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HOV-02-2009 01 : 15 PM 23553. 56637 559 992 4954 P_ 02 <br /> FFiU LLOGNNUMBER��� �[ D SAN JOAQUIN COUNTY <br /> Nov 2009 ENVIRONMENTAL HEALTH DEPARTMENT" <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> EW IROMOT HEALTH Telephone: (209)468-3420 Falx: (209) 464-0138 Web: www.sjgov.org <br /> PERT SfRVl 3 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> _ kCAPPLICAN'1 j " B...USINESSIAGENCY:CITYISTATEI7IP:ADDRESS: . JC <br /> PHONE(1): 4$fp---S 5 .._:S.il/b._._� PHONE (Z)'------ _.. ...._..._ FACSI�: la._ ..=_. FIC <br /> TENTATIVE*APPOINTNIFNIT DATE Time,_ <br /> (Please allow 10 4usiness days from data of applleatlpn euhmlttal A"T'entaNvr only-must be confrmady <br /> L_} 01iF'C'.K BOX TO LXPE-)l rL PLQUE5`r 5115 FEE.('A� I OI•i(>IECK r)NI,Y)' RM- UL,Xt IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ,r z..- HATE r <br /> Electronic Information: [..J List LI Map—Description: <br /> FILE ADDRESS EUSF <br /> NI? ONLY <br /> Street# Street Name city Unit 1 <br /> 2. P�-ag22r�� �� rift 2 <br /> - _ . <br /> 3. <br /> 4 Unit 3 <br /> 6. Unit 4 <br /> 7. <br /> CJ Unit S <br /> 9. <br /> nit 6 <br /> Specific Data Range of Information Requested: Front ___ --..,_._.._ to <br /> ENVIRONMENTAL HEALTH DEART <br /> PMER FILES <br /> UP SI TANK(UST)CLEANTE(LOP) L]HOUSING AHA1 EMLN1' � qUD WASTE FACILITVIVEHICI_L <br /> gUNDERCROLINO <br /> TJ*R CLt.ANUP SITE".(NON-LOP) �a Foot?FACILItY WASTE TIRf- <br /> �+ }NOFIRGROtJNo TANK(MOhirrORIKVREMOVAL) 0©OG KENNEL. D PAIRY <br /> AIARDOi15 WA$Tk OFNFRATOR -�CHICKEN RANCH € ASTEWATrR TREATMENT PLANT <br /> l II Ri,D PE,RMITIED FACILITY E]MOM 11-110TUL Ej PUMPCR TRUCKIYARDICH&MICAt.Ton_F•S <br /> TAT1001800y PZRCING ]POOLISPA r--4.AND US[APPLIr.ATION SITES <br /> MEDICAL WASTE:FACILITY OTHOZ(PLL'ASL SPE(:1rY) <br /> WELL AND SEPTIC PERMIT REcOADS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 Aae•3:OOPM(EXCLUDING HOLIDAY$) <br /> 1. List qp tg ten adgregggS in the epaCo above. Select the types)of files from the list above by Checking the appropriate <br /> box(es). Al least one file type MUST be selected. Fax to(2091464-QJ ! , ro mail-jo the d above. Addreas <br /> ranges will not be accepted-for additlonal assistance with filo addresses,contact the EHD. Applications recelved after <br /> 3.00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHO files exist. An appointment for review will be confirmed opproxlmataly ten(10) <br /> days after receipt of application. The files will be held for a maximum of five busing$$days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by ENO staff may not be Immediately available for review. A new application may be <br /> submitted when the rile Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at the expense of the applicant. <br /> Future file reviews by the sante applicant may require a$iib dopoait prior to review. <br /> 5. If YOU ncead further aonistance,pioaae contact Diane Martinez,at(2D91488•,3426. <br /> i <br />