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11 No. 3099 <br /> DATE RECEIVED <br /> Af) <br /> 4 20fl7 AN JOAQUIN Co Vf EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> EWROrVMENT HEALTH 600 East Main Street, Stockton, CA 95202-3029 07 i <br /> PER PA!T/S F.R VIC E S Telephone:(209)468-3420 Fay: (209)464-0138 Web: www.sjgov.or id <br /> r PUELIC RECORDS RELEASE APPLICATION [� <br /> APPLICANT: NO II vol e"S' BUSINESSIAGENCY: T <br /> ADDRESS: 66 2 weHS rI',/e 5tictc I�Q Q V1 10V1 `F <br /> PHONE(1). `"5'9U411S`$ PHONE(2): -FACSIMILE. q2 2551 <br /> TENTATIVE*APPOINTMENT DATE: S 21'p� Time: 1� �?� a I,, <br /> (Please allow 40 bualnixs days from dab of apPll atlon submittal-'T*ntkjvv only-must be confirmed) <br /> ❑ CHECK BOX To EXPEDITE REQUEST-$98.00 FE ASH OR CHECK ONLY)-REQUEST PROCESSED IN 8 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��, DATE 6 0 <br /> Electronic Information: ❑List[] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> I� `1 &treat Street Name city Q <br /> 3 3 ASO N� lee R ado2 � unit i <br /> ~2, �lo nN0. I¢8pD0.� <br /> 3. ���17 i\la Ike '�OA[) <br /> I YC <br /> 4. Unit 3 <br /> G. <br /> $• Und4 r� <br /> 7. X <br /> B. Unit S <br /> 9. <br /> �Q. Unit <br /> Specific Date Range of Information Requested:FromIrl is k rcc vrds tv Cuvf fAt- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> VUNOERGROUND TANK(UST)CLEANUP SITE(LOP) SfHOU$ENG ABATEMENT SOLID WA$TF:FACILITYNEHECLE <br /> Z OTHER CLEANUP SITE(NOH-LOP) d FOOD FACILITY MWASTE TIRE <br /> UUNDrRGROUND TANK(MOMTORINQIREMOVAL) d DOG KENNEL 0 DAJRY <br /> HAZARDOUS WASTE GENERATOR ©CHICKEN RANCHWASTEWATER TREATFAENT PLANT <br /> I3 TIERED PERMITTED FACILITY ❑)VInTELIHOTEL ePUMPE<R TRUCKIYARDICHEM TOILETS <br /> E3 TATTOOIBODY PIERCING ❑POOLISPA IrLAND Usr APPLICATION SITES <br /> MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR Rmew -MONDAY-FR@AY 3:0 AM-5,09rM -EXCLUDING HOLIDAYS, <br /> 7. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected, Fax to(209)464-0138 or mail to the addren Indicated Above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3;00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review, A new application may be 1 <br /> submittad when the file i$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 tho Same oppliCBnt may require 8$98.00 deposit prior t0 review. <br /> EHD USE ONLY <br /> HD 48-W VVL i hw2W7 <br />