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07/02/2007 10: 16 FAX im 001/001 <br /> DATF RECEIVED <br /> rmSAN.IQAQUIN �:OIJNTY EHD LOG NUMBER <br /> { <br /> lU�i t ! =.=1•i`=) �J-J ENVIRONMENTAL HEALTH DEPARTMTNT <br /> 600 L. Main Street, Stockton, CA 95202-3029 <br /> i1!1 j a [007 Telephone: (209)468-3420 Fax:(709)464-013R Web: www.sjgov.nr(G/ T7 <br /> cP'ivihOP<f'.1-INA 1 1 rACTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESSIAGENCY: 06t-b9 C0051kt-f <br /> ADDRESS: d�/ 6L-{b p2/vE IIf}n7 ( CD+a,>wr9 q[2 [ p y �r[+ <br /> PHONE(1): 7/6 503 Jz�)of PHONE(2):. -116 '34-6 <br /> '34-6 q3 1 FACSIMILE:_g"1VL6, D3( 83X5 <br /> TENTATIVE*APPOINTMENT DATE; /' '04 'q se Time: <br /> (Please allow 10 business days from date of a nation submittal_•Tontafive only•must ba confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- e5.00 F EE((C.ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT s'ry % DATE 7— /-•07 <br /> Electronic information: ❑ List❑Map-Description: <br /> _., FILE ADDRESS EHD USE ONLY <br /> sueecf rr� How <br /> streot_N/am�a Clry -- <br /> t' ' e r'1rwi,rJ�j- Wfl7 rO4(�i prJ Vnit1 <br /> z• 6soo- - $ z S- -- t-4�rzvp Ea, <br /> a ❑ URit2 <br /> { 3• �bLE-O c4m&ZtOL-?�' ��'ZdP <br /> (ice d. 5U2 n1 . E(_ p0 sr 51 Vc1LfJ Unit3 <br /> 7 23—/T IarILY 3Lvb. rJ T cy 3J5a CP/ 3Ja / _ Unit4 <br /> 7. _ S� <br /> $. ❑ Unit 5 <br /> 9. -- --- <br /> 10. Q unit 6 <br /> Specific Date Range of Information Requested:From RLL to 4 LQ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �iUNDERGROUND TANK(UST)CLEANUP SITE(LOP( I-)HOUSING A.ATEMENT 13 SOLID WASTE FACLIWIVEHIULE <br /> 9THER CLEANUP SITE(NON-LOP) (3 FOOD FACILITY 1`1 WASTE TIRE <br /> NDeROROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> � UST <br /> J{ARDOUS WASTE GENERATOR MCHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> pf TIERED PERMITTED FACU ITT O MOTELMOTEL 0 PUMPER TRUCKIYARDICHEM TmLETS <br /> O TATTOO/BODY PIERCING 17 POOLISPA 1`1 LAND USE APPLICATION SUES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SPPnC PERMIT RECORDS ARE AVAILABLE FOR REVIEW• MONDAYfWDAY 8!00 AM•5:oDPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above, Select the type)$)of files from the list above by checking the appropriate <br /> box(es). At(east one file type MUST be selected. Fax 09 464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the END.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any END files exist- An appointment for review will be confirmed approximately ten(10) <br /> days after receipt Of application. The files 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 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 /> F.HOa8�06 9n9Yi01xf web ___ .. __ _ <br />