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,E-CE ED6 EHoLOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> IRONMENTAL HEALTH DEPAR#ENT <br /> -6232 <br /> MAY 022 13 1868 East Hazelton Avenue, Stockton, CA 95205 <br /> HEAUH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: C)remary Kc)ro 5e- BUSINESSIAGENCY:_ (A As <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Pleaseallow10 business days from date of application submittal-*Tentatfve only-must be confirmed) <br /> Fl CHECK ooD TO EXPEDITE REQUEST $125 Fes CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE <br /> Electronic Information: EVLISt El map-Description:, <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name city <br /> iv <br /> Unit 5 <br /> 9. <br /> 10. El Unit 6 <br /> Specific Date Range ofInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY [:]SOLID WASTE FACILITYIVEHICLE. <br /> OTHER CLEANUP SITE(NoN'LOP) HOUSING ABATEMENT n WASTE TIRE ' 10!5> <br /> UNDERGROUND <br /> UwosnaRnVNDTANK(K0DNITo0NoIRsmOY8Ut-L FOOD FACILITY DAIRY �_A} �1l~ <br /> AoovsonoowoTxwK Cl`- CmVV <br /> un�wRxwoH/Dou�swws� AuTswxTsuT�a�m=Nf 'L4-r <br /> . <br /> HAZARDOUS WAoTeHvZAu0000MATERIALS MorsUHorsL PUMPER TnucKIYAaoACxEm|:xLTOILETS <br /> TIERED PERMITTED FACILITY' PooUSpo LAND USE APPLICATION SITES <br /> � FjTATTnoBooYPIERCING []CompLx|wURsopnNasRsoouoo FlOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RMONDAY-FRIDAY 000AM-5OO <br /> I' List up to ten addresses in the space above. Select th <br /> box(es). Atleast one file type MUST be selected. a <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications neceivedafter <br /> 3:Unpmwill beprocessed the next business day. <br /> 2' The EHDwill notify the applicant ifanyEHDfi|oao»datAnoppoinbnentfbrnaviem/vvU| beconfinmedoppnozinmabe|yfon(10) <br /> days after receipt ofapplication. The files will beheld for amaximum offive business days for review. Appointments <br /> should bascheduled accordingly. <br /> .3' A file that is actively-being Worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file loavailable: <br /> 4' Any file 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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY"* <br /> 0 Records proVidbd by Staff-PPR CoMplete. �talff Name: 9-1 - . Did n4C-_(0V1df- Q2eV_"/7L#-�� mn <br />