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/-DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone- (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.orgletid <br /> APR , 0 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT!__ BLISINESSI'AGENCY: <br /> Z6729,1 5�Aji_______ 0�4.CS-W <br /> ADDRESS: CITYtSTATEIZIP:, AJkl+ci J�j <br /> PHONE 1114: PHONE (2): FACSIMILE: <br /> T _6AJE. <br /> rzNrAnvE-Appoi Time, <br /> (Please allow 10 busirassi days fr appilcatlonsubimaia <br /> [:]CHECK({OX TO EXPEDITE REQUEST-$l IS FEE tc S4 cH I(� <br /> .:�OAk N REQU ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> ER-tranichiformation: E1Lh1t0U2P-D*ecrIpfiow.___. <br /> FILE ADDRESS ELIO UWAV ONLY <br /> street A stroef Name citynit i <br /> /U <br /> (j unit 2 <br /> /2 <br /> 7 <br /> 3 14 <br /> 41 AW t PC,, <br /> _4 W 9S.Oz unit 3 <br /> 6. <br /> 3-W,4 Unit 4 <br /> T. <br /> d. <br /> unix 5 <br /> 10. <br /> f7 uu�l <br /> Spocift Date RAngs of Int-mmoon A*Tmte;," From to <br /> ENVIRCINMEWFAL-R-E—ALTH DEPARTMENT'FILES <br /> Ej UNDERGROUND TANK(UST)C41-ANTIR SrTf.(LOP) HOUSM ABATFAIIEW DSOLA)WksTl FACILITYtVVHICLP <br /> OTHER CLEANUP SITS(Nall-LOP) F000FAcurr/*,?z2n,'crTAq�,ts WA$itTiRE <br /> Uidompoupiu TANK(100NMXIINGIRENOVAQ DOG KENNEL 8 DAIRY <br /> HAZARDOUS WAS TE GENERATOR CHCKEN RANCH []WAS?LWATFRTRFAIMENT PLANT <br /> Ll TIERFLU PERMITTED FACILITY MOTRIHOTEL 0 PulsPeft TIUXK(YARI)IC14ENCAL'rOtETS <br /> TATTOWBODY PIERCING ❑P1001 ISPA EILAND USE APPLICATION SITES <br /> MEDICAL WAStV FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC Pd RmjT RECORDS ARE AVAILABLE FOR REWEW.' MONDAY^FRMAY 8:00 AM-6:00PNI(ExcL2DIN <br /> G HOLIDAYS) <br /> 1. L4t up to en ra In the spa"above Select the type(s)Of Met train the list nb�ove by checking the appropriate <br /> box(es). At toast one nio type miusr be selected Addinase <br /> ranges will not be accepted-for additional assistanoewitil file addresses,contact the EHD. Applicalifons not8hrod Altar <br /> 3:00 pm will be Processed the next business day. <br /> 2. The EHD wilt notify the applicant If any EHD flies exist, An appointment forreview,will be confirmed approximatsAy ton (to) <br /> days after receipt of application. The filas will be held for a maximum of five business days for review. Appointments <br /> should be schadLJIQd acCordIngly, <br /> 3. A file that Is actively be-Ing worked on by EHD staff MAY not be Immediately available for review. A now application may be <br /> submitted when the file Is available, <br /> 4. Any file not renirnad In the earn&concifflon as released will be reorganized by EHD staff at the 9xponseof the Applicant, <br /> Future file reviews by the same appileant may mquIror a$If$deposit prior to review. <br /> S. If you need further assistance, PWaso contact Diane Martinez,At(209)46e-3425, <br />