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s <br /> i <br /> 63/21/2607 14_:61 2133606505 ENVI CWENTAL PAGE 01/01 <br /> ��� JISAN JOA M C UNW EHD LOG NUMBER <br /> H � ��" L� <br /> 1---"�SI <br /> ENvjRONNENTAL HEALTI I DUART TENT <br /> MAR 2 n 2007 304 East Weber Avenue, P Floor, Stockton,CA 95202-2708 <br /> "' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONf4'; :If! I EtAt I�I <br /> _ 4F. f PUBUC RECORDS RELEASE APPLICATION <br /> APPLICANT: itcao SUSINESSIAGENCY: rNCpry <br /> ADDRESS- 223 w(4-FA-L26 F Sa rS08 I,A. c�olr cp <br /> PHONE(l). ��,SC"C7- bSSS PHONE(2): FACSIIMLF- Z l 3 <br /> TENTATIVE•APPOINTMENT DATE: Tima: <br /> (Please allow 10 business days to of n eu4 ittal-•tentatiye ally-MU9t ba ConlTrmatli <br /> ❑ CHECK BOX TO EXPEDITE REQU T-$85.00 F (GASH 0 ECK ONLY).REQUEST PROCESSED IN 3USIZ <br /> SS DAYS <br /> SIGNATURE OF APPLICANT DATE 1 � <br /> . i <br /> Electronic information: ❑List❑Map- ezedp ion: <br /> FILE ADDRESS _ EHD USEONLY <br /> sm,eet tF 7 street Name _ Cit ❑ Ummlt 1 <br /> a-- <br /> Z, Cl unit 2 <br /> 7. <br /> p Uplc`s <br /> unite <br /> I0. <br /> Specific Date Range of Infolmatlon Requested:From to <br /> FNVIROIunfEN I AL HEALTH DEPARTMENT FILES <br /> ZUNDERGAOUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATGOGUr Cl Souo WASTE FAcamNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) M FOdO FACILITY 0 WASTE TIRE <br /> ;O-LINOCKGROUND TANK(NIONITORINGlREMOVAL) M DOG KENNEL 0 DAIRY <br /> 'HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> 13 TIERED PEamrrreo FACILITY 0 MOTELMOTEL E7 PUMPER TRUCKIYARo/Ckm TDILm <br /> 13 TATTOOMOOY PIERCING ❑PO"PA ,�+ Cl LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY XWTHER(PLEASE 3FECI L/_+�. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAOLF.FOR I"FW- 1116No kY-FRIDAY 8:00 Are.9:OOPm - FXCLUDINo HOLIDAYS. <br /> 7. List up to ten addresses In the space above. Select the type(s)of fil s from the Ilst above by checking the appropriate <br /> box{es). At least one file type MUST be selected. Fax to 209 404-0 38 or mail to the-addrem Indicated aboyg. Address <br /> ranges will not be accepted-for additional ags[staeca with file addr isses,contact the EHD.Applications mceived after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD tiles exist. An appointor ent for inview will be confirmed approximately tett(10) <br /> days after receipt of application. The files will be held for a maximut i 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 imme diately 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 reorgi inized by EHO staff at the expense of the applicant- <br /> Future file reviews by the same applicant may require a$99.00 depp It prlorto review_ <br /> Q,;�vliD USE ONLY <br /> Y-0 <br /> ZHO"-as 911=9M <br />