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From.-!Aarcus H. Bole & , 530+633+0119 2112 13:22 #339 P,001 <br /> COUNTYEHD LOG NUMBERSAN JOAQUIN <br /> f(E.-t�jTnvtl) ENVIRONMENTAL ENT <br /> j 600 East M ST Street,Stockton, 95202-3029 <br /> `y``` <br /> Telephone: ( fid )468-3420 Fax. (209)464-0138 b:www.sigov.org/ehd <br /> PUBLIC <br /> RECORDS RELEASE APPLICATION <br /> _. <br /> PHONE(1): PHONE( ). <br /> TENTATIVE*APPOINTMENT DATES � Tiriaa: <br /> (Please allow 10 business slays from date st atapllc tac ra s to TTittaS *7 rststli e panty•rrsias a ci�ra rraaa l <br /> CHECK BOXTO EXPEDITE ILEA T- 05 FEE CAS OR CHECK ONLY)-REQUEST PROCESSED IN lttE DAYS 7 DATE <br /> SIGNATURE OF APPLICANT <br /> fetrraid Irir stirs, .� � srlti�ta; <br /> LE ADDRESS EUSE <br /> city W _ <br /> w.._ <br /> _ r Unit t <br /> _w s <br /> C1 Un <br /> _ . w <br /> �w. _ _ <br /> Al <br /> emit <br /> Oi S Halt 4 <br /> f'-')G <br /> 7. <br /> 60 <br /> . � _ -L :,fir -- <br /> 9. Unit 6 <br /> Specific Date Range of InformationRequested* rcrrra to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> f1T)ERE0 <br /> NDER F }E ND TAN (UST)CLEANUP SITE(LOP) HoLwsmaATEMENT OLID WAST <br /> E PACWTYlltcLE <br /> OTHER CL a SITE NoN-LOP) FCCCCActurY ASTE ryIRF <br /> rtuousWASTE GENERATOR t3CKEN RANCH WAA TEATER TREATMENTPLA <br /> T <br /> PERIAME a FACILITY 0 MOTC-UHOTEL 0 PumPER TRu ARb10iEm TotLETS <br /> Cl TATTOOI ODY ILRCiNG I P000SPA G9 Ltd Pi 1 T1 7�SITES11 t Eoi AL FACILITY TH (PLEASE PECI YW LLAND SEP PER lT RECORD ARE AVAi SLE resR Eyi i taAY RsD :s5 5 tt . E cLiiostaYs, <br /> t. List up to tett addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one fila type MUST be selected. Fax to WWI of -0138 or mail to the address indicated above, Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3-00 pat will be processed the next business day. <br /> . The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(ill) <br /> days after receipt of;application. The files will be hold for d maximum of five business days for review, Appointments <br /> should be scheduled accordingly. <br /> . A file that is actively being worked on by EHO staff may not be immediately available for review, A new applications may he <br /> submitted when the file is available. <br /> . Any file not returned its the same condition as released will be reorganized by EHD staff at the expense of the applicant, <br /> Future fide reviews by the same applicant may require a 105 deposit prior to review. <br /> !EHD U ONLY <br /> w . <br /> €.ani�i�aea� aat�ta <br /> PUBLIC sit- sTDit s"TPty 5t2r <br />