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. Frun:DHC 2099$2x757 � n <br /> . 03108, 01:41 4708 P 0011001 <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNTY AHD Lac NUMMI <br /> d lLM <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.Sjgov.Org/ d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: _�j <br /> ADDRESS: r Q �, BUSfNE lAGCY: i /I��r /T �• <br /> PHONE(t)- CttyfStaterzip <br /> TENTATIVE'APPOINTMENT DATE: FACSIMIL <br /> (Please allow 10 business days hom date ofappllcation submWal-'Tentative only must be confirmed) �=— <br /> CHECK BOX TO EXPEDITE ST-$ OS <br /> I'l ( OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUNESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE � <br /> Electronic Information: ❑List❑Map—Description: <br /> 10 FILE.ADDRt*SS <br /> Street# Street Name City EHD USE ONLY <br /> d <br /> 2. Unit t <br /> 3. 1!%�" �rl� � � ❑ Unit 2 <br /> 4 J. , <br /> 4. is <br /> S. <br /> Unit 3 <br /> 6. <br /> 7. Unit 4 <br /> 8. ❑ Unit s <br /> 9. <br /> 40. © Unit <br /> Specific Date Range of information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> *13AZARDOUS <br /> DERGROUND TANK(UST)CLEANUP SrE(LOP) ❑HOUSING ABATEMENT <br /> HER CLEANUP SITE(NON-LOP Q SOLID WASTE FACIL77YNEHICLE <br /> DERGROUND TANK(MONITORINGJREMOVAL) <br /> FOOD FACILITY WASTE TFRE <br /> WASTE GENERATOR DOG KENNEL ❑DAFRY <br /> d TIERED PERMITTED FACILITY 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> fD TATTOWBODY PIERCING 11 MOTEL1HOTEL ❑PUMPER TRUCKNARDICHEM TOILETS <br /> MEDICAL WASTE FACILITY POOLlSPA ❑LAND USE APPLICA77ON SITES <br /> OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS AHE AVAILABLE FOR REVIEW• MONDAY-FRIDAY 9:90 Am-5:00PM - ExCLUDINo HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of fifes from the list above by chocking the a <br /> box(es)- At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address Indicated aboveroAddress <br /> ranges will not be accepted–for additional assistance with file addresses,contact the EHb. Applications received after <br /> 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 approximately ten(10) <br /> days after receipt of application. The files will 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. Anew appflCaUon 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 9104108 <br /> PUBLIG RECORDS RELEASE APP FORM <br />