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0-5/01/2007 16:46 GEOMP—OIX-RANCHO CORDOUA 4 12094640138 NO.753 P02 <br /> iMwv N4.0, <br /> DATE RECEIVED EHD L08 NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Maus.Street, Stockton,CA 95202-3029 72 <br /> t;'! Telepbone:(209)468-3420 Fax:(209)464-01,39 Web,www.sjgov g/e <br /> PUBLIC RECORDS REIJEASE APPLICATION <br /> APt+LrcaNT - - PI(GI-1_ T"'�� BUSINESSIAGENCY:C FPt"t�, y <br /> AdDRESS: 0I Y •J�D <br /> PHONE(1111: 616-'& 22– PHONE(2): 91�-402_ t?_0 FACSIMILR*%–�.3 2_D lb <br /> TENTATIVE*APPOINTMENT DATE: .46 Time: <br /> (Pleas allow 10 business days from dato of application submittal-`Tenta(ive only-must bo confirmed) 1 <br /> CHECK 60X TO FXPEOM RE ST-$95.00 FEE(CASH OR CHECK ONLY)-REQQ EST PROCESSED IN 9 BUSINESS <br /> SI© ATURE OF APPLICANT DATE ! �� <br /> Electronic Information: Lj List[]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a $treat Name City Unit 1 <br /> �, /Unit 2 <br /> 3. (� <br /> 4. Uolt s " J <br /> tinct Aj J <br /> 6. <br /> 7. <br /> Unit 5 <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From � to ��� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 'G,UNOERGROUNO TANK(UST)CLEANUP SITE(LOP) 'HOUS(NG ABATEMENT 'S SOLID WASTE FAciLrryNEH(GLE <br /> 'M OTHER CLEANUP$1Te(NON-LOP) 'F.FoOD FACILTTy 'QXAsTr.TIRE <br /> UNDFR©ROmmTANK(MONrTORa(GIREMOVAL) `QDoa KENNEL 'nLDA1RY <br /> 'ID HAZARDOUS WASTE GENERATOR 'QXHICKEN RANCH IQ WASTMATERTRFATmi;wT PLANT <br /> TIERED PeRMnTaD FAc1LrrY 'VLMOTELIHDTEL `4a.PU44PER TkUCKIYARP1CHEM TOILETS <br /> -CLTATTOOIBobv P16ttC1N0` POOLISPA LAND USE APPUGATION SITES <br /> MEOICALWA&TE FAciuTY OTHER(PLEAsa SPECIFY) iA <br /> WELL AND SEPTIC PERMIT ReCORDs ARE AYAULADLE FOR REAM- MONOAY-FRIDAY 6: •6:OOPM • EXCLUDING Hot lmys, <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> hox(es). At least one file type MUST be selected. Fax to(Z99)464-0139 or mail to the address Indicated above. Address <br /> ranges will not be Accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold for a maximum of five business days for review. Appointments <br /> should be scheduled 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 Is available. <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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> FHo 048 S/,a za"web <br />