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=-07/16/2007 15:08 MAT OPE INC 4 12394640138 � NO.092 P02 <br />07!16!2@07 15:02 2 0 91W I. 8 ENVIRONMENTAL LTH PAGE 01/01 <br />DATERECEIVEDE +0 BOG uur�l?ER <br />SAN JOAQT. TNI COUNTY <br />ENVTT20NMENTAT, TlEALM DFPA RTME'_VT <br />600 East Main Street, Stockton, CA 95202 <br />Telephone: (209) 46R-3420 Fax: (209) 4.6a-0136 Web: wrw.sjo�.Or¢/slid30 <br />3 <br />PUBLIC RECORDS RELEASE APPLICATION A11,i 4r� <br />TENTATIVE' APPOINTMENT DATE; Tlme; <br />(Please allow 10 business days from date of appllration cubmittdl-'rentaVve only - must be Confirmed) <br />0 CHECK BOX TO EXPEI)ITE R�EQQUJEST� . $95,gp F E (CASH OR CHC -CK ONL O - REQUFST PROCESSED IN J 13=11M DAYS <br />SIGNATURE OF APPLICANT �I� ` �� DATE <br />Electronic Information: © List ❑ Map— De$cription: <br />-Z,ir .0 <br />SpecIfic Date Range of Information Requested: From _ to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />PNDERCROVND TANK (UST) CLEANUPS ITt (Lap) V OvssNC,ggATEMENT 1:1SOtIbVVASTt FAOILITYVWy L. <br />T.Hrm CLEANUP SITE (NON -LOP) ❑ Foop FACrLITY M WASTE TIRE: <br />QKUNDERGROUND TONK (MONITORINGIREMOvAL) r~i. Doo KENNEL, ❑ DAIRY <br />f* ARDOUSWASTrSENCRATDR ❑HICKENRANCH I] WASTEWATER TREATMENT PLANT <br />OrTfFREo PFNKV TTLD PACU-ITY t MCTEIJHOTEL ,❑�MPERTRllCKIYokDJCHEN To LEYS <br />M TATTgp1BO0Y PIFRCING M pOt USPA 'L� LAND USE AVVLtc ATiaN SITES <br />❑ M901CAL WAs rc FACILITY O OTHCR (PLEASE SPECIFY) <br />WELL AND SEPTIC PERmrr RECORD$ A.Rt AVAILABLE FOR REVIEW - MONDAY -FRIDAY e:00 AM-5:00PM • EKCLUDtNG HOUDAYS. <br />I . List up to ten addresses in the .xpaca above. Select the types) of files from the Ilst 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 asslstance with file addresses, contact the EHD. Appllcatlons received after <br />3:07 pm will be pracaasad the next busine.".s day. <br />2. The EHD will notify the applicant If any EHD fifes exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of appllratlon. The flies will be held for a maximi)m of five business days for review, Appointments <br />should be scheduled accordingly. <br />3. A file that Is actively being workod on by EHD staff may not be immediately available for review. A new application may Ce <br />submlttsd when the file is available, <br />4. Any file not returned in the name condition as released will be reorganized by EHR staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $95.00 deposit prior to review. <br />EHO U$E ONLY <br />