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07/02/2007 10: 16 TAX 041/04.3 <br /> DATF RECEIVED EHD LOG NIJMBCH <br /> I SAN-JOAQUIN COUNTY <br /> H I <br /> ENVIRONMENTAL HEALTII DEPARTmri-NT <br /> It i!li J600 E. Main Street, Stockton, CA 95202-3029 <br /> s 2007 Telephone: (209)468-3420 Fax: (209),164-01.38 Web; www..,jgov <br /> -ILA t I <br /> PURIAC RECORDS RELEASE APPLICATION <br /> A kT 2!jj�:ft*yr BuSiNESSIAGENCY., <br /> AI <br /> ADDRESS: 316 (c_ ( Lq L Le-'7.roLp gA�jp paf.,F- /2,"jC'L-1C2 COePOVI q6l-�Q <br /> • PHONE(11): P6 5V5 M61 PHONE(2): 'T 16 '3 4.6 q.3.". - --FACSIMILE: ail 6 Dad DXS" <br /> TENTATIVE'APPOINTMENT DATE; 61!�11,ho LLL25e Time- Iq/V Y <br /> (Please allow 10 business days from date of application submittal­ronlaVve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST.-495-00 F E(CASH OR CHECK ONLY)-REQUEST PnOGESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7- /_07 <br /> Electronic Information. El List El Map-Description'. <br /> FILE ADDRESSEHD USE ONLY <br /> ---------- <br /> sureeL# S.treot Nam* city_- Cl unit I <br /> W 1?y <br /> 2. L-19_,�Ifzdp 0 Unit 2 <br /> 3. T16 4�70 C-Alm 1,50rz r o b-,:-: _TM OZ d r— - i <br /> Oeto <br /> 4. gC> 8 5a Unit 3 <br /> .4- <br /> 5. (z,,j f20 1 -— <br /> 011: Til� <br /> 6- Z37 ;e AA <br /> 'ra Y 3L%t b. C 11z, <br /> 4� <br /> 7, 4 <br /> UnAt"i <br /> 13. <br /> 9. <br /> 10. unit 6 <br /> Specific Date Range of Information Requested:From L to L Q <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> :�NDERGRGUNDTANX(UST)CLEANUP SITE(LOP) M HOUSING ARATEMENT 13 SOLID WASTE FACILITY/VEHICLE <br /> ER CLCANSIP 911T(NON-1-01"i 0 FOOD FACILITY 171 WASTE TIRE <br /> 9�A2ARDOUS <br /> 10NH10CRr.RQUNV TANK(MONITORPNOIREMOVAL) 13 DoG KEmNF L . 0 DAIRY <br /> WASTE GFNF14A-FVR 0 CHICKEN RANCM 0 WAsTEWATER TREATMENT PLANT <br /> YEREDPERMITTF-D FACR STY 0 MOTELMOT111. IZI PVMFERTRUCK1YAFkD/C)trm T9iLE-r5 <br /> 0 TATTOO/BODY PIERCING M POOLISFA n LAND USE APPLICATION SFTES <br /> C3 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECITrY) <br /> WELL ANb SEPTIC PERMIT RECORDS ARE AvAiLMLE FOR REVIEW- 14ONDAY-FRIDAY 8:00 AM.$.90PIt - EXCLUDING HOLIDAYS, <br /> 11. List up to tan addresses in the space above. Select the tYPOW of files from the list above by checking the appriDpriale <br /> box(es). At least one file type MUST be selected- Fax 1!2(209)464-0139 or mail to the addrLsl indicated above. Addreag, <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 it any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt Of application- The files will behold for a maximum of rive 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 now application may be <br /> submitted When the file is available. <br /> 4. Any file not returned in the same condition as released will be reorg3inized by EHD staff at the expense of the applicant. <br /> Future File reviews by the same applicant.may require a.$95.00 deposit prior to review- <br /> CHD USE ONLY <br />