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- •i pge y of y � 20'13-y"1-y 2 02:aB:3Z CG MT) � 467 From: pnwel Woloszyn
<br /> - f EHQ LOG MISER
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<br /> IVE . ..w -SAN JOAQUIN COUNTY "
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> O-V-1 86.8 East Hazelton Avenue, Stockton, CA'-9520.5762a2
<br /> Tete ho.ne::209 .468-34.2D.Fax:'{209 :.4.64.-9138:'W.eb.'www.SjgaV:arglehd
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<br /> EW RONMENTAL HF-ALTw,
<br /> FE} MiTISEl�1VICES " PUB,L�C'RECORDS' RELEASE APPLICATIM
<br /> Paci 1 ".:.- •° --gpm
<br /> APPLICA.{yTt•.PaW��'WO Oz _ $U..SI.... S.S.A.. . '..'.
<br /> w,.EG.1T'(LSTATF_zip:S�,Czaauenta CA 9r.'%9. : . 4
<br /> PHONIF�;, AP QIRITM-E�IT:DF;P 07 I 47�I 3 ' ' .. .• FACS Mlme� r �444�3:0 (��' :.
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<br /> " (Please alldw 10 basin .days nrdAl ° p`l€dation submittal-*Tentative only'-must be confirmed)
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<br /> IECKNIY}.;RQUFST PRQCESSED.]N 3 BUSINESS DAYS `
<br /> IGN,ATiJR QF APP(.IG:A.�1,.. r.:-:
<br /> p�tTE. -111.-2
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<br /> Eia0tron1c.:lnf6tm.at1oh-` List'[-]WO-Description:
<br /> f.ILE.ADDRESS :. Ek�p:USE OEs1LX.,
<br /> Street Street,Name. ,City. :... ❑Unit 1
<br /> • 620 'Wst Ghartez Wa Stocktog.
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<br /> z.) Dr in aufher R.
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<br /> :3 :1465` .,-Sr-... Li0c.0Jn Street:..
<br /> • 'SNIP. ",' �� .
<br /> iJnit:-
<br /> r77. 775`1Q1ike
<br /> '�� E1nit:4
<br /> RR -L]utlit
<br /> 1 . ta Unit 6
<br /> S:pciflc.pate Range of.lnforrnatiote Regtlested: From to:
<br /> El!31(.IR4NMI=NTAt_.NAS TH'C3iRARrM1Ni"F'IL ',
<br /> ®Ut1DERGR4L11VD Tqt lc,(t)ST) iEANl1�`SR>=(LQ�� ❑:hItED1CAi YVAsT1;FACIf,RY S4LIDWASEE_FACJ.FyfV,EHICi E
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<br /> FWASTEi FIRE
<br /> I NRi RGaot�IR TAtaK(M4N[TORI�4GfRElU41lAi 'F;)qP-F_ACIVFY" ❑HAIRY' C/ yrs.JP7
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<br /> ENNEt,, . : ❑WA.STEWAfR,'fiE;!ATh�ENT LANT
<br /> IE APPY TANK Q.GFiICKEN RApICFiI DQO.}
<br /> HazpRpOusWAsf:�lhlq poUsMRrI:R �s ❑'. . Cl; u►�Pe .Tr7ucxlYA oICH�mici�l."T.Q ET&
<br /> '®TIERED'PERP✓I•[ED;FAGtl,Itx„ ". ' ❑, OOLISPA. p ❑ -At�O;US�.AFPL IGATEOq S1TES
<br /> ❑Tr TTDOBO�Y,PIERPJNq : �.:COi41RI.AlNTIRE5?ONSE{�.ECOR[).s: ❑O.iIiER:(RI.EA5E .SP.. trli )., 11'
<br /> ®Ir11ELtAli[7$l PTIC:I Elii4lllFRECQ DS AR5 AVAI�A%P FDRIRE)'IEVV? MbNDAY-FRI.DAy":8;QU- M-S;OQPfVI(F�ql 11E]IN�e 1IOt IpAYS
<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 /> boX(es), i4t-least:one:file type•:MUST be:selected.:Fax to(2091464-0136 or'mall to the address Indicated above_ •Address
<br /> -ranges.will not'be.acceoted-for additional assistance with`fte addresses,contact the.EHD. Applications'receiyed OMPT ...
<br /> :3:0.4 prn VY'll f
<br /> -1 _The:EHD will approximately ten(1.0) ,
<br /> :days-after rec w,.Ptpp.pintmen.. '
<br /> should.bs scl �_ r lJ[ t Duvn�r r _
<br /> =3.. A file that is c t, t �
<br /> S� il 1�in1 [� 5'f fes'/�a�M ��'�G�►titaJ CA✓I ew a iication.may tie . .
<br /> submitted wt 174 W -7 ' St j.
<br /> :4. Any fire.not ri� se of„the ap licant. 1,.i1 µ
<br /> Future file revjews.oy the'same applicant-may]require a$125 o t prior to review: e_Foy, •:1 �"A�S t�, - ,1 i fit["
<br /> ' ` r ._ i RI"�'S ✓k --}-.r' 4 i5 ... 3 'R A': 5 Frj hS �-.,ir tl`5�A �'4�ti ,,LL � q • �' �i R•'� ».V -�' '�"'Lvy � •-
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<br /> ' EIdD48.4@ �Lt,��- � I.�STr i"fi4 # fc2Q _ � <..u�'•�� - +sra�z
<br /> Race ived Time Nov. 1. 2413 6:47PM No. 4497 rt-ifl-13 coo 3a°t`t6 in fog 1�tb I;,, n r��siob ,
<br /> It-ZO.1- , � �pp�i t a ��3 ( io�o clncirk„� us r�l`¢u1 lei,
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