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— <br /> DATE RECEIVED _ <br /> SAN KOAQ0DNK`ODNTY s*oLOG NUMBER <br /> )�~�z ' <br /> ���Io�^`������ ������� ��������K <br /> 600East Main Street, Stockton, CA952U2-27OQ <br /> R, . ^ °6) Telephone: (209)468'3420Fax: (209) 464'0l38Web: vnnp ~, v <br /> � <br /> PUBLIC RE CORDS RE'LEASE APPLICATION <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow10business days from date of application submittal-*Tentative must ueconfirmed) <br /> AcxsoKBOX PROCESSED|woBUSINESS DAYS <br /> SIGNATURE OFAPPLICANT DATE <br /> Electronic Information: E] List Map—'Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City El Unit 1 <br /> 5. <br /> Unit 4 Al <br /> 6. <br /> 7. <br /> 8. <br /> Unit 6 <br /> Specific Date Range ofInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> P(UNDERGROUND TANK(UST)CLEANUP SITE p) ',�*uomwoAo^rcmpwr oSOLID WASTE puc/un,vcx/oLs <br /> A OTHER CLEANUP SITE(NON-LOP) oFOOD FACILITY oWASTE TIRE <br /> ,B�UNDERGROUND TANK(MONITORING/REMOVAL) oDOG KENNEL El DAIRY <br /> ,3"AZARDOUS WASTE rox oCHICKEN RANCH oWASTEWATER TREATMENT PLANT <br /> FACILITYATIERED PERMITTED oMoTeuxorsL oPUMPER TxouxoYAxu/uxcuTOILETS <br /> uT^noo/ouo,p/sxo/ws opnouSp« oLAND USE APPLICATION SITES <br /> oMEDICAL WASTE FACILITY oOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-5:00pm ' EXCLUDING HOLIDAYS. <br /> I. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. 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 EHDwill notify the applicant ifany EHDfiles exist. Anappointment for review will baconfirmed approximately ten(1V) <br /> days after receipt ofapplication. The files will boheld for amaximum offive business days for review. Appointments <br /> should boscheduled 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 file isavailable. <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 may require a$98.00 deposit prior to review. <br /> sHDVSE ONLY <br />