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hn Cyr SAN J OAQUIN COUNTY <br /> ,rJo �Z <br /> Realtors, Inc. ENONMENTAL HEALTH DEPARThVeNT <br /> 304 E Weber Ave 3 Floor Stockton,CA 95205 <br /> Est. 1959 8-3420 Fax: (209)464-0138 Web:www..co.san-joaquin.ca.us/ehd. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> John K. McCoy e/ ' BUSINESSIAGENCY: <br /> Associate Broker <br /> Investment Properties <br /> FACSIMILE <br /> 234 East Fremont St. <br /> Stockton, California 95202 IVES APPOINTMENT DATE: /! Time: <br /> Phone 209-466-5311 (pose allow 10 buss days from date of application submittal) <br /> Cell 209-601-3987 ` <br /> fax 209-466-7359 <br /> Email lohn7739attbi.com RITE REQUEST-$93.00 FEE— QUEST PROCESSED IN 3 BUSINESS DAYS I �r <br /> ,. . _SCANT DATE <br /> ' Department Use Only <br /> FILE ADD SS UNIT <br /> + ❑ Unit 1 <br /> 2. she« 103 <br /> 3. <br /> shit ❑ Unit 2 <br /> 4. Sheet <br /> S. Sheet Unit 3 'J4 <br /> 6. Sheet <br /> T. shut Unit 4 <br /> et <br /> a. She <br /> 9. City <br /> sten ❑ Unit 5 <br /> +o. saescig <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> Rt OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY O SOLID WASTE VEHICLE <br /> BL UNDERGROUND TANK(MONITORINGIREMOVAP O DOG KENNEL O DAIRY <br /> h-HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> K.TIERED PERMITTED FACILITY O MOTELIHOTEL O PUMPER TRucMARDtCHEM TOILETS <br /> O TATTOOtBODY PIERCING O POOLISPA O LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY O OTHER(PLEASE SPECWY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list aboye�by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicaint if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days.but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of fire business days for review. Appointments should be scheduled <br /> accordingly. . <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONRRMED.AF? ?OINTME.NTDATE, r `._ -=t"= TIME <br /> 5. = <br /> _ - <br /> AT CONFIRMED PHONE FAX <br /> {21`1f1EVIf.EI? - YES NO REVIEW DATE <br /> E140 43-02-006 <br /> 6uerzoo3 <br />