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Mar. 3. 2009 14; 18 B°OWN & 'NINTFRR NoW7P. 1 <br /> E—� C � EHD LOG NUMBER <br /> �[� I� AIV JOAQUIN COUNTY <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> MAR 4 8 2000 600 East Main Street,Stockton, CA95202- I <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.s3029jgov <br /> hi ( n <br /> ENVIROMMENi ALT'S <br /> P ERI' IT!SEF ,CES PUBLIC RECORDS RELEASE APPLICATION <br /> 7NE(* <br /> T: JhMef /M,47_/tlf0A/ BUSINESSIAGENCY: LYROW,v 4 W'W7"f 6AWFrRM)BB: Ia.O QIRwt/NGµ-qm DRIVE yeRylstattaip CRRAff C41 47AV077 7/PO �p 1-9gBJ PHONE(2); 100 874/-779.2 p FACSIMILES: fP 3J y'y2.� <br /> TENTATIVE;APPOINTMENT DATE:_. /wel: * /V, .1oo Tlme: aF h5k <br /> (Please allow 10 buBin days from date of appacstion submittal-•Twitauve only-must be confirmed) <br /> � CHECK BOX TO EXPEDITE R EST��S7J�0�FEE H 0 CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS a <br /> GNATURE OF APPLICANT / ti���a DATE -7- 3— Zcep <br /> r 9ectronic information; ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street M Street Name City <br /> 315 N. ofemrr� srxsE g"DCkuw oes SP ❑ DnK, <br /> sire CNPCs s XZ UP cad s034(Y ❑ Unit2 <br /> 4c- <br /> 1N, S Unita <br /> V / W , _ , <br /> W, srCk L <br /> ^ J <br /> 17 1 unit 4 <br /> 7, r <br /> 8. ❑ Units <br /> 9. <br /> C1 Unit e <br /> 10. <br /> Speck` eta Range of Information Requested:From to I <br /> �/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �R3 u57i{�5 <br /> UNDEkOROUND TANK(UST)CLEANUP SIT; ❑HOUSING ABATEMENT ❑SOLID WASTE FACILMNEHICLE 1(I/ <br /> b OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 17 WASTE TIRE <br /> .UNDERGROUND TANK(MONn'ORINGIREMOVAL) G DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH ❑WASTEWATER TREATMENT PUNT <br /> ❑TIERED PERMITTED FACILITY 0 MOTEUHOTEL 17 PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING C1 POOLISPA 17 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:001`111 - EXCLUDING HOLIDAYS <br /> 1. List up to ten addresses in the space above. Select the type(s)of fifes from the list above by chocking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4840138 or mail to the address 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 END will notify the applicant H any END files exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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 END staff may not be Immediately available for review. A new application may be <br /> submitted when the file 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> 5-10-&q � 3 C I 5 - d - <br /> 0004 <br /> ® ts• <br /> EHD 4a•08 8/04N8 PUBLIC RECORDS RELF-SE APP FORM <br />