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DATE RECEIVE D ' SAN JOAQUIN COUNTY I. FHO LOC,4i.jurii-'-p <br /> 11-Ho E C V ED A�ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Win St. Stockton, CA 95202-3029 <br /> Telephone <br /> : (209) 468-3420 Fax: (209)464-X)13-8 Web: www.sjjgc0)vorgje <br /> 'd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ----­---­------ <br /> BUSINES.S1AGENCY. 0_4,.& �- <br /> ADDRESS: 13z/CITYISTATEIZIP: V <br /> z/Yr,30__1' ��!n4'� <br /> PHONE (11): ...... '�i� PHONE(2):. FACSIMILE: <br /> TENTATIVE-APPOINTMENT Time <br /> (Pliks"011110W 10 bus Iness days frorri_d_i(vi�sjij�J_Icatj43�j_U brn l6il only-.must becc�nhr��-- <br /> F-1 CHECK ROX TO EXPECICTE REQUEST-$11 VEE C CH(-'.0 )N <br /> - .-(,r" REOLIPST PROCr..$SED IN 3 SUSINES_-,DAyS <br /> SIGNATURE Cat`APPLICANT DATE <br /> LY-'entron1c: Information, ❑ List [j Map- Dose ription: . <br /> FILE ADDRESS <br /> Rzuyvi E"D UStqNLY <br /> SI roe I,0 Street Narno City <br /> [ <br /> 01, U11II <br /> "tv', 4W W-102 13 if ie <br /> 2, - <br /> 0,- 3/40 N4 leue. )Dd (7 01 <br /> H� D unit z CIN <br /> 3. <br /> /0 24 <br /> Lt' PC Unit 3 <br /> 7. :~J Unit 4 <br /> 9. L3 Unit i <br /> Lo__ 0 0 rNi <br /> Specific Date Raj.­."Information ROqUOSIed: Fr011n to <br /> ENVIRONMENTAL HEALTH DiOiARTMIENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SfrF(LOP) HOUSING ABATEMENT El SOLID WASTE FAcILfTYNEHICLE <br /> El OT141ER CLEANUP SRE(NON-LOP) 59 FOOD FAC%,ITY- P-- <br /> El UNDERG900ko TANK(Mofiff Ll WASTE TIRE <br /> 0RIW,1RFMOVAfl DOG K E NNE L DAIRY <br /> HAZARMUS WASTE GENERATOR CHICKEN RANCH WA$TEWATERTRJEATW_Nr PLAmF <br /> LJT*Ftro PERWIEDFACPLITY MOT FLIHOTEL PUMPFRTRUCKIYARDICHENCk TOUTS <br /> HTATTOOMODY P;ERCMG ❑POOLISPA LAND USE.APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTRER(PLEASE SPECIFY1 <br /> WELL AND SEPTIC PERM17 IkEcoRrm ARE AVAILABLE FOR RwEw: MONDAY-FRIDAY 8:00 Am-5:00pm(EXCLUDING HOLIDAYS) <br /> M in the space above. Select the type(s)of Mea trom"list 2130vo by Checking the appropriate <br /> b,ox(es). Al least one Rio type MUST be seloctedr Glx to(2.0pj,48�e �rafl to Lhq,address inrlSAtgdi.Abqve... Address <br /> 1'410906 will not be accepted-for additional assistance with,file addresses,contact the EHD. Applicationsrecalved after <br /> 3:00 pm will be Processed the next btiCness day. <br /> 2 Thar EHO will notify the applicant if any EHD files axist. An appointment for review will be confirmed approximately tot,(10I <br /> days,after receipt of application. The files will be held for a maximury,Of(lye business days for review. Appointment$ <br /> should be scheduled accordingly. <br /> 3. A Rio that is actively being worked on by E1110 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 returned[in this sarna condition as released will be reofgari4ed by EHD staff at the&xpen"e tfA applicant. <br /> Future file reviews by this same applicant may require a,$115 deposit prior to review, <br /> 5- If you"ad furth8r A6,1111stS"Ce,please contact Diane Martinez.at(2099 468.3425, <br /> ENID <br /> .5W.- <br /> .......... <br />