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DEC -13-2004 12:53-69NDOR EARTH TECH � � 209 532 0773 P.01/0: <br />PATE_ RECENED _ _ _ C q�D LOG NUM <br />SAN JOAQM COUN CY <br />Z <br />- . <br />L' 1\ r JJC�.�J�1171SrL� i.y11.J i,L T JLC NYti.RiML' N i <br />DEC 1 3 2004 .304 E Weber Ave Yd Floor. Stock#rsn, CA 95205 <br />' (209) 458-3420 Fax: (209) 454-0138 Web: ww?w.co,�san joaq*.ca.uslehd <br />P ff I R !r -,ES PUBLIC RECORDS REUASE APPUCATION <br />I <br />A=PUCANT: STom4�IZ�419_�......� mmsaGYBtsENC: <br />ADDRESS: fp <br />PHONFAcsIMILE: Q �T <br />eWl9Q0519 ! <br />TEWATIYtA APPOLNTMENr DATE j -U �► _ ., 7me: : �d4 _ <br />(Please allow 10 buslnan day¢ frwn date of appllcatlan subniltian <br />jaz 11 <br />CHECK SOX To E)[pi:D17E Rr=QtX - $91tM FEE- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE- <br />f� Department Use OnlY <br />FILE ADDRESS Ij UNIT <br />+-3rod4 A,rPos_-r a +*' Unit 1 <br />2- <br />3 '4 5 <br />L- Unik2 <br />S� <br />,. a� <br />1 <br />s. 'x e Ij <br />V <br />tUnftS�1 <br />anJ �TA1� IRP4� "r $ity <br />m 3'o vim Co. rro crag } Vvy <br />s� ION I-tC- RAILROP0 ,. L VO33 G 6, �rlcits <br />c�, <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES UA; <br />kF UNDERGROUND TANK (UST) CLEANUP SITE (LOP) M HOUSING A13ATEMENTj t SOUD WAS F <br />", <br />OTHER CLEANUP SITE (NON -LOP) d FOW FACUM j SOU D WASTE %or <br />UNDERGROUND TANK (MOWWR1NGfROVAL) 10 DOG KENNEL SET LWRY <br />EM <br />HAZARDOUS WASTE GENERATOR & CHICKEN RANCH '� 0 PKG TREATNIEHT PLANT <br />Times PERNnTTED FAcurX Q M07EIJHOTEL ❑ PUMPER TRUCKIYARIXCHEM TOl1 TS <br />to TATTO=0QY PIERCING O POOLISPA JW LAND USE AIPPlJCAT10N SITES <br />J' MEDICALwAS1E FACILITY ❑ MER (PLEASE SPECIF-0 <br />q <br />1. [.ist up to ten addresses in the spade above. Select the types) of files from the list above O,y olmcktnl <br />the appropriate box(es). At least one file type MUST be seledted. Fax to (209 1464-0138 or mail to the <br />address Indicated above. 11 <br />2 EHD wilt notify the applicant ff any EHD files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (1 O) days after recelpt of application. The Vies <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHD staff may iiat be immediately available for review. A ne; <br />application may be submitted when the file Is available. 1 <br />4. Any file: not returned in the same c ondltion as released will be reorganized by EHD off at the expens <br />of tate applicant Future file reviews by the sante applicant may require a $93.00 deposit prior to-raviar <br />5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Appiicatiom received after 3:00 Pm will be processed the neict business day. _ n <br />CONFIRMED ApPoINTMENT PATI~ - <br />DATE CONFIRMED <br />REVIEWED <br />YES <br />NO <br />'PHONE • F. <br />R1=1IlEW <br />INITIALS' <br />TOTAL. P.0' <br />