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�O•d -lasoi R . <br /> r•.:,t i r `e. pu_ <br /> EHD LOG NUMSER <br /> SAN JOAQUIN COUN SH <br /> ENVIRONMI ENTAL HEALTH DCPARTM.CNT <br /> M7 600 E. Main Street, Stockton,CA 95202-3029 ; <br /> Telephone: (209)468-3420 Fax, (209)464-p138 Web: www.sjgov.Dr <br /> !?E,; �w'vfi PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: E.�► �IV�C. —� 80811NILSSIAGENCY: <br /> ADDRESS: t <br /> PHONE(1):4'-M6 t- -� PHONE(2): `-t ` FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: -Q` � � Time: <br /> (Please allow 10 business days from data of applicat&h submi I-"Tentative only-MuSt be confirmed) <br />' CHECK BOX TO EXPEDITE REQUE3 - 95 EEE( H O CK LY)-REQUEST PRQCE$St=D IN[3 BUSINESS DAYS <br /> SIGNATURE 'OF APPLICANT DATE t"Lc�1 a <br /> Electronic Information: let Map--Description. <br /> FILE ADDRESS IrHD USE ONLY <br /> _ Street m Street Name City O Unit 1 <br /> 2. - .. ❑ Unit 2 <br /> 3. <br /> 4 Unit s <br /> vIL <br /> 6. sit 4' <br /> units <br /> $, -i <br /> A- W ❑ Unit6 <br /> 10. <br /> I <br /> Specific Date.Range of Information Requested:From -.....\4\Lk0 ._.- to Q <br /> j ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEAN " <br /> THM CLEANUP SITE(NON-LOP) <br /> —ROROUND TANK(MONITORING ° r'�a t'ka a�^o <br /> AZARDOu3 WASTE GENERATOR 4 r <br /> Tlereen PERMIT FACILITY W i <br /> 13 TATTOOIBODY PIERCING �.�, "^ y�,+�`W <br /> b MEDICAL WASTE FACILITY . ; <br /> WELL AND SEPTIC.PEt<N: <br /> 1. List up to ten addresses in, ¢ �s " <br /> box(es). At feast one file ty <br /> ranges will not be accepted <br /> z Tn '.fJ <br /> 3:00 pm will be processed t ��_ � > � � U u <br /> s. <br /> JL <br /> ml <br /> 2. The RHO Will notify the app) <br /> days after receipt of applies <br /> should be scheduled accor <br /> 3. A file that is actively being, <br /> I � 3 . <br /> 41 <br /> submitted when the fele is a <br /> 4. An file not returned in the F3.x gE7 <br /> Y <br /> Future file reviews by the 61i jg� <br /> t{ t� 1 a ;fir 4C� a sJ I <br /> E0:9-M 91aQWG web <br /> TOi1 O'd , LBP£ V13L 916 3-n I A3SON - N031da i3l SO:b T LOOZ-OZ-dill' <br />