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07/142008 14:35 CLAYTON PLEASANTON a 12094640138 <br /> h10.954 DB31 <br /> u ppng- SAN JOAQM COUNTy ENC LOG NUMBER <br /> j �. 3 LT1T18 EI NVMONMNTAT,HEALTH DEPARTMENT <br /> 304 East WeberAvenue,F :rd Floor,Stockton,b; 95292-290 <br /> Telephone' 209 468-3420 Fax:(249)464-0139 Web:vnvwsjgov.org/o <br /> '�;T'��_ PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAN1T,:,At 11 SOTOI' &f S BUSINESSIAGENCY:L>w`►�K L VCYt AJ <br /> APDRESS:1[�' IZ-C7 I !`r n.41+r Q , Z(�er '7%I ZZ 4 _ <br /> PHONE —2 11 PHONE(2). �$^-tZ FAC$IMILE:9�`WZf-0-0)010 <br /> TENTATIVE"APPDiNTMENT DATE: 11N dp J �-Fime: <br /> (Pleaca allow IU UUeinese days from dam of appliM(ian submittal-`Tentative only,must he FonnlmetO <br /> r1 CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROcESSED IN a BUSINESS DAYS <br /> SiGNATUPE of APPLICANT , + Z��— DATE 6rc- <br /> UNT DIST1i(BVTION Ounit 1 0Unit 2 ❑Unna OUnit 4 ❑Unit 5 17 Unit6 0 Other(electronicnigslma ) <br /> FILE ADDRESS <br /> $vests Svaat Name cRy <br /> EHD USE ONLY <br /> 2, I ✓ <br /> a. 0 ✓ek 1 <br /> 5• Ilr- l <br /> B I <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ta"ZoU <br /> uoTarvK(USTJCSnE(LOP) O Housina AaAtsrawr SFA <br /> RCLEP SrretNPNLOP) FFOOD FACIUttWAsre 7iReRFrRPUNOTANK(MPNRORI11REMOVAL) 17 DOC KEN DARY <br /> oPPPSwASIF DENEPATOECRICKENRANCH �WAMWATCR TACATMENT PUNT <br /> O PeRrAnTEDFAgtITY a4NIMUHOTEL. AlIPUMVERIRDI KrY"DICHm lou. <br /> -2 TAT7PP/BPDY PIaRgRODDtISpq �LANP USE AVP4G1TtON SrtE6 <br /> fiOICAL WASTE FACILITY OTHER(PLEASE$P=IFY) <br /> WELL ANP SEPTIC PEf Wn HECORDe Ani AVAILABLE FOR REVIEW- kDNpAY-FWDAY 8:00 AMS;90PM - FJICLUDING HOLIDAYS. <br /> 1. List up to ten addresses Fn the space above. Select the typo's)of files from the list above by checking the <br /> appropriate box(eS). At least one file Type MUST be selected. Fax to l209F 484.0138 or mail to the ad <br /> �< <br /> indicated above. Address ranges will not be accepted—for additional assistance w th file addresses,contact <br /> the EHD.Applications received after 3:00 pm w-11 be processed the next business day. <br /> 2. Th®EHD will notify the as <br /> if any EHD files ex st An appointment for review will he confirmed <br /> apys( r vi ten I70)days after receipt of application. The files wilt ba held for a maximum of five business <br /> days for review. Appolnbnents should be scheduled aecotdingly, <br /> 3. A file that Is actively being worked an by EHD staff may not ba immediately available for review. A new j <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as mleaaed will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 41 <br /> ENO ac.maor <br /> +naoe <br />