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Aug 16 07 11 : 37a Marda Tyree Herbert (925) 947-3738 P. 1 <br /> D <br /> VnV I I <br /> ) fir/ ;:HD LOG NUMBER SAN JOAQUIN COVNTx <br /> 1___3U V � ENVIRONMEEN,t'A,L IJEALTH DEPART <br /> iViENT <br /> jar 600 East Main Street,Stockton,CA 95202 <br /> 1 1 6 ZQQ� TelephOut:(209)468-3420 Fax:(209)464-0138 Web.www. -gov.o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICA DA 7 2B E 2 T euSINEMACENCY: W[a}z_ - S01A_r .,0esj- <br /> ADDRESS: 31 S Vv. P I Q E <br /> PHONE(,) C 4 ZS) q 4"I x-13 B PHONE(x): �92 5 ZI Z-5"I"1'l FACSNgILE; {Ztx1 33q -5314 <br /> TENTATIVE'APPOta HENT DATE; 00 Tlmo: 10 <br /> (PleaaR allow 10(wslness della frets date of appGcat�en auhmittal.•TentWW only.Must be CWfk n•d) <br /> Q CHECK BOX TO ExPEDnE REQUEST-$9#.00 PEE(CASH OR CHECK ONL -REQUEST PROCESSED IN d liU5M1lS DAYS <br /> SIGNATURE OF APPLICANT DATE S-1 (0-07 <br /> Electronic information: ❑List 0 Map-Description: <br /> FILE ADDRESS EHD E�NLY <br /> V�2_1 <br /> eet# street Name City ❑ unit 1 <br /> 0 W. V W L-,k; +o r. Sfi Sfik+or1 �q q i S w WSli + S (P �� Unit2 <br /> ?�� W. hJG+s4�: 4an St 1L} D <br /> i.__ W. WaSl�i gbhUnity <br /> oS W. Wa_shi�.L {a,1 St. Sfiock v,2t A],r210 W. vva_ n4 d art 5f. >t-4 ck o W. WQs h i n +o,n ❑ unit s <br /> a W. wash; un�t s <br /> i 1 W. W aSh� -4�art St: �ck�arl 2�(� ✓ <br /> Specific Date Range of information Requested:From to <br /> .r+ ENVIRONMENTAL.HEALTH DEPARTMENT FILE$ <br /> iu t1MX* ROUW TARN(UST)CLEANUP SrTE(LOP) 13 NW&RG ARATEMEtii --fSIXMWASTE FACLLn1rIVEHKx.E <br /> OTHER CLMUP SrM 44001-.9P) 0 Foos FACn,Tr ,0'WASTE Tate <br /> �URuM0RDUNo TANK(MIONITOm"RemovAL) t7 DOG KEurEL 0 DAIRY <br /> HAXARDOU3 WASTE GENERATOR 0 CHICKEN RANCH erWAZ=WATM TREATnENT PLANT <br /> .7t'T4EFW0 PERMwwm FAmm 0 ftTEU0oTEI fa irL�IPER lhucxl►'ARolE11eH 7orLETa <br /> �T EDICA WAt PtFAV U 0 PoovsPA 13 LAND USE APPIJCAwm Saw <br /> tiE03CAL WASTE FAGILIT/ 0 OCHER(PLEJISE SPECIFY) <br /> WE-L AND SEPTIC PERMIT PErOR a ARE AVAILABLE FOR RSnEw- MomoAY•FRW AY a:00 AIDS:00pM -V(;LVDIK6 HoLwArl. <br /> I. List up to tett addresses in(fee space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to MM 46"138 or mail to the address Indicated above- AddrMs <br /> ranges wlU not be accepted—for additt'onai aatittrtancs vift file 2ddressm.cont =the EHD.Applications received after <br /> 3:00 pm will be processed the next bualness day, <br /> 2. The EHD will notify the applicant if any EM fifes exist. An appointment for review Will be confirmed approximately ton(10) <br /> Vays after receipt of application. The fifes will be held for a maximum of five business days for rwvlew. Appointments <br /> should ba scheduled aeeordinsty. <br /> 3. A file that is actively being wnrkad on by EHD staff may not he immediately available for review. A new application may be <br /> submitted when the Nle Is available. <br /> 4. Any file not returned in the same condition as released wilt be reorganized by EHD staff at the expanse of the applicant. <br /> Future file mvtewx by the earn applicant may require a$95.00 deposit prior to review. <br /> EHD USF ONLY <br /> E++o�ea�snsrZuor <br />