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08/24/2009 11:14 9254687413 BV-BUILDING/SAFETY PAGE 01101 <br /> ��L. s L D .SAN JOAQUIN COUNTY ewo Lee vrneeR <br /> AUG 2 4 2009 ENVIRONMENTAL HEALTH DEPARTMENT ��2 <br /> 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 � /') <br /> Ei`lVl`iuN?titiU[HEALTH Telephone:(209)468-3420 Fax:(209)464.0138 Web:www.sjgov.orgJeh <br /> PER TSERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: CK L e)F— �- --�---- BUSINESS/AOENCY: <br /> ADDRESS: a .3O C Y1O Jc�•!� eZ q <br /> PHONE(1): 9 a PHONH(2) Z ,-160 33 FACSIMILE - �'W-0106 <br /> TENTATIVE"APPOINTMENT DATE: Time; <br /> (Pleaso allow 10 business days fromdela of appUe.Kimsubmittal- J..Otivaonly-must beeonnM0d) <br /> Cl CRECK sox TO ExprarrE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REousst PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE Or APPLICANT DATE <br /> UNIT DISTRIBUTION O Unit 1 O part Z 13 Unh 3 Ct Unh 4 O Unas O Units O Other(electronicrush hrops) <br /> FILE ADORESS EHD USE O <br /> 54ee(a Street Name city 11111 <br /> Vx/ 14 �At <br /> 2 <br /> 3. <br /> 5. <br /> fi. ) <br /> 7. <br /> 8, <br /> 9. <br /> D. <br /> SpHdfle Date Range Df InfOmrafion Requested;From 0 <br /> IL/awdeb1c, to <br /> �� ��// ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> mjUNOPRORoyNO TANK(UST)CLEANUP SITE(LDP) ©HOUSING ASAIEMENT O BOUb WASTE FACRIIYNEKx1E <br /> PC,1ze/ R CLpAN1ip SITE(NON-LOP) p�.J O Foaa FAmiTy 13 WACM TJM J ](\ J <br /> SW RGROUNG TANK(MONnOR MEMOVAQCK- 13 DOG KENNEL ODAIRY ,`,`,,A�,�'^I� <br /> OUS WASTE DLTIEMTOF� ❑CHICKEN RANCH D WA5%VAMRTREArMaNT PLANT �.n` U <br /> nEaED P(7a IIZ FA4TUTY� ❑Momu"OTEL D PUMPER TRUCK'YARJACHIRM TOILER <br /> O TArTOD113%PIERCING I3 POOLISPA O LAND USE APPUCATION SnEs <br /> O MEDICAL WASre FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WALL AND SEPTIC PERMIT RECORDS ARE AVAILAOLE FOR RtMrW- MONOAY.FRJOAY$:0n AU-5:00pM - E%cLUDING HOLJOAYS. <br /> 1. L61 up to ten addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 nr mail to the address <br /> Indiratedabove. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be-STtbmitted 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> `( <br /> r wlboo9 -5 ` <br /> ExneAoaoor <br /> 111A1rr <br />