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02/26/2009 THU 8: 05 FAX 2099, —199 SJC Public Works <br /> DATE RECEIVEo EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 T=ax: (209)464-0138 Web:www.sjgov.orgle <br /> PUBLIC RECORDS RELEASE APPLICATION p. <br /> APPLICANT: BU8INESS/AGENCY: 5J G it tq -- <br /> ADDRESS: 4l G l/ V Cltypautamp S 75170 _ �t711 e,4 25ZOI <br /> L <br /> PHONE(1); � O%—'fly F 30f� PHONE,(21: --- --- _ --- FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Plewa allow 10 business days from data of appRestion submittal-`Tentative only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITE REQU $10FEE(G OR CK ONLY)-REQUEST PROCESSED IN S BUSINESS O YS <br /> SIGNATURE OF APPLICANT ,_ _- _ _ DATE <br /> Eleatrwtic Inforrnatlon: ❑list❑Map—Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> W11. <br /> Street Name CRY runit 1 <br /> se- <br /> 2. Unit 2 4 unita7• KOJL <br /> o� Units <br /> If. <br /> 9. jll(�to�r+4 C.� ❑ Una 6 <br /> 1o. �� Gr r� L, <br /> Specific Date flange of Infonnatlon Requested:From to. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p TANK(UST)CLEMW SITE(LOP) AaATt3sENT D]SoLm WASTE FAC uTyiVr:WU <br /> WOMM CLEANUP SM(NON-LOP) CNJTY 0 WASTE TIRE <br /> XLUaDPwRouNDTANK(MoNITowNo1REwwAL} SDFooKENNEL 13 DAIRY <br /> M T� WASTE.GENERATOR 13 CHICKEN RANCH E3 WASTF-WATER TREATMENT PLANT <br /> Pow.,w FACtuTr 0 MOTEUHOTEL t7 PumPERTRwAvYAwMHFAYaLm <br /> G TATtt MODY PIERCING C3 POOl1SPA O Lom USE APPLICATION SM <br /> MEDICAL WASTE F=LriY t7 OTHER(PLEASE S <br /> WEU.AND SEIV9C PERMIT RECORDS ARE AVAiLMLE FOR REVIEW-NWoAYfRIDAY e:00 AM-6-001`111 -EXCLUDING HOUDAYS. . <br /> 1. List up to ten addresses In the space above. Select the type(s)of(lies from the list above by checking the appropriate <br /> box("). Atleast one fHe type MUST be selected. Fax to(2081 AM1SO4r'mail to the address lad 1ho m, 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 /> 2. The EHD will notify the applicant If any EHD files exiat An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held 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 fie It'avaliable.. <br /> C Any file not n t rind In the same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Futlur.e fife reviews by the same ap�llcant may require a$188 deposit prior to review. <br /> END USE ONLY <br /> EHD 48-00 LIN= PUBLIC RECORDS RELEASE APP FORM. <br />