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04/27/2I00009(� 116j:16�J / EHD LOG NUMBER <br /> FAX 916 817 4717 H D R ENGINEERING - 10001 <br /> (\ �� a..i �. <br /> Il` SAN JOAQUIN COUNTY <br /> DV L <br /> APR 217 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> Nj HEAIT <br /> 600 East Main Street, Stockton, CA 95202-3029 1 <br /> ENPER ��V`�f e�Iephone: (209 468-3420 Fax: (209) 464-0138 Web: www.Sjgo <br /> �r PUBLIC RECORDS RELEASE APPLICATIONS <br /> APPLIC ^ = V t5�Sie wNr7111z BUSINESSIAGENCY: <br /> ADORES _2.3J c5 It2pNp(�DJhTr'- RE'L , , C j_ Ciry/staterZlp fi-=o 1..,-S'O f''l, ' - 7J yyt7�d <br /> PHONE(1 mil 10'SI—1•A-12-� PHONE(2): ) FACSIMILE: <br /> TENTATIVE;APPOINTMENT DATE: '•�I S Loci Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$1105�1FEE <br /> E(�(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNAT RE OF APPLICANT DATE <br /> Electro Ic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> treat 0 Street Name CRY ❑ Unit 1 <br /> a! 73 IJ, HWY r <br /> t.1. Hid "1-1 Vim) nR2 <br /> lo2-°I N• m1`l s-rvG7�[nc�) <br /> 4 9 GI N. t+w `1`1 S1-o_'thJ P^nl <br /> 5. 7 b3 N, Hw "7q ssvct�c, 1 <br /> 1N10fsrWl5 ltd T <br /> 7' ❑ Unit 5 <br /> 8. <br /> 9. i ❑ U.it E <br /> 10. i <br /> Specific Date Range of Information Requested:From to <br /> �j ENVIRONMENTAL HEALTH DEPARTMENT FILES GIQj <br /> 4NUENIROUND TANK(UST)CLEANUP SITE(LOP) O HOUSUIG ABATEMENT D SOLID WASTE FAc1Lm'NEHICLE <br /> �www�--,�aa]r^^^^^�0�.��•�•THER RFANUP SITE(NON4-OP) 11 F000 FAcu_r Y 0 WASTE TIRE <br /> �NDERAROUND TANK(MONRORINGIREMOvAL) ❑DOG KENNEL 13 DAIRY V^ <br /> 0 NAZAR OUS WASTE GENERATOR M CHICKEN RANCH 0 WASTEWATER TREATMwT PLANT <br /> 0 TIERED ERMrrreo FAGLIrY 0 MOTELIHMEL O PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATT BODY PIERCING 0 POOL/SPA ❑LAND USE APPLICATION SITES <br /> O MEDIO � WASTE FACILITY O OTHER(PLEASESPECH'Y) <br /> q WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8100 AM-5:00PM - EXGLUDINOHOLIDAYS- <br /> 1. List p to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(JHD <br /> s). At least one file type MUST be selected. Fax to 12091'464.0136 or mail to the address indicated above. Address <br /> rangswill not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:IT <br /> m will be processed the next business day. <br /> 2. The willnotifythe applicantifany EHDfilese0) <br /> daysfter receipt of application. The files will be held For a maximum of five business days for r®view. Appointments <br /> sho4d be scheduled accordingly. <br /> 3. A fTl that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> subilitted when the file Is available. <br /> C Any lie not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Futu a file reviews by the same applicant may require a$105 deposit prior to review. <br /> I EHD USE ONLY <br /> I- nal v <br /> Oq" Itf69 / Q a <br /> EHD 4e-0s/O4/ PUBLIC RECORDS RELEASE APP FORM <br /> l <br />