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T� <br /> l� 14.36 FAX 20911112999 S3C PUBLIC VMS- � <br /> � 14118120Q� <br /> EHb LOG NUMBER <br /> {� DAT= tECEIVrfl - SAN 30AQUIN COXjNTY <br /> � <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 60fl East Main Street,Stockton,CA 95202-3029 <br /> 464-4138 wee;www-s' ay. ! d <br /> Telephone:(209)468.3420 Fax:(209) <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 9uSINESSIAGENCY:-SJC Public Works <br /> E ! s FAPPt ll~ N?(:'mark Hopkins <br /> ' 4 <br /> ADDRESS:_1810 E.Haxeiton Ave. <br /> PHONE(1)- 458-30$5 <br /> PHONE(2): .' FACSIMI4E:^488-2999— �—�.� . <br /> TENTATIVE'APPOINTMENT DATE:, Nov.2 2Time: IJ5PM <br /> (please allow 10 business days from date of appllaatl007 <br /> o,submittal--T'antatjve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$8$.00 E(GAS Oft C ECK ONLY)-REQUEST PROCESSED INS BUSINESS BAYS <br /> SIGNATURE OF APPLICANT DATE /4 f� <br /> Electronic Information: ❑ List,[] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> s Street 9 Straat Name City L3 unit 1 <br /> F2' <br /> P�Y 6 ,^ � /fJ, Unit 2 <br /> 3- U14 Ty. <br /> 4. a F. <br /> C1 nit 3 <br /> ` s -k 617L�nl c36 '4g <br /> 7. <br /> C1 Units <br /> C ElUnit6 <br /> 1 D. (� u T /r r ,F <br /> Specific Pate Range of Information Requested:From to <br /> ENVIRONMENTALmHEALTH DEPARTMENT FILES <br /> LINDERCROUNDTANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOUD WASYB FACIL"NEMCLE <br /> F OTHER CLEANuP SITE(NON-LAP) 0 Fool)FACIL rry ❑WASTrz TIRE <br /> 7 g UNDERGROUND TANK(MONrr(]RINGIREM0VAL) Q DOC KENNEL. �]DAIRY <br /> 9HA7ARDDUS WASTE GENERATOR ❑CHMKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> D TIERED PEKMITrm FACIuTY ❑MPT€UHOTEL t3 PUMPER 7RUCKIYARDICHEM TOILETS <br /> i 0 TATT001B0DY PIERCING ❑POOII$PA LAND USE APPLICAvnN SrfEs <br /> a MEDICAL WASTE FACILITY 15 OrHER(PLEASE SPECIFY) <br /> �- <br /> ` WELD,AND SEPTIC PERMIT RECORDS ARE AYAILA9L.E FOR REVIEW-MONDAY-FRIDAY B:(10 AM-5!0opm - EXCLUDING HOLWAYS. <br /> 1. Ust up to ten 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 file type MUST be selected, Fax 209 464.0136 or mail to the addr Indicated above. Address <br /> i` ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 4 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD flies exist An appointment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The files wilt be held for a 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 be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$03.00 deposit prior to review. <br /> ti <br /> EHD USE ONLY <br /> L <br /> J END 4"6 WEB&87207 <br /> 3 <br />