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05/14/2027 16:35 269462617r <br /> STOCKTON PETROLEUM PAGE 01/01 <br /> Sid <br /> SAN`JOAQUIN COUNTY EHQLoc NUMBER <br /> MAY ENVIRONMENTAL HEALTH I)EPARTMEN�' <br /> IL 4 i007600 E-Main Street,Stockton,CA 95202-3029 <br /> ENV!R0N MH ,! H k�r Telepbo�ae; (209)468-3420 Fax:(209)464-0138 Web:www.Sjg0V.0tg/ d <br /> r. <br /> F !'+irkt1f! ' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_'104a -41 � - �,�_BUSiNi:,4S1AGENGY: <br /> ADDRESS: ,� <br /> PHONE(1):--�1 g��3 g ZrC PHONE(2): 3eU <br /> FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE; q Time: <br /> (Please allow t#buslnaam days from date of apppcauarl submltte"-"TanfuUv0 Only.must be confirmed) <br /> rl CHECK BOX TO EXPEDITE REQ u - 8.00 FEE CASHOR ECK ONLY)-REQUEST PROCESSED IN 3 BLISrNE"DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information. "10 List Malp—Descrlption: <br /> FILE ADDRESS EHD USE ONLYStrsal/ Sum Mame city <br /> [3. <br /> units-�f o 3 s a g . urn z <br /> 4. �- Untt 3 <br /> 6. <br /> L7. d untt6 <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> 0 UMMRWWNo TANK JUST)CLEMUO SITZ{(LOP) o HOWINO ABATEMENT 13 SOLM WASTE FAClIITY11 tH=LA <br /> J?tHER CI R:ATaUr STTE(iloH-LOPJ 0 Fow FArAww D WASTE TM <br /> UHDER6RO�fNA TANK(MgrATpRfNOJREAtOV 41} Q Dor.}O MEL 0 DAIRY <br /> HAZAR DER WASTE AGFUTy i 0R In CHICMEN 1tAKCW 0 WASTEWATER TREATMENT PLANT <br /> d TIEREn PERMnTE4 FAGLI7Y I3 MOTE A*ML 0 P0MPERTMXrJYAtM0W TolLM <br /> E3 TATT[>DSM PIER004 0 POOLISPA Cl LANA APPucATIaN f <br /> 0 MEDICAL WASTE FACMITr AOTMER(PLEASE SPECIFY Z f <br /> WELL AND SEPTIC PERMIrT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 0:00 AAA-S Oopm : F.XMVMNG HOLIDAYS. <br /> 1. Ust up to ten addresses in;the space above. 8010ct the types)of fi1Os from the list above by checking the appropriate <br /> box(ea� At least one file typo MY WT be selected. i= to(2091464-0138 or mWIto the addMs t d sated above. Atltlnese <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 EHD will notify the applicant if any EHO files exist. An appohriment for review will be confirmed approximately ten(10) <br /> days after receipt bf application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immedlately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned In thw'same condition as released will be reorganized by EHD staff at the azpense of the applicant <br /> Future file reviews by the same applicant may require a$96,00 deposit prior to review, <br /> CHH USE ONLY <br /> END IL 9+77fZ0p6 web <br />