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03/07/2606 12:45 4640138 ENVIP.CANMENTAL HEN PAGE 01 <br /> EHO LQU NUMtP-'K <br /> oATE RM;r;V D SAN JoAQuIN COUNTY ' <br /> ]ENvmONMENTA.L HEALTH DEPARTMENT � —pDY �C <br /> A-19, <br /> East Weber Avca=,316 Floor, Stockton, CA 952202 270 <br /> 304 v o ehd <br /> Telephone-(209)46&3420 Fax.;1209)464-0135�cb: wwtiv.sj$o rgI <br /> 4z <br /> I PU]3LIC RECORDS RFLEASE APPLICATION � {l <br /> APPLICANT. SU91NE351 ENr<Y: <br /> (0 rITY Y�L �0 TATE pp <br /> ADDRESS: `` yam, ,L CJ �"' 1 <br /> �� a(7 COO PHONE(21: FAW9Ni1LE <br /> pNaraE(a �J, ,b o� <br /> TENTATNIE*APFOIN'MEN1T DATE: <br /> (pit are allow 90 business dam from data of xpp mar aumittal•*Yenta"on usl be Carts <br /> 0 CHECK BOX TO EXPEDITE RE QUFST-$9100 FEE(CASH OR(;tMCK OMY)-REQUEST PRC CUBED IN S St3slrt> GAYS <br /> SIGNATURE OF APPLICANT DATE <br /> EI�T° ❑ List Q trap-DescrlPtton <br /> Mtormatlan <br /> FILE AODRESS END USE ONLY <br /> Stxsst street Name city <br /> �^ Unit 1 <br /> 2. if unit 2 <br /> 3. i <br /> a. 25 Unit 3 <br /> S. Unit 4 <br /> 7. 1 Unit 5 <br /> 6, <br /> s. unit <br /> Speome Date Range of Information Requested'.From to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILL-8 a <br /> CZ up 5rt4(LOP) ❑Housmo ARA i cl;SKT Va WA3r�FAQ IVIVEn� <br /> ILTrtz"pen <br /> ROUNGTA4IK(UST) C�FOODFAGI AETET <br /> LEANUF SITE(N014-0P) Q DOG}wP4tiEL Q C7A1RY <br /> ROUND TANK( ITOR�1Rfi1V 'AL) WASIT-WAM I'R,EATiVENT PLANT <br /> 0410 WASTE GP�RATOR U CMPGKEN RAMOH fl PuraFOR Te�llGKNARSIlCHc4rGa1 TOILETS <br /> PERN�EACiLTC! G POI�,ISPA SEL ❑ 4APf0 U6E AP7U+'•A i—ON 5tSEs <br /> Q TATMOISOVY PIeRC'Na M FcoU3aA <br /> MhDjcA�WASTRFAC1Lm ❑OT?9cR(P S^EC9F1) <br /> V1 EW.Aero 8Ermp P6GWWFZ, Q480S ARG AYAILAV,11 FOR REVSEW •PAONDAY-jrRiDAY 8:00 A 4:0iiFte - EaSCttrnA+6 kioLmAYa a„� <br /> 1. Llst up to teci addresses In the space above. elect the type($)of files fr©rti the list above by checking the <br /> appropriate box(es). At least one file type MUST be selaetnd. Fax�(209) 0 38 or to the ad rose <br /> lndicat�d,aba'Kp Address Barges Will not be accepted-for additional *Ga)stan"with fife-addr4mses,carltact <br /> the EHD, Applications received after 3:00 PM will be procse—ted the next bu$i2. ness day, <br /> The EHD will notify the applicant if sny EHD Mei exist. An appointment for TeviGW will be Confirmed <br /> appro4mataty ten(10)days��necei be application, <br /> a fi�will be held for a M8,4mum of frve, business <br /> daye for review. APP aye <br /> 3. A file that is oaEively being worked on by EHD staff may not bg!Immediatah( SVRII ole for review. Anew <br /> application may b2 submitted when the file is available. <br /> 4. Arn)r file not returrind in the samr condition as released will <br /> lebulre a sn ¢by <br /> P®t i�HD staff <br /> a 04?exPense of the <br /> applicant. Future file reviews by the same applicant may q <br /> 6RO4_M <br /> jwl abo6 <br />