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"JUN 24. 2009 5:41PM MOEL-FAX CTR X7522 -NO. 7622 EP. 2/2NUMSER <br /> 0Ar4 ,)0AQU1N COUNTY <br /> EVVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> i.ulq o 5 zorl'� Telephone. (209) 468-3420 Fax: (209) 464-0138 Web: whw.sjgov.or <br /> '0 ' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> P=Aw '---ftrk W. Poe <br /> ADDRESS: 425 �r(� BUSINESS/AGENCY; Morrison & Foerster LLP' <br /> PHONE(1): 415, 268.7000 City/State/Zip San,�����-2482 <br /> PHONE(2): FACSIMILE. 415 . 268. 7522 <br /> TENTATIVE*APPOINTMENT DATE: 07/09/09 <br /> m date Of application submittal--�wTenfaffva only-must be confirmed) <br /> (Please allow 10 business days fro Time: 10:00 a.m. <br /> ED CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: El List ED Map–Description: <br /> FILE ADDRESS <br /> Street# Street Name C.ity EHD USE ONLY <br /> 1. 800 —West Church—'S'11 r�ee units <br /> 2. <br /> 3. UtI.It Z <br /> '40000, <br /> 5. <br /> 6. Unit 4 <br /> Stockton <br /> 7. <br /> -------------- <br /> 8. nit 5 <br /> 10. U Unit 6 <br /> Specific Date Range of Information Requested: From 01/01,/I-g-80 to 01101Z19 <br /> –89 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY`fVEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 173 DOG KENNEL C3 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C WA$TEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY 0 MOTEL/HOTEL M PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BoOY PIrRCINr, Q POOL/SPA M LAND USE APPLICATION SITE$ <br /> ❑ MEDICAL WASTE FACILITY 11 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00pm - EXCLUD(NO,HOLIDAYS. <br /> I List up to ten addresses in the space above. Select the t`YPe(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4.54-()138 or mail to the;?ddress indipated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 Pm 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 approximately ten(10) <br /> days after receipt Of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being Worked on by EHD staff May not be immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by rzH()Staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> PHI)48.06 0104108 PUBLIC RECORDS RELEASE APP FORM <br />