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Dec 15 2010 10: 48HM40 LHSFR,IET F9X � p . 1 <br /> ZJAN JOAQUIN Il.:OUNTY <br /> ,aVC;e, F ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202-3026 <br /> Telephone: (209)466-3420 Fax: (209 464-0138 Web: www.s ov.or /I3hd <br /> X010 � J9 s <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Et�f �VI o'j h,/ wo t Y`rti l3USINESSIAGENCY: Fk31 t-'S 'I'x-iIj M'e 7,f4 <br /> ADDitE39: ;� )-�-� ST. -� CITYISTATEIZIP: y k iR�.a c-1- <br /> PHONE (1): �!�ko_t ,j_41t L?,j`) .._ PHONE (2): FACSIMILE: 516 w <br /> TENTATIVE*APPOINTMENT DATE: A-5&P' Time: <br /> IPI•a■a allauv 10 business d drte of sppllcatlon submittal-"Tentativa only-moat bo tonftrmad) <br /> ❑CHECK BOX TO EXPEDITE REQ (GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1'4-"1 '- 10 <br /> Electronic Information: ❑ List❑ Map escriptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> atraat see Street Nprrm City Unit i <br /> Un It 2 <br /> 3. <br /> a. r21� <br /> 'Un It 3 <br /> 5. <br /> 8. <br /> 7. <br /> e. <br /> 0 Unit s <br /> unite <br /> Specific Date Range of Information Requested: From - to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ r-f <br /> NFERG RQUN0 TANK(UST)CLEANUP SITE(1-0 P) ElHQUSING ABATEMINT OLID WASTE FACILITY1VEHiCLE jbk )U <br /> ER CLEANUP S1T1(NON•LOP) FOOD FACILITY 9VAsTETiRE . <br /> NDEROROJJND������-""" TANK(MON ITCRINGiIREMOVALP( DD)KENNEL 0 MY <br /> RDOUS WASTE GENERATOR) CHICKEN RANCH ASTEINATER TREATMENT PLANT <br /> IERED PERmTTED FACILITY- MOTELIHOTEL ❑ MPER TRUC KIYARMH EMI CAL TRI LETS <br /> ❑TATTOO/800Y PIERCING ElPOOLISPA, FMAND USE APPLJCATION SlTE6 <br /> ❑ MEDiCAL WASTE FACILITY Q OTHER(PLEASE SPECIFY) <br /> WELL AND,SEPTIC PERMIT REcoRDS ARE AVAILABLE FOR RJyIEw: MOMOAY-FRIDAY 5:00 AM-5:00PM(EXCLUDING HOLIDAY$) <br /> 1. Llstim to_.ton.addrmmen In the space above. Select the typa(si of files from the list above by Cherking the appropriate <br /> box(ee). At least one file type MUST bo selected. Fax to 1208)484-0138 or mail to the address Indl.artjd■hew.- 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 torr(10) <br /> days after receipt of application. The flies will behold for a maximum of five business days for review. Appolntmente <br /> should be scheduled alcaordingly. <br /> 3. A file that Is actively being worked an by END staff may not be Immediately available for review. A new application may be <br /> submitted when the ills 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$122 deposit prior to review, <br /> EHD UM ONLY <br /> EID 48-06 1t1 <br />