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10/18/2007 THU 14:36 FAX 202999 SJC PUBLIC WORKS <br /> ri <br /> DATE RECEIVED SAN JOAQM COUNTY EH0 LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 600 East Main Street Stockton,CA 95202-3029 <br /> Telephone- (209)468-3420 Fax:(209)464-0138 Web:wwwA ov. 11d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> div <br /> Hopkin BUSINE$WAGENCY: <br /> _SJC Public Works <br /> ADDRESS._lei Q E.Hazelton Avo. <br /> PHONE(1):_468-3osL­­­�_�IPHONE(2): 30g -00.k' I FACSIMILE: 468-2999 <br /> TENTATIVE*APPOINTMENT DATE' Nov.2,2007 Time: i:is pm <br /> (Please allow 10 bUSIndIS dayS ftom date of Upplication Submittal-*Tenta0ve—only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$ 1,Y)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE LO /6 <br /> Electronic Information: Lj List[]Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> I, Struet Name <br /> — - - ... - ff F-��h <br /> C L.4 C q-,-, j2 .-4- PA 1) t'x- <br /> F22. C g12.126 <br /> 3- Tv- <br /> UN <br /> 4- 0 <br /> Rj_ <br /> 5- <br /> Q \IT nits <br /> T R Unit 5 <br /> j 7LIO <br /> !&4. ...... Ur <br /> N--6 <br /> Unft6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIR.ONMtNTAL HEALTH DEPARTMENT FILES <br /> X-UNDERCRouND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING AeAymrNT 0 SOUD WASTE FACILITYNEMCLE <br /> ER CLEANUP SITE(NQWLOIP) M FOOD ItAciuTy 0 WASTE TIRE <br /> OTHER <br /> TANK(VIONiToRiNGIREmovAL) E3 DOG KENNEL 0 DAIRY <br /> HAZAR013133 WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PrRmirrm FACII-rry El MOTEUHQTF-:L 13 PUMPERTRUCWYARDICI-Irim Toit-rn <br /> 0 TAT'roolOODY PIERCING C3 POOLISPA )eLAND U9F AppucATioN arrEg <br /> 0 MEDICAL WASTE FACILrry C3 OTHFA(PLEASE SPECTFY) <br /> WELL AND Senc PaRmrr RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-IiFuo"9;00 Am-5!00PM - EXCLUDING HOUIDAYS. <br /> 11. Usk 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 tQ(2091464-0138 or mail to the addrIndicated 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 /> Z The EHD will notify the applicant if any JEHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after mcolpt of application. The files will be hold 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 EHD staff at the expense of the applicant, <br /> Future file reviews by the Same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 40-116 WEB 8188407 <br />