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RUC 16 07 11 : 37a Mard;-. Tyree Herbert (925) 947--3738 <br /> p. l <br /> �(r;( �D 1"�'� N-WWA EHD LOG NUMBER <br /> U�(� ( V S kN JOAQUI&COUNTY <br /> GIVES ENVMON�IENICAL HEALTH DEPARTME3govo <br /> (jr 600 East Main Street,Stockton,CA 95202 <br /> l (' 2007 Telepboae:(209)468-3420 Fax.(209)464-0138 Web:www. <br /> E pV/RU1q1 A­ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLK AN�F� �DA E-}E R B E_ BUSINESS/AGENCY: }- <br /> Aa0RE55: 1s w. �I I�1� �jI IjTE. g L_DD1 & q O <br /> PHONE(1X C 9 ZS) q q 7- 1 313 PHONE(2): (9?-S)ZI?--r.1-11r.1-111-� FACSIMILE: l/ <br /> 2.1A� 334"S31 4 <br /> TENTATIVE'APPOWYMENT DATE; Q- 3 I o"f- nme: 10 Q.trl <br /> (Please allow 10 business days fern lobe of application submiMal-•Tenk fiW only-must be eorllllned) <br /> Q CHECK BOX TO EXPEORE REQUEST-SIS-Do FEE(CASH OR CHECK ONL . EQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE S-1 <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD U E�NLY <br /> Strom# Street Name C , . -- <br /> 1. ZO 9-O W. � unit 1 <br /> 2. i l S W. wa shi r St Slack ave 9lP {�� Unit2 <br /> 3 �Z <br /> ISO VV• yyas h: •1-r>,•% S� 1 aG�bn D <br /> a. 2Zfl► W. Wasl�i St-- STock+r�r% .291Pc71a (05 350 unit <br /> 5. Z30S W. Washic� fan . St Sfiock} „� <br /> 6. Z 3 2 t VU. Iry as In; -4 n r, Sr. Stocbci-t�v I ,fl.l ". 3 Unit 4. <br /> Washy^ +o✓t Sr. Sfiocl�oti--, <br /> e 20 5a W. VVa_s hi rt +o,n St. 6f oc ki-o i� Al_ ,F V C7 unrt s <br /> s. z-1 o0 VV. Vje shi ton Si-_ 5i aGt~i-oh T77Ze <br /> / <br /> 10- 2-1 I`l V0, W St-. G{ oh ac?& ✓ /P <br /> unit 6 <br /> Specific Date Range of Information Requested:From 0..0 cLaAc-S to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> � MDVROItoUND TANK(UST)CLEANUP SITE(LOP) <br /> /_RtJOEOTHER CLEANUP Sn'E(NON-.Op) O O HouSING ABATEMENT FOOD FAcuTY tTWAsw TIRE <br /> SOLID WASTE FACIUT'YivEHIcLE <br /> �'UNRGRptjND TANK(MiONRORINOIRE-'ltOVAL) �DOG KENNEL,'HAZARDOUS WASTE GENERATOR <br /> 0 DARY <br /> 12'TIERED PERMnTED FACiLnY 0 CHICKEN RANCH A rWASTE <br /> -WATMTREAn.NT PLANT;6 rODNiQDY PERCINc O MOTEL44 W�UMPER ThU0CfYAF1WCHEx ToILE <br /> rs <br /> �EDICALWASTE FAGLITY 0 PO <br /> ©LAND USE APPLICATION SITYS <br /> 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8;D0 AM-S:Oopm - EXCLVDRiG HOLI)AYS. <br /> �• List up to tan addresses in the apace above. select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selsew. Fax t I{209)4".8138 or mail to the addrass Indkated above. Addreas <br /> ranges Will net be accepted-for additional assratance with Tda addressee,corltactthe EMy. <br /> 3:00 pm Will be processed the next business day. ��mMms " attar <br /> 2• The EHD win n"the applicant if any EKD files exist. An appointment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for ravlew. Appoiotmsnts <br /> should ba scheduled accordingly. <br /> 3. A file that is actively being Worked on by EHO staff may not be immediately available for review. A new application may be <br /> submitted when the filo Is available. <br /> 4. Any file not retumed in the same condition as released Wfll be reorganized by EHD staff at the expanse of the applicant. <br /> Future file reviews by the sante applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EnDsr��snsrzoor <br />