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06/01/2005 17:35 530676F STRATUS NO CALIF PAGE 01/0 <br /> DATE RECENED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT / I� <br /> 304 East Weber Avenue,3''Floor, Stockton, CA 952070$1 tt� <br /> (209)468-3420 Fax: (209)464-0138 Web:WWW.S o eh�27- 3 - <br /> Telephone: O:DUI mt} <br /> PUBLIC RECORDS RELEASE APPLICAAl <br /> , THENT <br /> APPLICANT: Cawr r.11�oW}�[D, __BUSINESS/AGENCY: <br /> ADDRESS: I <br /> PHONF(i): (530C. - PHONE(2); 530 - FAGSIM/IL_ ' <br /> TENTATIVE'APPOINTMENT DAT 1Te. — <br /> 1 (Please allow 10 business day t �p IT sub -'7 ' a only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST 93.00 F CASH O CHEC 0 Y). QUEST PROCESSED IN 3 6USIN SS DAYS / <br /> SIGNATURE OF APPLICANT DATE <br /> UNIT DISTRIBUTION ❑ Unit 1 'OUnit2 ❑Unita [3Unit4 [] Units O Units 171 Other(electmnicll' ap <br /> FILE ADDRESS EHD USE ON <br /> StTaata Street Name City <br /> \ 2. <br /> \ 3. 2. <br /> 4. Z <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. it <br /> 10. <br /> Specific Date Range of Information Requested:From to Fra<ea')' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t>IJJNDERGRoUNDTAW(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT O SOLID WASTE FACILTIYIV RICLE <br /> W OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY 13WASTE TIRE <br /> NDERGROUNDSTE AORINGIREMOVAL) M DOG KENd DAIRY <br /> pol,ls WASTE GENERATOR RA CHICKEN RANCH OWA$TEWATERTREATMEN7 PLANT <br /> ❑TIERED PERIETTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCIOYARDICHEM TOILETS <br /> O TATTOOISODY PIERCING M POOUSPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACLnY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS A r AVAILABLE FOR REVIEW� MONDAY-FRIDAY 91'00 AM-5:OOPM . EXCLUDING HOUDAYS_ <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> END 4AZ-QK <br /> moos <br />