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DEC. 21. 2CC6 3:21 PM , .,F"0R EARTH TECH N0. 0666W P. 2- <br /> .+r....r•r sr...,a.v I V__ _.\t!�mJGr\ <br /> SAN JOA.QUIN COUNTY <br /> ENVMONTUENTAL U1b�Lxa DEPARTn,ENT <br /> 301 East Wcbez Avenue,3'c.Boor, Stockton., CA 95202-2708 <br /> Telephone;(209)468-3'x:0 Fat; (209)464-0138 Web:warv.sjgov_org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: USINESSIAGENCY:: <br /> ADDRESS: �+MrOA 9'5- <br /> -2 <br /> PHONE(1)- I� PHONE(2): 01 - oOD')— FACSIMIt,IEE:�21xI� <br /> TENTATIVE'APPOINTM>NT PATE: Time: <br /> (Please allow 10 business days from date ofa 1160 6n submittal-'Tent3t1ye only-must be confirmed) <br /> d CHECK BOX To EXPFD1TE REQ -S95_00 re C OR M ONLY)•R17-QUEST PROCESSED IN 3IUSINZ DAYS <br /> SIGNATURE OF APPLIC J14f1 DATE <br /> Efectronlo Information: ❑List Map—Descr(ptl0 . <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Strut Mme City ❑ Unit 1 <br /> NSF- ,. 40!5 <br /> N�F 2. tq)j F1, Unit 2 <br /> FF s. SIBS 44w <br /> Unit 3 <br /> r� -r 4.rJ <br /> 5. 01wrUnit <br /> NQ, 7. ( ~j p e, ��rvU� V� 8 L�o nit <br /> r4fr1: 9. iq 1 Ode.` y\i ve— Pru <br /> nit 8 <br /> of <br /> Spaclfic Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �N0LRGROUN0 TAMC(U$T)CLEANUP SITE(WP) 1741ouscNr.ABATF-mVNT 1<0LJO WASTE FACILrTYNEHICLE w <br /> %IMERCLEANOP SITE(NON-LOP) 13 FOOD FACUTY M WAsTI:Tim <br /> UNDERGRow io TANK(MONRoRINGrREMOVAL) Cl DOD KENNEL Cl DAIRY <br /> Q HAzARnUS WASTE GENERATOR 0 CxrCKEN PANON ❑WAST WAM TRIEATN"T Payr' <br /> O TIERI D PERMITTED FACR1TY M MoTn-/HOTEL m PUD,1prR TRucKryARD/CtiEM TotLETS <br /> 13TATTQoA300YPIERCING la POOLISDA E3 LAND USE APPLICATIONSriE,$ <br /> D MEDICAL WAS'T'E FACUTT 0 OTHrR(PLEASE Srcci Y) <br /> WEU,AND SEPTIC PERMIT RECORDS ARn AVAiLADLE roR REvIEW- MotJDAY_FRIDAY o:oo Ard-5:00PM - EXCLUDING HOUDAY9. <br /> 1, List up to tan addresses In tho space above. Select the type(s)of Ojos from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the ddress Indicated above. Address <br /> ranges will not ba 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 END files exist. An appointment for review will be confirmed approxtrnatoly fen(1 0) <br /> day$after mcelpt of application. The files will be held for a maximum of five business days for revlew. Appointments <br /> should be schedulad accordingly. 41169 <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. Anew application may be <br /> submitted when the file Is available. <br /> 4. Any flle not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review., <br /> FHD USE ONLY <br /> 1 <br />