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07/02/2007 10: 16 FAX 0]001/001 0 0 UATF RECEIVED EHD LOC NUMECK _ SAN.IQAQCJIN COUNTY Ll ENVIRONMENTAL HEALTII DEPARTMENT 600 E. Main Street, Stocklnn, CA 95202-3029 it n E; `.r u�J� Telephone: (209)468-3420 Fax: (209)464-0138 We www.sjgov.org/ : : r= PUBLIC RECORDS RELEASE APPLICATION APPLICANT: tr A L(.4'7 BUSINESSIAGENCY. G09 COAJ t-z 514 ADDRESS: � D (,-DLP CA`M._P pa(vt 1� c#Lyp COg,)0v 4 qs3-;o PHONE(11:J16 50:5 1161 PHONE(2): 4 i 66 -34-6 q o 0) FACSIMILE:},116 6 3 P 8 3�5' TENTATIVE"APPOINTMENT DATE:��/` Pe_-F'9,e Time: /7 N (Please allow 10 business days from date of application submittal_'Tentative only-must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUEST-$85.00 FBE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANTAl DATE'�e Electronic Information: ❑ List❑ Map—Description: FILE ADDRESS EHD USE ONLY Street IS Street Name City ❑ Unit 1 g5r, Sm RW— i215�6--- S - x �2vP ❑ Unit z � Ty a 1 W7'0 _ G._j_M(3iz rofr v .._. 7t ttZ6 P if cr- 5v� � • L d v T Lk f Ur�1 I IZ Uu 6 -7HGtZrjT0") 20 57'yucny� - l Unit 4 Z$ Py 7_a I GY SL11 b. IQ Ta'iy/ Usr SM NW _ - ❑ Unit 5 Q unit 6 -9 . ��equested:From L�- to LQ ENVIRONMENTAL.HEALTH DEPARTMENT FILES !E(LOP) f t HousiNG ABATEMENT ❑SOLID WASTE FACILITYNEMCLE Ct7 FOOo FAGIUTY WASTE TIRE "I,VAL) ❑DOG KENNEL ❑DAIRY - CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT TIRED PERMITTED PACKITY v 17 MOTELIHOTEL ❑PUMPER TRUCKIYARDICNEM Toikm ❑TATTOOIBODY PIERCING 0 POOLISPA 11 LAND USE APPLICATION SITES MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) WELL ANn SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REy1EW- MONDAY-FRIDAY 6:00 An-5:0oPM - EXCLUDING HOLIDAYS. 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected_ Fax tq(Z09)464-0136 or mail to the address indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact the E"D.Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist- An appointment for review will be confirmed approximately ten(10) days after receipt of application. The files will be held for a maximum of five business days for review- Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the Expense of the applicant- Future file reviews by the same applicant may require a$95.00 deposit prior to review- EHD USE ONLY EHD 4e46 0113r20I5 web _ _