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°`^' '°`^= �=,�°� . ��~�~ =, . �� <br /> -234-0538 Line 11 /sa.m. 10-23-2012 1 /1 <br /> IME DATE RECEIVED <br /> �=N <br /> SAN U0AQU|N ���JONTy � <br /> �- 0~�N��� :0~�N�Y <br /> ~ ~~�����w � ��U ENVIRONMENTAL HEALTH DEPARTMENT <br /> 18GBEast Hazelton /\venue Stockton, CA 95205-6232 <br /> X�� <br /> U[ /� � 8 phmnm: (2OS) 4O8-342OFax: (2O9)4-- 013O0�a : Vnvvv/ 'Aovorg/ehd <br /> ENVIRONMENTALHEAUH <br /> --'---CES PUBLIC ���K������� RELEASE APPLICATION <br /> ^ `~~~`-^~~ ^~~-~~~~^^^~^~ ^^~-^-~- -~~- ^ ^^ ^ ^-~—^ ^^ '--^` <br /> APPLICANT- Z&k b&��2b-7 BUSINESS/AGENCY: /�OAW <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> El CHECK BOX TO EXPEDITE REQUMN25 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUS[IN,.IESS DAYS <br /> SIGNATURE OF APPLICANT DATE 117— <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City 0 Unit 1 <br /> 2. El Unit 2 <br /> 4. El Unit 3 <br /> 7. <br /> 8. El Unit 5 <br /> 9. <br /> 10. El Unit 6 <br /> Specific Date Range vfInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> GNV <br /> E HOUSING ABATEMENT SounVUxsnsFoc|UrY/Vcx(cLc <br /> LKOTHER CLEANUP SITE(NoN-LOP) FOOD FACILITY Lj WASTE TIRE <br /> o/Rcmovxd DOG KENNEL Dmnv <br /> [RIIAZARDOUS WASTE oo CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> T|cncoPERMITTED F»cmry MnrsdHoTc/ PUMPER TnuxxWAnDICxsw/cALTOILETS <br /> ' TATToo/QooYP|cno/ws PooUSpx LAND USE APPLICATION SITES <br /> El K8cooxL WASTE FACILITY [lCOMPLAINT RECORDS OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00AM-5:00PM1(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in theb Select thtype(s)offi| from the list above by checkingthe appropriate <br /> box(es). Atleast one file type MUST ueselected. *oorrnn <br /> ranges will not be accepted'for additional assistance with file addresses, contact the EHo. Applications received after <br /> 3:VVpmwill beprocessed the next business day. <br /> 2. The EHDwill notify the applicant ifany EHDfiles exist. /\nappointment for review will bpconfirmed approximately ten (10) <br /> days after receipt of application. The files will be held for maximum of five business days for review. Appointments <br /> � <br /> should be scheduleadaccordingi <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. &new application may bn <br /> submitted when the file ioavailable. <br /> ^. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense ofthe applicant. <br /> Future filo reviews by the same applicant may require a$125 deposit prior to review. <br />