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Vim— 10/13/2015 133:24 209-7336-4730 COPY CENTER <br /> a a PAGE 01/01 <br /> DATE RECEIVED <br /> - -EEND LOG NUVr3EP.(37 E=-N E SAN JOAQUfr4 COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> C, rl <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232OC132015Telllhonc-: (20 468-3420 Fax: (209)464-013,3 Iffeb:www,sigov.org/chd <br /> PUBLIC RECORDS RELEASE APPL[CATION <br /> PERI i/S <br /> APPLiCANT; O VVII L�0— S C- EUSINESSIAGENCY. oc� <br /> ADDRESS: CfTYISTATEMP:. <br /> PHONE (i): pHoNr= <br /> F2 <br /> Reale allow'10 business days from dtta of appliasmon submiftal fee the mards to be vailabte. <br /> SLAff YMI contact you to at an appointment dzte and the to re0w,the mqu=ted Teves. <br /> - <br /> EjCHECK BOX TO E)7EDIT-IF FtFQgZT-$133 FEE(CASH OR CHPCK ONLY)-REQUEST PROCE3 ro NLj N !�8 <br /> �n SI E DAYS <br /> DATE /Q <br /> Electronic Information: F List(I Map-Description: <br /> FILE ADDRESS <br /> std strig-et Nam city EHD USE ONLY <br /> 1. 7 <br /> 2. La cL i fvr F <br /> L o CL <br /> Lad Ung 2H <br /> S. <br /> TObrift 3 <br /> 7. �oc <br /> QUUnit 4't <br /> It 4 <br /> k-o Y\ SITE MI <br /> 9. 6 (9 7TY-N R-cl L C)� <br /> Lc, <br /> Spe;�fflo Date Rang�e of Info=xtion Requested: From to 94rulits <br /> EWRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(US 11 CLEANUP Sri E(LCT) ❑WEDICAL WAS-FACiWY ❑Soap'VAsTE FACWYFVERICLE <br /> Lj OTHER CLEANUP SFM"LOP) ❑HOUSING ASATEMENT ❑FAST TIRE <br /> ❑UNDManUmD TANK(MoHrroFrmG1RFgaYAQ Lj FOOD FAMITY ❑DAM <br /> ❑AacvFcr,,cuHo Total, ❑C=K-Ex RANCH[DOG KENtiEL Ej WASTEWATER TREATREM PUNT <br /> RAZkR0 S WA51Fl AZARDOUS MATERIALS L]MOTELIHOTFL ❑PuRPER TRUCKMRDICHEWCAL TOFLETS <br /> F-1 V-ERED"ERN `-— r�!--- --- . - - - <br /> t❑i I rr URUIU I T Lj rLyJUZx-A L_j LAND USE APPI-r-ATION SITES <br /> D TAT-roofgODY RERCWG L1 COWPLAFNTIRESPONSE RE�ORO!3 []OTHER <br /> (PLEASE SPECIFY) <br /> WELL-11ND SEPTIC PERLACT RECORD.,! Arr-IkVAILAGL;-z F0K'RxMrE1n1; MONDAY-FRIDAY`o' ALM-5: LrM (EXCLUDING HCYLIOY8) <br /> 11. Wst.yg to ten address"In the Space ab-OVO. Select the tYPO(c)Of fifes from the list above by chocking the appropriate <br /> box("). At Inst one file type RUST be ise4ected. Fax tc,(M)-4§4--04 0 pr Lail to the addmss_fndlcat1gd aboyq. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be process"the next business day. <br /> 2. For aasistRnaa In Identifying the nature and content of EHD records,please contact EHO at the numb!ar notad abovp,. <br /> 3. The EHD will notify the applicant if any EHD flies or". An appointment for review will be confirrned approximately ben (I D) <br /> days aftr receipt of application. The flle--will h--hold for a marimurn of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4,1 Any file not returned in the game c*r.d,,tkn ss mlGazoad will,be rqao.rgan�ed by EHI)RW-rE at the expense of the pPpjjcant_ <br /> Future file ravl&wa by the=nva app(icant may require a$130 deposit prior to mview. IROXEDAP-EA-EHm USf=O)�Ly— <br /> LL2 �-o- <br /> 0 Records provided by Staff-PPR Complete. staff Nan-to: <br /> CHD 48-" <br /> Received Time Oct, 13, 2015 1 : 23PM ado, 9777 <br /> 7/1/15 <br />