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X3/2005 15:17 FAX .209 94806,2,1 i .. <br /> �: t i� 121002/002 <br /> I� SAN J OA,QMN COUNTY <br /> . l + <br /> ENYIROMENTAL HEALTH DEPARTMENT } <br /> PF9 0 19ng5 304 E Webere 3`1Floor Stockton, CA 95205 <br /> ENVIRONMENT FILQPM 468-3420 Fax: (209)464-0138 Web:yr w=!san joaqum.ca.uslehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICAUON j <br /> APPLICANT: `- 5� �0 BUSINESS1AGENCY_ wotkC;IU�•„�_ <br /> 5L <br /> PHONE: _� - � � _-- _ FACSIMILE: 1 ---- <br /> TENTATIVE*APPbtNTMENT DATE:_� 1'j c5 } T[me: IZOO <br /> T I <br /> (Please alloy IQ hisiness days from date of application submtt. Q <br /> f� I <br /> GHIECK BOX TO EXPEDITE REQUEST-$03.00 FEE-REQUEST PROCESSED IN 3'aUSINESS DAYS <br /> SIGNATURE OF APPLICANT 7�` ,,.��� _ DATE i <br /> i Devaftm- t lige Only <br /> FILE ADDRESS i UNIT <br /> city nleA�&r �� - L ❑ Unit 1 f <br /> 2- Wwl 14reo My <br /> s. 5 r1\J3 51MCM oil 5e) Unfit 2 <br /> F,I- <br /> 6. SLeee -b q- fl R <br /> 7- svdLl Or, <br /> 1 Unit 4 i <br /> a. s arf r,M 1. 6 <br /> 9- sweet a /,. ❑ Unit 5 I <br /> !a. *meet CZY <br /> 'I <br /> f <br /> ENV1RaNMENTAL HEALTH DEPART MENT FILES A00,04, <br /> 9 UNnEFtnFz6umo TA*Nx(usT)cLr-muP SR'E{LOP} d HOUSING ABATEMENT IQL.SOLD WASTE FAGILI.TY <br /> I> OTHER CLEANUP SITE(MON-LOP) El FOOD FACILITY SOLID WASTE VCHICLE <br /> V <br /> I& UNDERnROUND TANK MONTTORINGIRElAOVAL ❑ DOG KERNEL } I DAIRY <br /> Z HAZARDOUS WASTE GENrzRATQR o CHICKE74 RANCH IB-PKG TREATMENT PLANT . <br /> O TIERED Pr;:P.Mrl'TED FACILITY o MOTELlHOTEL �! ❑ PUMPER TRUGKIYARD1CHr=M TOILETS <br /> 0 TA-rrOOISODY PtFRCING 0 FOOLAPA M LAND USE APPLICATION SITES <br /> 17 MraOtCAl-WASTE FACIL.TI-Y 0 OTHER{PLEASE 3Pt:CIF~f) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax to 208 454-0136 or mail to the <br /> address.indicated above- _ <br /> 2. EHD will notify the applicant if any EHO files exist. An app'olntment for review will be confirmed <br /> approximately five business days but no later than ten (I 0j days after receipt of application. The files <br /> will be held for a maximum of five business days for revieAi. Appointments should be scheduled <br /> Accordingly. l <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A nes <br /> application may he 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 expens <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to rev]e <br /> S. TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6, Applications received after 3:00 pm will be processed the next•business day. <br /> i <br /> : QF�RMED.iPPOIKTM.EI ?' ATE` Ix <br />(I -.PA . <br /> e �rPH-ONET� 7 ] ' . • = l <br /> REVit}1ED YES �DR.=V1E'IV <br /> FADXA'TE• <br /> FHn <br /> , <br /> sA-lt446 F <br />