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CAJUN. 24, 2009 5:41 Ph1 <br /> F24-FAX CTR X7522 -NO, 7622 FP, 212 u,,S,, <br /> --' OANjOAQUIN COUNTY <br /> ru j O&RONMENTAL HEALTH DrzPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone; (209) 468-3420 Fax: (209) 464-0138 Web: VVWW'Sjg0V.o <br /> 7�_j r 15 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 0C.Q <br /> W. Poe BUSINESS/AGENCY; Morrison & Foerster LLP' <br /> ADDRESS: 425 _Market Street, 3tri dEjQor City/state/Zip San �Irancisco, CA 4105-2482 <br /> PHONE(1): 415, 268. 7000 _9 <br /> PHONE(2): FACSIMILE: 415 . 268. 7522 <br /> TENTATIVE*APPOINTMENT DATE: 07/09/09 Time; 10:00 a.m. <br /> (Please allow 10 business days from date Of aPPIIcati-Qn'submittal- .must beconfirmed) <br /> ❑ CHECK E30X TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT DATE <br /> [Electronic Information, El List 0 Map-Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street Name -;y <br /> 1. 800 West Church Street C] Unit 1 <br /> 2. <br /> — <br /> 3. Unit 2 <br /> 110001, <br /> 4. U <br /> 6. Unit 4 <br /> 71 <br /> n t 5 <br /> 10. El unit 6 <br /> Specific Date Range of Information Requested: From 0_JZ0j1j9_80 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING AlaATEMENT 0 SOLID WASTE FACILITYIVEHICLE <br /> DO OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REM OVAL) 173 DOG KENNEL 13 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH El WASTEWATER TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY 0 MOTEUHOTEL C1 PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOO/BOGY PIERCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY El OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00pm - EXCLUDING HOLIDAYS. <br /> 1. List Up to ten addresses in the space above. Select the type(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)464-0135 or mail to the address indicated 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 he 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 EHD 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 /> E140 40.06 0104/08 PUBLIC RECORDS RELEASE APP;0 RM <br />