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Jul 36 06 10:00a Apex 209 f-9668 p2 <br /> HHD LCC: NUN RE-4 <br /> D TERECENED SAN JOAQUIN COUNTY <br /> (��� <br /> fIUS C�jC�',',, i. ;ID� ENVII20NNl7;NTALREAI.THDEPARTMENT q <br /> 304 Fast Weber Avenue,3`'Floor, Stockton, CA 95202-2703 <br /> JUL 0 J 2(;(,). Telephone:(209)468-3420 Fax: (209)464-0138 Web: vrw.sjgov.or Jehd 2 <br /> ENVIRONMENT HEr,i7 ' PIIBLIC RECORDS RELEASE APPLICATION _ <br /> L"k— BUSINESS <br /> raGEHCY: <br /> ADDREss:_i'. `�` Y•l .Dtj%I1 <br /> PHONE(t):Dyo (•.�►�'— PHONE(2): LU5' (- 4U 610- -FAcsaaa..E:a`aQ G„4�d••_ '1���"v' <br /> T1E.NTATI1E:-"APPDIMMENY DATE: <br /> (%ease allow 10 business days Tram date of appucawn stivm al-"lersrerive only-must ba coill nled)y-- <br /> ❑ cmu..m sox TO EXPF-_OTE REQUEST-493.00'FEE l(CASH OR CHECK ONLY)-REQUE:T PROCESSED IN BUSINESSIVi YS <br /> SIGNATURE OFAPPLICANT — "'y-�'• ` DATE' <br /> UNIT DISTRIBUTION ❑UMt t ❑Una 2 ❑Unit 3- ❑ Unit4 Dunks O tWl 6 Q Othar(eIectrDnicril,lslm r_,) <br /> FILE ADDRESS OHD USE ONLY <br /> SUeet# meat Nana City <br /> 2. 4.Lch N. E � /' tart — — <br /> A V <br /> 3. ALLSL <br /> 4. — � \ <br /> 8. <br /> 6. <br /> 7. -- - <br /> S. -- <br /> 9. t — <br /> Specific Date Range of W'O mation Requested:From 7. ?D4Z W <br /> EffORONMENTAL HEALTH DEPARTMENT FILES <br /> 'X LWvMmouNd TANx(UST,CLEAHU SNE(LOP) o HDLM4 ABATEMHIT ❑ -oLLDWASTEFACIUTYMEMCY __ <br /> ❑CRNERCLrMWsnE(NON16P) ❑FOOD FAcujn 0YIASTE TRE <br /> ❑UNDESGaolara TANK(MONTOMNc1RESMAL) ❑Dec KENNEL, Q DAIRY <br /> 13 HAr-W-DOLt5 YVA 11MMATOR 0 c=a RAN ❑vrAS'LEY/ATEa7hrAT1. PLAwr <br /> ❑TIERED PER TTEO FACE ❑MOTrLFAO' ❑ PUxa4n TftLL RJYARDM .MTOn.LTS <br /> CT TATn)o[SooYPERaHo ❑POOLISPA D L AHD USE APPllCATXW SRM <br /> MEDICAL V"TE FACILITY ❑OnmR(PLEASE SPecLEY) --_ <br /> _ _WL:_u-Awo Sm-mPc-mm P.ECDwos ANr AVARABLEPORReAEW- MONDAY-FMOAY8:00AM-S:OOPtt - E)CCtudNa HOUOAtS. - ,-- <br /> 1. List up to ben addresses In the space above. Select the type(s)of files from the list eHove,by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to 209144;4-0138 or mall to the address. <br /> indicabad above. Address n Ages will not be accepted-for additional assistancewoth fife addresses,contact <br /> the EHD.Applications received atter 3:00 pm will be processed the next business day. <br /> 2. 'rhe EHD will notify the applicait if any EHD fifes eAmt. An appointment for review will be confirmed <br /> approximately ten(10)days ager rece[pt of application. The files will be heicl for a max(mimt of flus IwasiNes> <br /> days for reviiew. Appoint-meats should be scheduled accordingly. <br /> 3. Afile that k;actively being worked on by EHD staff may not be immediately arvailable for review. A new, <br /> application may be svbmiVed when the file is available. <br /> 4- Any file not returned in the same condition as released will be reorgan'cced by EHD staff at the expense of the <br /> applicant Future file reviews by the salve applicant may require a$93.00 deposit prior to review. <br /> ELAI awzaos <br /> vt.ucrs <br />