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uA,Ju1. 17. 200') 4;03° 1 A 'ed GeoEryi ronmental No. 5311 '. 1 .." <br /> SAN JOAQUEN 1-01UPd-YY <br /> ENVIRONMENTAL HEALTR DEPARTMENT <br /> RIDECENED 304 East Weber Avenue, 3"Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-013£ Web: ww.sjgov.org/ehd ZLfo qZ <br /> JUL 1 7 2006 -www.sjgov.org/ehd <br /> RECORDS RELEASE APPLICATION <br /> 91 % BuslNessIAGENY: <br /> GA 9SaiS <br /> -------- <br /> PHOI4H(9:2Q4_L(6_f - ICO(✓ PHONE(7.): 901-(001 -'159 1 FACSIMILE: d Oq- 'iCp 7 '-/11(5 <br /> 'rENTAVVE* <br /> I1c5"I'ENTATIVE"APPOINTMENT DATE: 7- 15- 0(o Time: /-500 _ <br /> (Pl,mse allznv 90 twx r es3 days from date of application submittal-'Tentative only-must b,t confimied) <br /> CHECK 1�,()X TO M-1E0ITE FiE u $93.00 EE(CASJ� CHECK ONLY)-REQUEST OROCESS201N 3 BUSINESS uA":; <br /> SIGNATURE OF APPLICANT DATE ------ <br /> UNIT DISTRIBUTIViq ❑ Urrl�9 G Unit 2 ❑ Unit 3 ❑Unit 4 ❑ Unit 5 ❑ Unit® ❑ Other(ellrctronlc AL�sts(maN) <br /> i <br /> FILE ADDRESS EFF)USE ONLY <br /> Street##_ Stmef.Name <br /> 2. -- <br /> 3. <br /> s._ <br /> fi. _ 1 �" <br /> s. _..� F —�- — <br /> FE <br /> 9. — — <br /> Specific Date Range,of Information Requested: From to -- �--------- <br /> ,x ENVIRONMENTAL HEALTH DEPARTMENT FILE a <br /> 0!LUNPERQRQUND TA.KK(UST)CLEANUP SITE(LAP) ❑ HOUSING ABA'rrmENT ❑SOLID WASTE FACILITYNEHICL[ <br /> C1 OTHER CLEA"IUF'SITE(Non-LOP) IJ FOOD FACILITY O WASTE TIRE <br /> 19�+�UNDERGRpLIIJD'rPFK(MONITC'RINGMEMOVAL) ❑DOG KENNEL 171 ERy <br /> a llPZARDOLIS WASTE GENERATOR 0 CHICKEN RANCH 13 VVIk EWATER TREATMENT FiANT <br /> 173 TIEItED PERIY,ITT?',I FACILITY <br /> ❑MOTE MOTEL ❑PLJ[APER TRuCK A ARD(CHFm T'oILET.$ <br /> 0 TATTCO(RODY PIERCING O POOLISPA np ❑ Leno USE APFLICATION Suns <br /> 17 111E0ICAL WASTE f F,CIUTY Qli"O'{1tER(PLEASE <br /> MLL AND SEPTIC PEF.MIT RECGRUS.ARE AVAILABLE POR REVIEw - MONDAY-FRIDAY 8:DQ AM-5:00FM - EKCLutimG HOLIDAYS_ <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the last above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0139 or mail to the ad,dres3 <br /> indicated a6,ove. Address ranges Willi not be accepted–for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 prn will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximasely ten (10)dlyr>after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. At file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> appi!ication vnay be submitted when the file is available. <br /> 4. Any file not returned in the same,condition as released will be reorganized by EHD staff al the expense of the <br /> alpplicanL Future file reviovif.by the same applicant may require a$93.00 deposit prier to review. <br /> EHD 4302-WO <br /> V1403 <br />