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V'Jf15/ZMJ 10:23 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> U (J �Ir-'II 11 SAN JOAQUIN COUNTY EHn LOG NUVEER <br /> L�� D+NVIXONMENTAL HEALTH DEPARTMENT <br /> SEP 1 5 2009 600 East Maus St. Stockton., CA 95202-2708 <br /> ENVfRONMENT HEALTH / _G <br /> Telephone: (209)468-3420 Par. (209)464-0138 Web: www.8jg0v.org/ <br /> PERMIT/SERVICES cP�UBLIC RECORDS RELEASE APPLICATION 1 4, <br /> APPLICANT: �V � BUSIN�.ESCtSIAGENCtY:JNC— . C�.n.r;11g1 _"ts <br /> ADDRESS: 5,0 CD \��.,p CITYlSTATEl�IP �.�i A`q�i�T C/Ps S�IsP I�S5i <br /> PHONE(1); �?ZS--7 LI�j" (or- PHONE(2): FACSIMILE: 9•2J `7V6-(909') <br /> TENTATIVE'APPOINTMENT DATE: Time; <br /> (Please allow 10 business days from date of application submittal-•TentetNe only•must be confirm d) <br /> tJ CHECK BOX TO EXPEDITE REQUEST-9ivs.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 7%MINESS DAYS <br /> SIGNATURE OF APPLICANT :2` r DATE <br /> Electronic Information. ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 4 Street Name City ❑ UnK 1 <br /> 2. nit.2 <br /> 3. <br /> 4. <br /> _----• nit 4 <br /> 8. <br /> 7, <br /> ❑ <br /> Unit 5 <br /> 8. <br /> 9. <br /> Unit O <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> Cp ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> , UNOERORWNO TANK(UST)CLEANUP SMZ(LOP) 0 HOUSING ASATEMENT �DIJD WASTE FAdInYNFHICLE .�3• ,r <br /> 47`x- HER CLEANUP SITE IN ON-LOP) ❑FOOD FAdLITV OWABTE 11kEt <br /> NOEROROUNO TANK(MONITORINDR2ENOVpL]Q` 10 DOG KENNEL ❑DNRY al'L VVV 111 <br /> AZARDOUS WASTE GENERATOR 0CHICKENRANCII j 'YASTEWAYER TREATMENT PLANT <br /> 0 TIERED P'ERNTTED FACIUTY O MarmffloTEL O PUMPER TRUCIUYARDICHEMTOILETa <br /> •TATTOO1009Y PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY CJ OrNER(PLEASE SPEdPY) <br /> WELL AND SEPTIC PERNT RECORDS ARE AVAILABLE FOR REVIEW.MONbAY-FRIDAY 3:00 Aws;OOPM - EKOLUDINO HOLIDAYS. <br /> 1. List uo tet nn addresses in the Space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2119)464-Oi33 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EMD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appolntmerd for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold 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 EHD 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$105.00 deposit prlar to review. <br /> EHD USE ONLY <br /> '""If you need further assistance please contact Diane Martinez e (209)468-3425 directly. Thank You' <br /> END 48416 oroarmoa <br />