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A <br /> JAN-23-2007 16:49 FROM:GEARE C 831-689-9558 ' 2094640138 P.1 <br /> el//Y4/ZUUb 1 D:J U 4UQ01Jtl C1YVlMLAIVtG1Y1HL <br /> %94VED SAN JOAQUIN COUNTY <br /> JAN 2 3 2007 ENVYRONMENrAL HEALTH pErAx r�'r <br /> 304 East Weber Avenue, 3`4 Floor,Stockton,CA 95202-2708 <br /> ENVIRONMENT HEALTWelephone:(209)468-3420 Fax:(209)464--0138 Web: Agov.orglehd <br /> 7 <br /> PERMIT/SERVICES Punic RECORDS RELEASE APPLICATION <br /> GR OU P BUSINESSIAGENCY: <br /> APPLICANT:_ G E a_ CITY• 1 T~b S STATE C 1 <br /> ADDRESS: 3rJ 3 3 (�£ L.)Co v — <br /> 1 FAC5IMII.E: <br /> PHONE(i): G SS`I —PHONE(2): <br /> Time: <br /> TENTATIVE•APPOINTMVT DATE <br /> (please allow 10 business days from tem daof appilcatlon submittal-'TeP6fJve onty•must be cortflrtned) <br /> 0 CHECK BOX TO F-7(pEDrM UEST• 3.00 FEE(CASH OR CHECK ONLY)•REOB gUr pRMFSSEA IN 3 SLISIH6SS DAYS <br /> DATE <br /> SIGNATURE BOX <br /> APPLICANT <br /> EiectrmnlC 0 Lkt d -Desctiptton <br /> Uformeeon <br /> FILE ADDRESS EHD USE ONLY <br /> Street p# Street Name - crey Unit 1 <br /> 2. O Unit 2 <br /> a- p Unit 3 <br /> 4. <br /> s• Unit 4 <br /> z. p Unit 5 <br /> a. \ <br /> s ❑ Unit 6 \ <br /> 10. <br /> to <br /> Specific Date Range of Information Requgs_ted:From — -- - -- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILET; <br /> ,,/ 0 HOY8ING MM AMTmad 0 SWAstE FACT IVV <br /> 6 lf1'MWDL Nv TANK(UST)CLEANUP SIM(LOP) Q WASTE TIRE <br /> O 4THERCUANUpsnE(Woo-LOP) M FOOD FAIrIEL O DAIRY <br /> In UNDWa=M0TANK tMON=RlNf31Rf 9WA4) D C!WAnMATERTREATMENTP_MNT <br /> O HAZARDOUS WAM GENERATOR O CHICKEN RARCH O ruopw T ARpr-4*wnALTOft.ETs <br /> G YIEREo PERIARTEO FA 1TY O MoTEIIHOTFL O LAND UsE APPIaCATtON Stre9 <br /> d TAWOOMODY PIERCIRG In POOII$PA <br /> -STEFACDItY 1n OMR(PLEASESPECIFY) <br /> 0 MEDICALWA <br /> WELLAND sum PERtlIT RECORDS ARE/1YAlLABLt:FOR Rtwtzw•1�IONDAY�RtdAY 4:00 pa.a:00P11 F-ItGIUWNG HOI.IGAYS. <br /> above by checking the <br /> t. Inst up to t�addresses In the space above. Select the types)of flies from the list <br /> appropriate box(es). At least one file type MUST be selected. Fax to f209 4&4-2138 or mall to readdress <br /> I,ndiCsted above. AddrtSs ranges will not be accepted–for additional sss'IsUnce with Elle addresses,contact <br /> the EHD.Applications received after 8:00 pm will be processed the next business day. <br /> 2. The EHD will notify tho applicant if any END files exist. An The appointment <br /> le$will t for <br /> review fowill be confirmed <br /> five business <br /> approximately ton(10)days after receipt of app <br /> days for review. Appointments 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 <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition a's released will be reorganized by EHD staff o the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> BHD�-0i <br />