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04/13/2006 11:59 2133800E- ENVIRONMENTAL PAGE 01/01 <br />t J-1:&t1;04b 10:45 4640136 ENVIRONMENTAL. HEAL%.,, PAGE 02 <br />DATE REGEMP SAN JOAQUIN COUNTY <br />ENMONMZNTAL RMTH DEPART=NT <br />304 East Weber Avenue, 314 Floor, Stockton, CA 952022708 <br />Telephone: (209) 449.3424 Fa= (209) 464-4138 Web; www.sjgov.org/ebd <br />PUBLIC RECORDS RELEASE "PLICATION <br />N <br />aPPucANT: ; c�a4 - BiJStNEi1SlAQ6PIC:Y; „�(�,�; c �nU� r �� �,,�� <br />11V IS A �rn B ivd *15or_nv Ln t 4^ro A /es'' "Am r A <br />PHONE 04X9 j3j .) �J�'� 3 PHOtt& (2�. �/ �✓� _V0 �f,?8 ! 6 FAGStI�ILE:� 3 ~(75a S <br />TENTATW APPOimmENT DATF: Time: <br />(Pias® 9WW 10 b4tsinaas do$ submittal - `Twi&dVe only - must bs;QFirmad) <br />13 CHECK BOX TO EXP9=E MQURST - aS$ o tis me" OR MMCK ONLY) . REQUEST PROCESSED IN 3 etMNESS DAYS <br />SIGNATURE OF APPLICANT - RATE c am. _ _- <br />Q t.lst D VAp - 0wcr(p8am <br />70EADDRESS END USE ONLY <br />St �6t* Sul* Nance <br />4. <br />jam C, hanitz W oug 0 Unft 4 <br />$. 0 Unit 2 <br />a. unit 3 <br />7. <br />9. <br />ao. '❑ Unit 6 <br />SpeelRa Date ltanpa of kgarin*tion RMUeated: From to <br />EfMr,0NMEwAL HEALTH DEPARTMENT PILES <br />t�IIOEFtGRWND TAM "T).QAANUP WR (LOP) CJ HQtMM ABATfl KW Q � TRE <br />F IZ <br />0 QTK RCLEANUOSitsOW44P) Q FoosFMPM p DAM <br />TAW (MaiiMMICNIUMOVAL) t7 Wo Kiat M <br />NAxAMOU$ WAs'tY 0V*RAT= a Cit N RANCH Li WASMILUM TRFA'MMff PLANT <br />a Tmm PERaBm FAcamr Q 1100T A imm U P=PM TMrXYARf1 QtMWOALTQAX7s <br />D P pq Ci WR1,13E APPLtUMN srfw <br />i� TATf4QlBOS�Y �ACNi6 D tntrsit (RiF.ABE <br />Q tAFv m WAz,m FAM?Y <br />vif£LLAtigSEPnCFeittelTtDSAk6�rXAMAI.sFORWSYIew-1�ONpAY,Ft�AY&ri0A:4tIFta -F�utccat6HouaAr� <br />checking ft <br />1. List up to tsil addr a in :the space above. fieleet the typo(s) of tiles from the l{st oar rst/til ve t <br />appropriate box(es). At least one file type MUST be selected. t34' as n <br />�dL4 ffi. ,bovtr. Address ranges' will not be accepted - for �tdditlonal asslStetnc a with file addressesf contact <br />the EHD. ApprwaWns reftiv4d atter 3.Q0 prat WNl be processed the naxt WSWS$ deaf. <br />2. The EHO vn"U notify the applicant if gny EHD file$ exist An appointment for review will ba confirmed <br />approximately tan (10) days after receipt'of appiloation. Tito See vall be hold for a maximum of five buMness <br />Stays for review. Appointments ahQtald bo s*hedulad accordingly. <br />3. i tj n may tthat 8suIs bmitted worked on � when the flieW et staff <br />may not be Immediately available for review. A new <br />4. Any file hat tietltmed in the same condition as released will be reorganized a $�.�dopEHO staff at the prior to � lew ease of the <br />applicant. >=uttlrg file fevig" fly trio game applicant May <br />M,.# -W <br />i641Rol <br />