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02/21/2007 15:07 FAX 1002/003 <br /> 2006 68:54 4648136 ENVIROWENTAL 1 L-i�IH rout nl <br /> SAY JOA,QUZN COUNTY EHD LOG Num6ER <br /> I�S�? ENVIRONMENTAL REALTH DFFA RTmENr <br /> 304 Past Weber Avenue, P Floor, Stockton, CA.95202-2708 <br /> Telephone:(209)468-3420 FRx: (209)464-0138 Web: www.sjgov,org/ehd <br /> PUBLIC RECORDS REL)EASE APPI.IC.A-HON 7q3 <br /> APPLICANT; ' C—Ll—,i2& BUSWESS/AGEIJdY: <br /> ADDRESS: AA L <br /> PHONE(1); 13 t'/-c PHONE(?a: rtA=MILE: $• <br /> TENTATIVE*APPOINTMENT DATE: Tlms <br /> (masse allow 10 business days from date of zWr-atIon SuLwWtW--Tanf2"oety-must be confirmed) <br /> 17 CHECK BOX To EXPEDrTE RECt1EST-i95.A0 H GtiECK ONLY)-REQUEST PROCESSED IN 3 BU3rNES8 DAYS <br /> SIGNATURE OFAPPLIOANT DATE <br /> Electronic Information: p List p es ption: <br /> FILE ADDRESS EHD USE ONLY <br /> 5vevt Street Name a unit 7 <br /> 1. <br /> 2- G' G q w,n 2 <br /> 3. <br /> 4. Unit 3 <br /> 5. <br /> Q WK 4 <br /> 7. <br /> •. �. O unit 5 <br /> Unit 8 <br /> 10, <br /> Specific Data Range of Infelmatlon Requested:From to <br /> >ENYIkONMENTAL HEALTH DEPARTMENT FILES <br /> UNo otrNo Tptac(US t)CLENfUp STTTa(LOI') ❑Housm AeMUCWT WAsw FAcamr[Vc=LF <br /> of4+Ex CtFANw SrTE(NON{oP) O Fo oo FAGS- T ❑wAS(E 1M <br /> �RGu►m TaNK(MAtetOWiG1R8lOYAl) d Doo Kemkr_ O DArKY <br /> TiDOu9 VYASTE GErteRATVK b CNKX"RANCH JkWA5TrWATER11MATMt W PLANT' <br /> O TOW I MOA TED FACILITY O 1BOTWHOTEL O PVWKK TFaftrJYAtca/Ct1E'u TO&M <br /> 13 TATTOCI B Y PLMMr, 13 POWSPA d LANG USE AAPLk.ATION Sm <br /> 11�"DICn1 WAm FAPUW ❑OTHER(PLEASE SPEgFY)_-- <br /> ftmANo SEPTIC PgRmrr Rncofws AECE AYAlLutx Poe Rcv{sw- MoWGAY.PmAY 9:00 Am-5;00m - ExcLuma WK—Ya. <br /> 1. List up to ten addrass.s In the space above. Select the typa(S)of filaa from the list above by checking the appropriate <br /> box(es), At kast one fife type MUST be selected. Pea to 2D9 464-0138 or mail t9 itim modruzz indicated above. Address <br /> ranges will not be accepted,for additional assistance with file addresses,contact the EHD.Appllcattons recetved after <br /> 3:00 pm will be processed tho next bushes*bay. <br /> 2. The END will notify the applicant If any EHD files exist. An appointment For review will be confirmed approximately ten(10) <br /> days aft"r"pt of application. The files will be held for a maximum of five business days for review. Appelnio,ants <br /> should be icheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immadiatoly available for rvYivw, A naw application may be <br /> submltted when the filo Is nvallable. <br /> 4. Any file not returned in the same cottdidon as released will be reorganized by DID staff'nt the expense of the applicant <br /> Future file reviews by the same applicant may require a S95.00 de posit prior to review., <br /> EHD USE ONLY <br /> EHP�6 Wi <br />