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06/10/2008 13:35 FAX 559 256 i 1478 URS FRESNO Z001 <br /> EHD LOG NUMBER <br /> DATE RECEIVED a. SAN JOAQUIN COUNTY <br /> NTAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL 202-302P <br /> �i L 6(30 East Main Street, Stockton, CA 95 <br /> -0138Web: WwW-sJ9O ��� <br /> I (I �,Jplephone: (209)468-3420 Fax: (209)464 IV 30r <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> S <br /> � LLt1.0CBUSNESSIAGENCY: SAV- <br /> APPLa <br /> k��a WEA, 4ksol �Iw. aA 93'726 � <br /> ADDRESS: -60 azL15S�-;Zg-6- /4478 <br /> PHONE(1): ��_PHONE(7.): Sr'L-2 FACSIMILE: <br /> Time: <br /> TENTATIVE'APPOINVNIENT DATE: <br /> (Please allow ton bu4ness days from date of 8PPH�6011 Submittal-'Tentative only.must be Confirmed) <br /> REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> 13 CHECK BOX TO EXPEDITE RE(�)EST-$98.0 FEE(C R,CHECK ONLY)-REQ DATE <br /> SIGNATURE OF APPLICANT -4� 17� <br /> rIE'lectronIC Information: Ll LiE.t[]Map-Description: <br /> ................. <br /> EHDUSEONLY <br /> FILE ADDRESS I-J Unit I <br /> Streets Street Name - city <br /> 1111.1 0 Unit 2 <br /> t4l ado") sTdr-LT-6t4 <br /> 2. ba I �i 'ite,. I <br /> 3. Ade\ � VIL... nit <br /> 4. z j��L VL5. <br /> 6L(Lrdy"/ _. \� <br /> 5. <br /> "0 T-oD4-i I I- VLj. Luc nit 4 <br /> M <br /> 6. 00 Q UC, STD <br /> 7. �Lbb Vk(-LL&Y IL ON <br /> r-I Unit 5 <br /> E. Aj iZ <br /> II <br /> 9. 505 tj 0."? <br /> Rio. <br /> to <br /> Specific Date Range of InformaUO Rfquestscl:From <br /> ',,,ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> El SOLID WASTE FACILITY[VEH1CLE <br /> PERGROUNDTANK(UST)CLEANUP S�E(LOP) 13 HOUSING ABATEMENT 0 WASTEMRF <br /> �a, :R CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 DAIRY <br /> R1ROuND TANK(MONITORINGIREhi,A)VAL) 0 DOG KENNEL E3 WASTEWATER TREATMENT PLANT <br /> 0 CHCKENI RANCH <br /> FAZARDOUS WASTE GENERATOR 0 MOTELIHOTEL 0 PUMPER TRuCKryARc4CHEMTOILE7S <br /> 0 TIERED PERMITTED FACILITY M POOLISPA 0 LAND USE APPLICATION SITES <br /> 13 TATTOOIBODY PIERCING <br /> 0 MEDICAL WASTE FACILITY 171OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RtCORDS AREAVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 AM-5:00PM -EXCLUDING HOLIDAYS. <br /> 1. List up to ton addresses in the space above. Select the type(s)Of files from the list above by checking the appropriate <br /> 11 464.01138 or mail to the above address. Address ranges will <br /> box(es). At least one file type MUST be selected. Fax to�2 : mail after 3:00 pin will <br /> not be accepted-for additionatessistance with file addresses,Contact the EHD- Applications received <br /> be processed the next businest,day. exist. An appointment for review Will be confirmed approximately ten <br /> 2. The EHD will notify the applicalit if any EHD files e Appointments <br /> days after receipt Of aPrlllcatiot;l The files will be hold for a maximum of five business days for review. Appoin <br /> should be scheduled accordingly. available for review. Anew application <br /> 3. A file that is actively being worfed on by the EHD staff may not be immediately <br /> may be submitted when the Molls available. <br /> 4. Any file not returned In the same condition as reloased will be reorganized by to reEHvieD staff at the expense of the applicant. <br /> Future file reviews by the same;applicant may require a$98.00 deposit prior w. <br /> EHD USE ONLY <br /> PUBLIC IE10111 RELEASE API FIRM <br />