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12/04/ 006 12:06 FAX , . Z002/002 <br /> 1 <br /> /19 <br /> ENVIRONMENTAL ^F rHum ui <br /> WR-W50 <br /> ' SAN JOA,QUiN COUNTY <br /> EHD LOG NUMBER <br /> f q 0 4 2006 ENVMONMNzALREAL'HDrrART <br /> 304 Bask Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> 1� NIOENT H% Ione:(209)468-3420 FAx: (209)464-0138 Web;www.4gov.ory/ohd <br /> k'ERMfT/SERO/ICES <br /> PUBLIC RECORDS RELEASE APPLICA'"ON <br /> APPLICANT:_ �+7.� Cti S�f'�;, �l/,e77 gUBMESSIAGE7•IG'`Y., <br /> APDRESSi 9.25 �� /1 C—r <br /> PHONE(t): ;bbl X141 "1 74S PHONE(7): _ FACSIMILE: 9-06a) <br /> TENTATIVE*APPOINTmi:N'T DATE: Mime• <br /> (Please atiow 10 business days from daft of apprreetion subrni tel.,Antatrve only-must be confirmed <br /> CHECK BOX To EXPEDITE REQuF-ST-Ssr,00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 DUswss DAYS <br /> SIGNATURE OF APPLICANT _ PATE <br /> Electronic Information: O List❑Map—Descrlptian: <br /> FILE ADDRESS EHD USE ONLY <br /> str�ot# street Name city �,�� Ca unit t <br /> F�12 <br /> ilotQ� �8- unit 2 <br /> 3. Unit 3 <br /> Unit4 <br /> 7. <br /> Unit 5 <br /> ft <br /> Spedfic Data Range of Information Requested:Prom to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Do UNOERGRou►ro TANK(UST)CLEANUP SITE(LOP) 0 HgVma A8AT6 AI!'NTp�S0W WAWM FAC9Mr?E WAJ! <br /> Ik onIm G'Lt:ANOp Srnz(NON4-0p) 13 FOOD FACK rr t:l WAS'r8 Tlru< <br /> Q UNmRGRomm TAW(MoNIToR rt dREN0VAL) 0 Don KfthwL A patty . <br /> PL HAZA POO WAstd GENWATOR =CHICXEN RANCH W ASTcwATER TREATMENT PLAW' <br /> O TmrED PE7 i FACRAI Y Q MOTUA40 ts. �PUMPER TRvcK/YAKo/CHEM 710"Ts <br /> M TATTOWBODY PWJtOING V Pgot1SPA LAND UM APPLICATION&TES <br /> ra Meom"WASTE FAclurr O SER(PM"d SPECIFY)--- <br /> Wstd.AND SEma Pmmrr pAcmDs ARE AVAn ui a FOR REymw- MoNbAY-FwaAT 6:00 Am-5-00m - EXcLuowa HOLIDAY& <br /> Y <br /> 1. Llot up to ton addresses In the space above. Select the types)of flies from the 115t aboYo by checking the appropriate <br /> box(es). At least one file typo MUST be salacted, Fax to(2091464-0138 or mail to tbo.octdmss Indicated above. Address <br /> ranges Will not be Accepted-.for additional assistance with file addrassas,contact the EHA.Applications recelved after <br /> 3;00 pm will be processed the next business day. <br /> 2. The END will natlfythe applicant if any EFID filed ox1sL An appolntmont for review will be confirmed approximately ton(10) <br /> days after recalpt of application, The files Will be held for a maxlrnum of fivo business days for rewraw, Appointmonts <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by NHD staff may not be immediately av2ulabla for review. A now applicatlon may be <br /> submltte6wh2n the file 1%available. <br /> 4. Any file not retumed in the same condition as released will bo reor'panized by EHD staff at the expense of the applicant. <br /> Future file roviews by the same applicant mayrequlre a$93.00 deposit prior to review., <br /> EHD USE ONLY <br /> MP qe-05 9/7 ods <br />