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07/17/2006 1z":38 916-371-'g09 RANEY GEOTECHNICAL PAGE 01/01 <br /> EHD UQG NUMII F; <br /> GATE RECEIVEEi <br /> SAIv JaAQv>av CocJN-Irx <br /> E1o1`►I'l RONMENTAL HEALTH IDEPARTMEN7 <br /> 304 East Weber.Avenue, 3'd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax. (209)464-01.38 Web: wxw,sjg1-ov.crglehl <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AFRLJC/�dT:_ , �f BUSINESSiAGr:NC)': —Rct <br /> ADDRESS: S15_0� <br /> PFIdNE(1); da �� x PH?NE(2): ___FnrsIMlu <br /> TENTATIVE*APPOI'u p[AE-NT DATE: ���f IZ q- ) lc �' __._TIm6: <br /> (?lease Allrnv 10 bLl£•Innas days I'mm date of lappllcatloraubrnittal-"Terta6ve only-must be cvnflu ed)� <br /> Ei5 CME"CIC BOX TO EX?EDi•,B FiEGtf'c T $9 .;�;x <br /> CHECK ONLY)-REQU EST PRIJCfeSSCD fn 3£U8i S$DN <br /> SiGNATURE ui=APPLICANT pATf" <br /> U4ViT Di7-WI—S UTrCIFd ❑llfSlt 1 p Unit 311 L 3 0 Unit 4 0 Unit 5 � Unit B 'G C+thor(e'eD;rcr,ic°Edststmap=) <br /> �...�...._�_....�... FILE ADDRESS EBRD UEZ ON <br /> i Strc4t t shreet Name City -- - <br /> - tfpw. <br /> 77. <br /> 4•_ o�, ✓ has r1 sv',e.�, 'urr�',va� yi-�_e _ __ <br /> ej <br /> A <br /> speAfic Date FRang, Regvested:From <br /> ENVIRONMENTAL HEALTH DE PARTMrZbE's' <br /> M,UMEWROUNA TANM:(UST)CLEANUP SfrE(LOP) 0 HOUaINo AaAwmENT &I SOLiO WAa';£FAcxiMtV12F1CLF <br /> VrmrER CLEANUF:ITE(NON-LOP) C3 FOOD FACRM M WA3-r=TIRt <br /> 1NDERGROUND TANK(A4ONTtQRINO1R$M0VAQ ❑DOG KENNEL M DAIRY <br /> �tTi�ZPRDOU£WADE GENERATOR d CtitcK;N RANCH a WATT= tATtP TRGATMEN7 NLANT <br /> Tr RM PERRfTTrV FACILITY ❑MOTELfHOTEt o PVRIPI]RT,*UGKlyARalC9r£PdTOi:,E"U <br /> 0 TuT30I80DYO POOLISFA G LAND USE AFPLICA-n7NStTEs <br /> C rA.DlcAc.W4aTtc FAG14frm M OTHER(PLEASE ---- <br /> WEu,,.No SEPTIC P'ERMr,R'24C,Rrrs ARE AVA._u,E FOR REyfEw- MONDAY-FkFDAY 8:00 AM-5:00PM EXCLUMM FICLMAYS. <br /> 1. List up to to rt addresses in the space above. Select the type($)of files fnim tho list ebo%% by checking the <br /> <ippropriafo box(es). At least one file type MUST be selected. Eax to 209)464•-0133 or mail tv tete addrgs <br /> Indicated above, Addrosf,mngw will not ba accepted-for additional assist;�nce with fila addrasses, contact <br /> the EHIV.Applications received after 3:00 pm will be processed tha next business days. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for rev iew will Ire confirmed <br /> approxlmataly ten(10)days after receipt of application. The files will be held for a tn.aximurn of five business <br /> days for r( view. Appointments should be scheduled accordingly. <br /> 3. Afile that Is actively being worked on by EHD staff may not be immediately avalfable tar mvlaw. A.new <br /> application may be submitted whan the file is available. <br /> 4. Any file not returned in the sattmo condition as released Will be reorganized by HH113 staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 depa.'sit prior to review. <br /> ENG i3-01-006 <br /> fnaraa <br />