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457/2005 FRI 11;39 FAI0 <br /> I�001/001 <br /> DATE RECEIVED 'EHO LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 4ENVIRONMENTAL HIEALTa DEPARTMENT <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Z005 Telephone:(209)468-3420 Fax:(203)464-0138 Web:wvvvr sjgov.org/ehd <br /> l�►� <br /> , <br /> KAU PUBLIC <br /> t�RECORDS RELEASE APPLICATION <br /> Ap T 5 1f BC BUSINEWAGENGY: 0M 1F Q0t t4fC244 <br /> PHONE(1): LKa__0t? -9W PHONE(2}: `l!� W S 2..55 rACSIMLE: 2�0/ 6^O�S' 004 <br /> TENTATIVE*APPOINTMENT DATE: J�A)g 8 PJ�.V r : /0:ad � <br /> (Please allow 10 businass days from date of application sudmldtae!-*Tentafte oniy-must bo eonfinmd) <br /> CHECK BOX TO EXPEDITE REQUEST-593.00 E( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE S^27^'aS' <br /> UNIT DI$ ❑Unit 1nit 2 nit 3 nit 4 ❑Un na 6 Other(@19CfrOnitfli5lSfmapS) <br /> FILE ADDRESS EHD USE ONLY f �f <br /> Stn et# street Name city <br /> NOM WAVER/W fib LrNOL—N. <br /> 4. <br /> 2. <br /> f5. <br /> 6. <br /> 7. <br /> 9. <br /> 10. <br /> $pecific Date Range of Information Requested:From 1-1-oOo3 to F,r <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UN13ERGROUND TALC(UST)CLEANUP SITE(LOP) ❑ ABATEMENT WASTE FACH riYtVEH E <br /> OTHER CLEANtw SITE(NON-LOP) O FOW FPCHJYT WASTE TIttE <br /> TANK AL) C3 DDc KENNEL 13AIRY <br /> DOLLS WASTE GENERATOR 13 CHIN RANCH ASTEWATER TREATMENT PLANT <br /> C3 Twim PERMrnrD FACi11Y 0 MOTWHOTEL PUMPER TRuctdYArU1CHEM TOILETS <br /> 13 TATTOOIBODY PIERCING Q POOLISPA USE APPUGAWN SITES <br /> ❑NlE=AL WAmFACUTY j:onm(PLEASE ) GRA e+s QJER/'nz'r At* L <br /> AW <br /> wit L AND SMMC PEM a RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FAIDAY 8:00 AM-6:OOPM - Excu=NG HOLDAYS. <br /> 1. List 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(2091464138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm well 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 flies 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 submitted when the file Is available. <br /> 4. Any file not returned in the sane condition as released will be reorganized by EHL]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 /> EHD 4&02.608 <br /> Ni4N6 <br />