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in CO2/00 2 <br /> HD'_0G NUMBER <br /> 'RE-IGENED SANJOAQUIN COUNTY <br /> 'ENVIRONNIENTAL HEALTH DEPARTMENT <br /> -28 <br /> Floor, Stockton. CA95'202 70 <br /> Cic)" 4158-.3420 Fax: (209)4640138 Web;- \v;,N'w.SJ90v.0r" 6 d <br /> -Z <br /> '5"'Jeuphone'. (,' .) <br /> MARIONMENT HEkN' <br /> PERMIMEMAGES FUIBLIC RECORDS RELEASE APPLICATIONTION <br /> -ENCY� <br /> BUSINESSfAC <br /> < b <br /> "Z_P ti c N1 E 2 3_SlI 3 S',) ACSINI ILE' <br /> 4 <br /> Me: <br /> EXPion submittal-*Tentgive oniy-must be ccnfirmed) <br /> ze iow 15)bu-,:qess days from date Of aPPlicat <br /> 01 DAYS <br /> RC ECK,01'fCY)�REOUESTPROCF-SSEDIN3BUSINES5 <br /> -)X TO, EED' FEE-(CASH 0 <br /> 71 �;(IIECK SL <br /> 4 DATIE <br /> J,L 7 <br /> D, List Lj Map-Description: <br /> EHO USE ONLY <br /> FILEADDRESS <br /> city <br /> C- <br /> ED Un;t 2 <br /> V-� y"51 <br /> T r —Z-1 ell <br /> 4. <br /> d, <br /> J 17 Lint t 6 <br /> T <br /> _ z <br /> '01 unit 6 <br /> ? J <br /> .......... <br /> 4" <br /> IQ <br /> G <br /> Range of Information Requested:From 14-I j r?k/'j J')q to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUNV TANK iUST)(;LEPNUP SITE CLOP) C] HousiNG ABATEMENT 0 SOLID WASTE FACjLITY1VFK;CLE <br /> 0 FOOD FACILITY 0 wixs-rE TIRE <br /> ftN�j�- 0 DAIRY <br /> 0Dor,KENNEL 0 WAS-iFWATFRTREA7t,1,F_F^,T PLACT <br /> 0 CRICKEN RANCH <br /> 0 FVJOTtLjHOTFL F-1 PuvF,ER TRUC KNARD,CHFzM T CIL=lf S <br /> C,T iEF-m PEP^!--I.E.::)Fp'tr'3 0POOLISPA <br /> 0 0 LANs}kJSr=APPLICATION SITES <br /> U TATTC101130PY PIERCING 0 OT,HER(PLEASE.SPECIFY) <br /> IOEDICAL�NIAS7E FACII_M� <br /> Vr,'ELL ANO SEPTIC 'T R1.AVAfLABLE FOR REVIEW - MONDAY-FPiDAY 8:00 AM-5-,00.PM EXCLUDING HOLIDAY3, <br /> I Us t Lip 1,o'Zen ad dr- space above. Select the type($)of files from the lizt above by checking the appropriate <br /> jeas! 3r, <br /> .,ape MUST be selected. Fax to(209) 64-0138 or mail to the address indicated above. Address <br /> ddresses,contact the EHD. Appli"tions recelved 21" <br /> -pied--fo,,additional assistarice with file a <br /> pal be processed the noxi.buwness day. onfirmed approximately ten(101 <br /> 2. The EHD vAil notify the QPPJiC-an'Z if any Epm files exist. An appointment for review will be c <br /> days after recej,pf,-of appftatiors. The files will be held for a maximum of five business days for review. Appointments <br /> should be sQh-3Juicd aCCOTdingly, n be immediately available fol,review. A new application may be <br /> 3. A file that j9 aCtivOY being wOrksd 0- by EHO staff may not <br /> I <br /> �'L;bmi',-Zed when the file iS availaL'Ilc­ d by staff at the expense of t�ie applicant. <br /> same G-1- <br /> 4- Ar�y f:,.,:e nrol, retumed in the s . Gs released will be reorganize <br /> Future file re-views Ly the same applicarq may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br />