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0 0 <br /> DATE RECEIV50 1=1­10 LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> h WI'L'D)- ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> AP <br /> Tolophone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov. <br /> R 9 2008 i3o.57 <br /> ENVIROVA -aL-IL c A 1 T PUBLIC RECORDS RELEASE APPLICATION <br /> L <br /> R m 1 T/W -BUSINESSiAGaNCY: <br /> ADDRESS: cl. <br /> PHONE(1): Q PHONE(2)- <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (PIONS9 allow ton bu4irmss days ft6m duke Of 891311caden submittal-*Tirnbfive only�must be confirmed) <br /> NECK OOX TO EXPEDITE REQUEST $90.00 FEE(CASH OR CHI!0K ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT — Li <br /> DATE <br /> weamn-le infonnation.,,.R. 0 List Ej-Map'-—Deserlption. <br /> RIESS END USE ONLY <br /> l/ street Stmirt Name city 0 unit i <br /> M S- V C4 0 EX.60 . <br /> 2- <br /> M"fe. C A (WaltULst' 0 2 <br /> 4, LI) <br /> 5. <br /> Unit4 <br /> 7, <br /> .AIL <br /> Unit 5 <br /> unit 6 <br /> L10- <br /> Specific Data Range of loforrnation Requested-. From to <br /> ENVIRONMENTAL 14EALTH DEPARTMENT FILES <br /> 4�.JUNDERGROUND TANK(UST)CLEANUP SITE(LOP) E3 HOUSING AIWENiaRr 0 SOLID WASTE FACILIrY/VERICLR <br /> OTHER CLi9AauPSrra(Nowl.OP) C3 F000 FAciory IM WASTE Tifte �4 MOT)�46 <br /> UNDERGROUND TANK(MONITORINQIREMOVAL) C DW 0NNEL C3 DmRy <br /> HAZARDOU8 WASTE GENERAtOR Cl CHICKEN RAN04 0 WABTEWAT99 T;ktATmENT PLANT <br /> M TiEneo Pertmirrto PACIL11Y MaTELMOT&L C3 PUMPER TRUCKIYARDICHSM TolLrM <br /> C3 TATTOOIBODY PIERCING C POOLISPA 1!3 LAND Use APPLICATION 81tigs <br /> [3#AMMOAL WASTE FACILTI'Y crmai;t(PLWS SPECIFY), — <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvAti-Ami,e FOR ft vtrw-MORDAYPRIPAY 6:00 Am-9.0" - E)CCLuo(mo HOLIDAY& <br /> 1. List up to ton addresses in the space above. Select the typo(S)Of files from than]I-at above by checking the I appropriate <br /> box(es). At least one file type MUST be Selected. WHMEXOAM <br /> not be accepted-for additional assistance with Me a Addroas rangoa will <br /> be processed the next business day. addressee,contact the P.M. Applications received after 3:00 pm will <br /> 2. The EHD will notify the applicant if any EHD files exist- An appointment for review W11(be confirmed approximately ton <br /> Clays after receipt of application. The Ries*111 behold for a maximum of five business days for rdvlew. Appointments <br /> should be rchedulad accordingly, <br /> 3. A file that Is actively being woffod on by the EHD staff May not be immediately available for review. A now application <br /> may he submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD*tuft at the expense of theapplicanIL <br /> Future file reviews by the same applicant may require a$9$.00 deposit prior to review. <br /> P-HO USE ONLY <br /> 10L0-L.. vcu <br /> S14 <br /> RECO FO 9 ft—W__U M_F_A7 F_FQ_RM_j <br />