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-0 <br /> SAN JOAQUIN LUUwi1': <br /> r ENVIRONMENTAL HEALTH DEPARTMENT �, f <br /> 2 2012 800 East Main Street, Stockton, CA 95202-3029 k� <br /> Telephone: (209) 468420 Fax: (209) 484-0138 Web: wwws19ov.or g/eI.... <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1 tT�T/V\ BUSINESS/ ENCY:� <br /> g Clty(StatelaP <br /> z Gt � <br /> PHONE(2). � FACSIMILE: <br /> Enr ' <br /> TENTATIVE'APPORITMENT DATE: Time: _..... <br /> (phew allow 10 business days from date of application submittal-`Ter QUEST <br /> T PR CESSE IN ) <br /> 13 CHECK 80X TO EXPEDITE REO E T-5105 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 B SINESS n <br /> I' �I'�_�_ <br /> SIGNATURE OF APPLICANT <br /> � I <br /> Electronic Information: ❑List❑Map—Description: - ' <br /> EHD U5 <br /> FILE ADDRESS <br /> gy <br /> to Street Name City ❑ Unit 1 <br /> j i. 1 t .,t i� I .� I ' 6V ❑ Unit <br /> IJ <br /> C. <br /> 3. I I Unita <br /> 4 <br /> 5, I �/� 5(e4h alyQ ❑' Unit 4 <br /> 6. Ida- <br /> 7 ❑ Unit 5 <br /> 9 ❑ Unit 6 <br /> 10. <br /> "Iffic Date Range of information Requested: From to <br /> i ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> k <br /> DUND TANK(UBT)CLEANUpSrrE(LOP) [3 HOUSING ABATEMENT ❑SOLID WASTE FACILFT ,IIF_I'IIC LE <br /> 13FOOD FACILITY O WASTE TIRE <br /> LEAnUPSITE(NON-LOP) C3000 KENNEL C3 DAIRYOUNDTANK(MONRORINO/REYOVAL) ❑CHICKEN RANCH - O WASTEWATERTREATNBIT I'l-kni <br /> WASTEGENERATOR 173 PUMPER TRUCKJVARDICHMA TOILETS <br /> TIERED P <br /> pEA�YnTED FACILITY YO fAOTEIMOTEL <br /> nwDY PIERCWO 13POOVSPA 13 LAND USE APPLICATION Sims li <br /> O OTHER(PLEASE SPECIFY) _.---.- -' <br /> 7 t.WASTE FACILITY <br /> Lt D r,+ .. .ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY H CO G: P1-5 CU EXCLUDING MOL.ii1AY9 <br /> atwve: "t ect the type(s)of files from the 11M eh.ov Icy slit:cking tho nwoviaW <br /> ry t Ir i Ue selected. Fax to 09)464-0131r mail to fn _ilclf - }incllcdtad RbovD Addras� <br /> ;:mal assistance With file arldni,wcahona3,conInct the FhdU a giliracBWa�after <br /> An eppoirnt 11 r,t iOr PE i VI Will L 0nfitDTed appmx)matoty tan fib, <br /> . . ,1 fiT3XiL' 1R of fins buainFr t} r"rei'er7. AppaIntmontl <br /> A I}9Yd 8jiptiCStiOt=trey t?'; it <br />