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01/:0/2006 09:49 FAX 1 209 234..U27 STOCKTON 49002 <br /> 01/10/2006 09:34 464013tENVIRONMENTAL 'H PAGE 01 <br /> UA 0 IVW cnu L%AV NUMOCn <br /> SAN JOA,QUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPARTMFN'T <br /> 304 East Weber Avenue, 3'1 Floor,Stockton,CA.95202.2708 <br /> 100�elephone:(209)469-3420 Fax:(209)464-0138 Web:www.sjgov.org/obd <br /> `PUBLIC RECORDS RELEASE APPLICATION <br /> APPUC BUSINESSIAGENCY: CA( ,a,1 d— <br /> ADDRESS: •3410 _W.N z,r c- Skitc F_ CITY 5b;,�k6n TATE_L:8__ <br /> PHONE(f): '-3q-77 ZZ. PHONE(2): FACSIMILE: 2,31A-7 727 <br /> TENTATIM APPO(MVENT DATE: T�rna: <br /> (Flame allow 10 business days f m date of oppiiaa&m submrdw-Iradsom only-must b® <br /> CHECK BOX TO EXPEDITE REQ 3,00 H OR CHECK ONLY)•REQUEST PROCESSED( (3 <br /> SIGNATURE OF APPLICANT DATE ^I <br /> Electroafe C3 List 0 Map-Dewrtptton -- <br /> Informatlon <br /> FiLE ADDRESS EHD USE ONLY <br /> street d Street Name <br /> 7. L� 1nit '} S <br /> z. ®® ❑ Unit 2 3 <br /> 31 , <br /> w, <br /> 4, t <br /> 6. Unit 4 <br /> 8; Unit 5 <br /> 9' Unit 6 <br /> t0. <br /> Speoitic Data Range of Wormation Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FiLES <br /> int UNOmIROUND TANK(UST)CLEANUP SITE(LOP) p FOOD HMMG <br /> AftAl ENT souD WASTE IMWATitin FACiLfn NERICLE <br /> JI OTHER CuEANUP SITE(Non-LOP) 13aEtY <br /> D <br /> ffi UNDERWROUNU TANK(M EMUVAIL) 0 Doo KENNEL 13 D A9TI:HfATER TIZFATOrEN7 PLANT <br /> 09 HAZMDOUB WASTE GENi:RATOR O cHICKEN RANCH <br /> t_LTiERm PSFIAe wnw FACILITY M 161i0TELIHOTEL ❑pUNiPER'rRUCWAR01CHEWAL TOILlTS <br /> TATTOOIRODY f SCM 13 ROOUSPA /n� M L fND USE APPLICATION SMS <br /> *1AeDICALWASTEPACiLITY Q OTHER(pceASESPECi�Y) fttti Lf <br /> WELL AkO SEPTIC PEMW RECORDS ARE AVAILAKE FOR R"Rw.MONDAY-FRIDAY$:00 :OOPM - EXCLUDMQ HOLIDAYS. <br /> IL gist up to ten addresses in the space above. Select the type(s)Of files from the List above by checking the <br /> apprq iiate box(es). At least one file type MUST be selected. Fax to(2081464-0138 or all to the address <br /> indicated a§gY1 Address ranges will not be accepted-foe additional assistance with file addresses,contact <br /> the EHD.Applications received After 3:00 prn velli be processed the next business day. <br /> 2. The EHD will notify the applicant H any EHD files exist. An appointment for review viii be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A rile that Is actively being worked on by EHD staff may not be immediately available for review. A new <br /> appiication may be submitted when the file is available. <br /> 4, Any file ilot returned <br /> lice t Future file rreviews by the n the same nsame+appdition as licant maleased ylirequil berea$93Ao deanized p�Ht prior toD staff treviewthe Ponse of the <br /> PP <br /> CHO <br /> 10/S1(yGo6 <br />