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DATE RECEIVED SAN JOAQUIN COUNTY EHo t•ar nurult7FR <br /> �I ,L11VJ IL I�� ENVIRONMENTAL I EALTI-1 DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> u4 77i 2008 Telephone: (209)4683420 PRIX; (2.09)464-0130 Web: www.sjg v.or � <br /> T71D <br /> H PUBLIC RECORDS RELEASE APPLICATION <br /> APPi(CANT:_.W� L1L1 CiN�11. `ti -----^--RUSINGESIAG[NGY: A�'�.c n <br /> PHONE(1)' < ~- g1� xi. PHONF;(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT GATE: S O r� _1 Elno: . Or�OJ <br /> (Ploarso allow ten buSiness days from date of application stibrnittaf-'rerlfarivo only-Mimi be cdnfirmod)� <br /> CHECK BOX TO EXPEDI7E Rr-OUEST-$98,00 rCE(CASH OR GHI;QK ONLY)-REQUEST PROCESSED IN THRFE 51-151NE9S ofEYS <br /> SIGNATURE OF APPLICANTUA7r= <br /> Electronic information: ❑ List❑Map.Description: W <br /> -- .. FILE AD PERS. EHD USE ONLY <br /> Street# Street Name f7 ilei' <br /> 2. <br /> _4'_ <br /> 5. <br /> 7• ` <br /> f•7 Unit 5 <br /> 10. d unit s <br /> Specific Date Fango of information Requested: From <br /> ENViRONMENTAL HEALTH DVPARTMEN'r I-ILES <br /> UWC.PGROUND TANK(UST)CLEANUP SITE(SOP) 13 HOLI;;INC;ARATUMCNT M SOL.STJ WA;TE rACIUrVNEI0CLE <br /> tOTHER CLEANUP SI rE(NON-LOP) ❑5000 FACILITY 0 WAS 16 TfRF <br /> >1..{UNvr.RGROUNo TANK(M ONITORINGIREMOVAL) Ct DOG K1:NNCL ❑DAIRY <br /> d HAmRDOUs WASTE GENt:RA70R ❑ChIICKEN RANCH 0 WASTCWAI CR TRCATMsr;NT PLANT <br /> 0 TI✓rRFDPERM]ITFDFACIUTY ❑IVIVIELlHOWL 0 PUMPER TRUCKI'YA1301GIiLMTOILETS <br /> ❑TATTOO/SoDY PIERCING 0 POCIUSFA E3 LAND USE APPt ICATiON SITES <br /> d MEDICAL WASTE FACILITY fJ 4OICR(PI.EAGC SPLciry) <br /> _WEL,L,AND SEFTICPLt2_MiTRccoR03ARrAvMLAL1LGFOR Rrvirw MONDAY-FRIDAY U:00AM•5:00tIMq EAGLWING H01,wr , <br /> 1.M List up to ten addresses in the spaco above. Select the type(s)of files ftortt thelistalcove by checking the appropriato __.. <br /> box(cs). At least one file type MUST bo selected. Fax tq .09)454-0439 or rrIa'sl to"J0 atJoye address, Andress mingos will <br /> not bo accepted-for additional assi;tanee with file addresses,contact the FHD. Applications received after 3;00 pnt will <br /> be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD tiles exist. An appalntlnent for review will bo confirmed approximately ten <br /> days after rOCeipt of application. The tiles will be hold for a(Maximum of five businoss days for review. Appolntmool.1 <br /> should tae scheduled accordingly. <br /> 3. A file that is actively being worked on by the EHD staff may riot he imrnediately available for roview. A new application <br /> may be submitted when the file is available. <br /> 4. Any file not returned in the sarno condition as released will be reorgarked by EHD staff at the expense or the applicant. <br /> t"uture file reviews by the same applicant may require a$98.00 deposit prior to review, <br /> ... _WEHD USE ONLY <br /> Emu 45-00 10126/07 <br /> eO 'd 'ON XV.d Wd bS:el m Booz-ll-inr <br />