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ENVIRONMENTAL HaLTH <br /> 'r AN JOAQUIN(2()UN-ry <br /> 158 <br /> z L PAGE 01 <br /> ENVIRON-AMN-fAL MALT H IMPARTNmNT <br /> 0 3- 2008 <br /> 304 East Weber Avenue, 3`4 Floor, <br /> Stock-ton,CA 95202-270 <br /> �j clePhOnO- (209)468--13420 Fax: (209)464-0138 W <br /> HH'kLleb: wwwor ch.sjgov� 13/ <br /> 2 <br /> s PUBLIC RECORDS RELEASE APPLICAUON <br /> APPLIOMr =..... <br /> l3IJ5INESS1A4F-N0y;H'1 �77�, <br /> ADDRESS., 2-500 biavh'- - <br /> �PHONE(1): (27' 4ILl- <br /> 2-0 9 PHONE(2)! FACSI?OILFMILF: <br /> TENTATIVE*APPOINTMENT DATr;: I 61r Tim.. Aivl <br /> (PleasC allow 10 bUsifteS3 days from date of;Ippilcij onsubmjtf�j--.,run — <br /> t3brve only-rnurt be confirmed) <br /> CHECK BOX To FXPEorffi REQtj W.' (GASH OR CHECK 0NL'N)-KEQUEsT PROCESSED IN 3 BUSINMS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE: <br /> LE�Iectroniclnformatlon: ❑List[] Map-rsescriptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Name <br /> 5- 7F <br /> 2. maw- <br /> 3. <br /> 4- unit 3 <br /> 5. 7 <br /> 7. <br /> 'Oki 5 <br /> 10. Pnit 6 <br /> Specific Date Range of InformaUon Requested,From to <br /> I ENVIRONMENTAL HEALTH DEPARTMENT FI41;S <br /> �eRER <br /> GROUND TANK(usm a A up srm(LOP) Q HOUSNG ABATEMENT R'9O-LID WASTE FACILITYNEWCLE <br /> CLFANUF SrFE(N'ON4.OP) rl FmD FAcuw 1;3-�'npx <br /> ER6ROUND TANK(MOWTOR'INOIREMOVAL) Cl Do*KrNNEL 71 DAIRY <br /> 5fy"VOILISWASTV G"EMTOR n C�KCKFr4 RANCH MAMAVEWATER TfttAnqF-NT PLANT <br /> W-REa PERMa-MO PAC)= El MQTEJJHQTUL C]PUMPER 7RUC"ARDICHEM TUuMS <br /> E37AT-ItO130BYPIERCINO 0 PO<)LJSFJA CLANO USE APPLICA-VON SrrEs <br /> 0 MEDICAL WASTE FACKITY C3 OTHER(PLE.Ozu SpEwry) <br /> WELL AND SE"c PERMIT REcoRos ARC AVAILAuLE FOR REVIEW- MONDAY-FRrciAY 6;00 AM-S;O(1PM - 1EXCLUDINI;HOLIDAYS. <br /> 1, List up to ten addre*sas In the space above, Select the type(s)of files 11rorn the list above by checking the appropriate <br /> box(es). At least*no file typo MUST be selected. Fax to(209)4G4-0138 or mail to th@ address Indicated above.. Address <br /> ranges will not be accopted-for additional assistance with fila addresses,contact the EHD.Applications received after <br /> 3:00 prn will be processed the next business day. <br /> 2. The EHD will notiry the applicant if any EHD files exist An appoIntmant for review will ba confirmed approximately ten(10) <br /> days attar receipt of application. The files will be held for a maximum of five business days for Mvlaw. Appointments <br /> should be scheduled aQaordln9Iy. <br /> 3. A file that Is actively being worked on by EHIJ,staff may not be Immediately available for review. A now 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 mail require a$95.00 deposit prior to review., <br /> EHD USE ONLY <br /> TO �gVd TbKHLOTET LT:GT 9002/C9/TO <br />