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04/25/2008 09 40 FAX 2001/001 <br /> 04/25/2008 09:43 2094E .38 ENVIRONMENTAL w'LTH PAGE 02/02 <br /> DATE RECEIVED EHDLOG NUML R <br /> SAN JOAQUIN COUNTY <br /> FNVIRONWNI'AL HEALTH DEPARTMENT n <br /> 600 East Main St. Stockton,CA 95202-2708 , <br /> Telephone! (209)468-3420 Fax: (209)464-0136 Web: www.sjgov_org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 114L A� _ cj EluSIN£SSIAGENCY: �YIeY"CDYI <br /> ADDRESS_ :11 434 60 <br /> 1I Dna- cont A\je. l t,ev n vea+b �(A C1ZF B?-"1 <br /> PHONE(1)! M IID , 4 So , 02-08 PHONE(2): 67(Lc. 915. 444S FACSIMILE: q I Lo , 490,O La P3 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please all"10 business days from date of application submittal-'TentafjY only-must IN,DanmONed) <br /> CHECK 60x TO EXPEDRE REQUEST•$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> -"s SIGNATURE OF APPLICANT 0,i ql,, , UA DATE .'arli Z `' 08 <br /> Electronic Information: ❑ Llst C]Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> N11I,' street a _Street Noma ": cny� ❑ unit 1 <br /> lJ" 2,14 �REMQ_n1Y ST _ STaGKTO� .— 11il.(S D:- %5 Z. <br /> IIIJJJ'"'" 1 y44 5 ,)=czs~t�lor.1T �T i~ TOCK'fb t� 03iQ(,i (!S'��� •Hu%� �� O Sc , <br /> 4 t Et�IONr 6T D !o <br /> [ <br /> USI f �. 1nu:mk.' 1D <br /> 11 d10 ' t es Y1,`� N unit 4 <br /> 8. 1j V <br /> 7. �r\k p unit 6 <br /> unit s <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> XuNDERGRouNDTANK(uST)CLEANUPSrra(L.OP) 0 Housme ASATaMmUT '121/9ouD WASTE FAGS-n IVEN1OLa <br /> .OTHER CLQANUP SITE(NON-LOP) 0FOOD FACILITY 0WAME TIRE <br /> UNDERrKouND TANK(MONITORSTGIREMOVAL) ❑DOG KENKaL ODAIRY <br /> XHAZAR09USWASTEGENERATOR OGNICKENRANCH OWASTEWAT8RTR8ATMENTPLANT <br /> TMRSD PSRM IVO FACILITY 0 MOTFIJHOTEL 0 PUMPERTRUCK(YARDICrmMTOILVIS <br /> *TATTOOIBODYPISROMu 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> *MEDICAL WAITS FACILITY 0 OTHaII(PLEASE Spathe <br /> WELL AND SEPTIC PERMIT RECORDS ME AYAR uLE KIR KINSIOY •MONDAY+PJVAY 1100 AMS:ODPM - EXCLUOINOHOLIDATH. <br /> 1. List up to ten addresses In thg space above. Select the typa(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. F§X to(209)MA-0156 or mail to"'a9_deess indicated above. Address <br /> ranges will not be accepted—for additional assistance with fila addresses,contact the END.Applications rOCalved after <br /> 3:0o pm will be processad the next buslnaaa day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be conflrtned approximately ten (10) <br /> days after receipt of appilCMlon. The fibs will behold for a maximum of five buslnams days for review. Appointments <br /> Should be scheduled accordingly- iately lication maybe <br /> 3. A file that Is actively being worked on by EHD staff may not be Immedavailable for review. A new app <br /> submitted when the fila Is available. <br /> 4. Any file not returned In the same Condition as released will be reorganized by END 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 /> EHD USE ONLY <br /> "°`If need further asaiatdnce lease Contact (Harte Martinez @ (2!09)468-3425 direct' , 'rhahk You"^ <br />