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-.MO. 05' 07 (MON) ,16:34 SCHACK( ---0, ]NO TEL:209 83` X488 P. 002 <br /> 03/05/2007 09:49 209464 <br /> - @13g <br /> 1=J1lTRO*IHEN7RL NE`m�L7H - <br /> PAGE 02/6-. <br /> irHp LOG NWMVt=n <br /> DATE RCCEIVED SAN JOAQUIN COUNTY <br /> r,jN jRONmN'X'AL REALTH DEPARTMENT <br /> 304 Fast Weber Avenue, 3rd floor,Stockton, CA 95202-2708 <br /> TelePhone:(209)468-3420 Fax!(209)-AdNN1NWWeb. www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTh-a <br /> zzcl <br /> i BUStNESS/AGENGY:ADDRESS: <br /> PHONE(1): - 9 PRONE(2): - EAC53f�11�:-E - 7 <br /> TENTATiVE4 APPOINTIVENTDATE- rmg: <br /> (Plaoso allow 10 buslness days from data of applicatlon submittal-'TunraOve onlY-MLial bo confirmed) <br /> 0 CHECK BOK TO EXPEDITEU -S95_Q FEE( ASH OR CHECK ONLY)-RI=4UES7 PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> lrtoctronic Information: ❑ Llst C] Map-Description: <br /> FILE ADDRESS F-HD USE ONLY <br /> servals Strost NArna City Q unit 1 <br /> 1. r I <br /> Q Unit 2 <br /> 2. <br /> • ❑ Unit 3 <br /> 4. <br /> $. Unit A <br /> 6. <br /> 7 p Unit s <br /> 9. ❑ unit e <br /> 110. <br /> Specific Data Range of Information Requested: Froin to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tjMnAGROUND TANK(UST)cLxAwP SrrE(LDP) C1 HOUSING ADATEMENT ❑sm io WAsrE FACILrrY1VEHICLE <br /> o OTHER cLEANuP SETT:(90-1-017) O Foco FActurY O WASTETIRE -~ <br /> 1K tJNDMGROUIfb TANK{M6strrOA1I1GJfit=LtOVAt a 0 DOo KENNEL 0 DAIRY <br /> ❑HAZAAMISWASTE GEN ERATOR ❑CHiCKEN RANCH t3 WASTEWAIERTREATMEMTPLA0 <br /> 13 TIERED PERIAITMti FACIUIY d moTELMOTEI ❑PUanvERTRUCIUYAIrDlCrrs H TOn r rs <br /> 0 TArtoOf9ooY PIeWNC 17 POOL/SPA. 0 LAND USE APPLICATION SITES <br /> O MEDICAL WAsw FACILnY 0 OTHER(PLC.A.SE SPECtrY) <br /> WELL AND SEPTIC PEwirRE00Ro5 ARE AVA[LAaLE FSA RSVI" - MONDA,Y-FFWAY 0:00 AtKS:00PM - ExCLU01NG FlpLfbAYs <br /> 1. List up to ten addresses In tho space above, SDlect the type(s)of files from the list above by checking the appropriate <br /> bores). At least one file typo MUST be selected. Fax to(2091464-0138 or mall to the ad ress ndicated above. AddreSS <br /> ranges will not be aeeeptad-for additional assistance with fila addresses,contact the EHD.Applications recb)ved after <br /> 9:00 prn will ho processed Ilio next business day. <br /> 2 Tho EHD will notify the applicant If any EHD Files axlsL An appointment for review will W confirmed approximately ten(f 4) <br /> days after receipt of application. The fifes will be held for a maximum of five business days for review. Appointments <br /> should ba scheduled accordingly. <br /> 3. A filo that Is activoly.being worked on by EHD staff may not be immediately available for review. A flew application maybe <br /> submitted when the file Is available_ <br /> 4. Any fife 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 595.00 deposit prior to review.. <br /> END USE ONLY <br /> I <br />