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JHN-SU-ZVJbE9 03:12 PM <br />DATF REP�Iy�Eo,-`}, <br />71 <br />a <br />P.01 <br />SAN JOAQUIN COUNTY EHO LOG NUMBER <br />ENVIRONMENTAL HFALTII DFPARTMENT <br />600 t)ast46 Main Street 09)Sto464-0 CA 9eb: ww029314? <br />07 <br />Telephone: (209) 4ti8-3420 F'ax: (209) 464-0138 Web: wwwsjgor <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: EI. ---_— BUSINESSIAGENCY: PCftVW&&4o14144.X1,r,� <br />ADDRESS: ___ 29a-.-._ 9 �ar� n � � �,©e�s,r � __9s5ss� rnr• � <br />PHONE (1); S--77.1t7�" r — — <br />PHONE (s): —� _FAC8IMIL.E: � S%9'd%��� <br />TENTATIVE' APPOINTMENT DATE: Time: <br />(Ploaaa Allow Job ualnees da om dato of apPllcatton submittal --tented" only • must bs eonfl m d) <br />© CHECK BOX TO EXPEDITEREQUES - E . 0 ' ( ASH OR CHECK ONLY) • REQUEST PROCESSED IN 3 a SINES DAYS <br />SIGNATURE OF APPLICANT ^ DATE i0 08_ <br />Electronic Information; ❑ Llst U Map- Description: <br />FILE ADDRESS END USE ONLY <br />— _ -- .....— ..,._—.._._........ - --- -- — <br />Street a <br />._—..--._..__,_._ _—_.. ..—.. Street Nsms Unit <br />2. -- <br />- - .... __MIST unit 2 <br />.4,....._'•-------yJ'�''-��.�.....—_..._... ..___ ...__... _..—_.. Unita <br />Unit 4 <br />.77 <br />8. f7 Units <br />-'--unit 6 <br />- <br />-•- �.w a^Mw vi nnvnoauon Hequeated: From _ to _ <br />y,r� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />.y <br />UNDEROROUND TANK (UST) CLeANUP SITE ILOP) O HOUSING ABATEMENT n SOLID WASTE FACILTTVNEHICLE �• W ' ll/� <br />C3 OTHER CLEANUP SITE (NON -LOP) 11 R <br />9 UNDERGROUND TANK MONITORINWAFMOVAL)� n OG KENNEL O DAIRYWASTRE <br />( Ix]G KENNEL ❑ DAIRY <br />n HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br />0 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL 0 PUMPER TRUCKr/ARD/CHEM TOILETS <br />YATTOOIBOOY PIRRCINO in POOL/SPA ED LAND USF APPLICATION SITES <br />O MEDICAL WASTE FACILITY d OTHER (PLEASE SPFWY)_ <br />WELL AND SEWIt PP RMIT REtO" ARP AVAILABLE GOR RlN,Pw-MGNDAY-FRIDAY 5:00 AM-S:DOPM EXCLUMNo HOLIDAYS. <br />1. U up to tan atld7 In the spate above. Select the type(.) of rales from the Iles above by heckling the appropriate <br />box(es). At least one elle type MUST be selected. Fax to 12081484.0738 or mall to the address Indl ten r, Address <br />he gas will not be occeptad -for additional assistance with fele addressee, contact the EHD. Applications received after <br />3:00 Pm will be processed the next bus Ines. day. <br />2. The EHD will noufy the applieanf If any EHD (ilea exist An appointment Tor review wkl be confirmed approximately ton (10) <br />days after receipt of application. The files will beheld for a maximum o(flve business days for review. Appointments <br />should be schedub accordingly, <br />Sr A flis 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 expenso of the applicant, <br />Future fila reviews by the same applicant may require a $88.00 depDalt prior to review. <br />.�—.__........_ ,_�__. <br />END USE ONLY <br />as5,/67: oa. to rndn;. kC3 N q v �AS�i F/y/ ANaila bl� f ynn <br />