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E/1."IN <br /> �FF y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> kI iC Q �U 10 600 East Main St. Stockton, CA 95202-2708 <br /> ENVIRUIVmENTT 1 ""- (tag)4613-3420 Fax: (2Q9) 464-0138 Web: wowsigov.org/ehd <br /> PFRMITISERVICFS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSiNE59lAGENCY:_ C<ei~- '' J a ADDRESS: f16-7&0 <br /> I ` CITYISTATEOP: �PHONE(1): -- 2`— PHONE(2): �� FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Wl/,�//Q Time. 1t�flrri <br /> (Please gkIlow 10 business days from date of apPlloatton submittal.°TenfaVve only-muet b+confirmed) y� <br /> ❑CHECK 60X TO EXPEDITE REQUEST $t 15.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINES`'DAYS s <br /> SIGNATURE OF APPLICANT DATE <br /> Eloctronic Infmwtlon: []List❑Map-Descr PUOW <br /> FILE ADDRESS EHo USE ONLY <br /> �Stroet w Street Name City ❑Volt i <br /> 2.-1-- I]unit-2 <br /> I <br /> 4 <br /> 5, <br /> g Unit 4 <br /> $ ❑Unit b <br /> 9. <br /> (), I D Unit 6 <br /> Specific Date Range of Informsttion Requested: From to —, <br /> / ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1 umwRGpsm TANK(UST)CLennuP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> �OTHER CLEANUP SrIE(NON-LOP) ❑FOOD FACILITY ❑WAsTE TIRE <br /> UNC TANK(1r"rroRwJRF-9OVAL)?\ ❑DOG KENNELHWASTEWATER <br /> DAIRY <br /> i 14"6M WASTE GENERATOR El CHICKEN RANCH TREATMENT PLANT <br /> ❑T"-,-PERtAnW FACILITY ❑MOTHJHOTEL ❑PUMPER IRUCKIYARDICHEMICALTOILETS <br /> � ' ❑TAT:T008WY PeVNG POOIISPA ❑LAND USE APPLICATION SITES <br /> ❑ V6WAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> ELL AND SEPTIC PERMIT RECORDb ARE AVAJLA13LE FOR REVIEW MONIDAY-FwdAY 8:00 AM-5:00PM(Exci-tmw6 HOLIDAYS) <br /> 1. List uo to t4n fiddcesop in the space abovo. Select the"(a)of flits from the list above by checking tho appropriate <br /> bo><(Ns). At least one file type MUST be selected. Fax t 9 ,M-0150 or mail tp Un Address indicated above. Address <br /> ranges will not be acceptDd-for additional assistance wild file addresses,contact the EHD, Applications welved after <br /> 3:40 pm will be procossed the next buelmsic day. <br /> 2. The EHD will notify the applicant If any EHD files exist, An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five bualneas days for review. Appointments <br /> should bo echoduled accordingly- <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new applicatlon may be <br /> esubmittsd when the file is available. <br /> 4- Any fite not returned in the same condition as releaood will be reorganized by EHD staff at the axpanse of the applicant. <br /> Futuro file reviews by the-same applicant may require a$115.00 deposit prior to review. <br /> EHO U6E ONLY <br /> ***If you rtoed further assistance please contact i4W-04oes dir468-3425. Thank You k*'� <br /> MMI LO VE <br /> can Anna anw <br />