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DATE RECEIVED. env wv,wmo�n <br /> SAN JOAQUIN COUNTY <br /> EONMENTAL HEALTH DEPAR <br /> --A�+ 1868 East Hazelton Avenue, Stockton, CA 2 'hi'' <br /> NY Aephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd 4 . <br /> met \�er` UBLIC RECORDS RELEASE APPLICATION <br /> APPLI64(�t ' k(.3..;t 1 w BUSINESS/AGENCY: <br /> ADDRESS:ILC� s \"�+n ,. t CITY/STATE/ZIP: 4r,,'hpsJ3lk" <br /> PHONE(1): 0,s`! PHONE(1 2): 1(C t/SZL(`�60 FACSIMILE: '� c6-r'3 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> ,�/� (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE REQUEST.$1 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ,i DATE Li,-' Z- jU I S <br /> Electronic Information: ❑ List,El Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1. <br /> (A- <br /> 2 [01� U <br /> nli <br /> t2 <br /> 3. —EI'Unit <br /> G� <br /> 3 <br /> 5. <br /> 6• 'Unit 4 <br /> 7. <br /> 8. ❑ Unit s <br /> 9. <br /> 10. knit 5 <br /> Specific Date Range of Information Requested: From - to <br /> ,.r <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) F1 HOUSING ABATEMENT ��I oOLID WASTE FACILI NEHICLE 2 <br /> 'OTHER CLEANUP SITE(NON•LOP) El FOOD FACILITY 5WASTETIRE q,h�'�l��Ian)� <br /> e®'UNDERGROUND TANK(MONITORINGIREMOVALk ❑DOG KENNEL ❑DAIRY 'ri�j-77I <br /> DRAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT <br /> 'I IERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY . JJeOMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten 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 file type MUST be selected. Fax to(209)464-0138 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 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. 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 reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> (DM ° g Gol e7 100 <br /> EHD 48-06 811111 <br />