-LOP' 7, FOOD FACILITY U_ WASTE TIRE <br />TANK 0 DOG KENNEL 0 DAIRY <br />E� CJ CHICKEN RANCH 0 WASTEWATER TPEATMEN Pi—NT <br />0 TAOTELIHOTEL El Puw,,F,ER TRUCKfYARENCHEM TOit. TS <br />0 TATT00113opy PERcipic 0 POOL/SPA 0 LANE USE APPLICATION SITES <br />M NlEoiCAL WASTE FACiLf7-' dd 13 OTHER (PLEASE SPECIFY) <br />VVELL AND SEP 'r T 5 AR7_ AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 Am-5;00prvi - EXCLUDING HO1'*AY ,5. <br />V! <br />- ------ I-.------. _�.% <br />_IP to ',,en ad re space above. Select the type(s) of files from the list above by checking Une appropriate <br />indicated above. Address <br />rX -f Fax to f209) 464-0138 or mai! to the address <br />assistance with file addresses, contact the EHD. Applications recafved ?ftc�- <br />o ", 3: C cued — f o r a d di <br />pm vvA_ bip prccessed the next business day - <br />2. 1 h El-IDwill notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ton (10) <br />days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br />si­.jld be sch?dulsd accordingly. <br />3. A fi!e `hats actively being vvorked or. by EHD staff may not be immediately available for' review. A new application may be <br />kted -,,%ehen 7 ie file Is available. <br />4- fi"e not re,,Wrned in"Une same c-ardition as released will be reorganized by EF10 staff at the expense of Nrie applicpnt. <br />?_Uhure file �qviews by the same applicant may require a $95.00 deposit prior to review, <br />EHD USE ONLY <br />