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67/17/2066 13:38 916-37109 RANEY GEQTECHNICA_ PAGE 0V01 <br /> EHD 4,CG NU{t InFF <br /> E>ATF RF-CEIVED <br /> SAN JC)AQUIN C{7IT.LVTY <br /> ENWRONMENTAL TUALTH DEPARTNI EN7C <br /> 344 East Weber.Avenue, 3'd Floor, Stockton, CA 93202-2708 <br /> Telephone:(209)465-3420 Fax: (209)464-01.38 Web: wNw,sjp1-ov.crg/ehJ <br /> _ PUBLIC RECORDS RELEASE APPLICATION _ <br /> AFFL1CAN w BUSINE35lAGEf CY':. day / `^ ' e�T x t. <br /> PHONE(z): <br /> TE:NTATIVE*tppouNi-,r,4r N r DATE: <br /> {?1R8:ce sIrrcnv?d 6Lirino s days f.nrt1 dafn of plication subrrrittar-*Tertath a only-mu€t 4e ecmflfTred) <br /> rd CHECK BOX TO EXPEDITE RECQJ T $0.00=(; OR <br /> CHECK ONLY)-REQUEST PROCES5FPM D 3 F_VSJ SS DNP; <br /> SICNATURE Or-APPLICANT . , DATE <br /> �U�+rf aIS7121E U71CIf10 tir(t 1 l7 Unit 2 13 UQ9 i7 Emit Ai 0 unit 5 C] UnIt B C] cy,.,(e;ertrCnrc,'11sMrmaP3) <br /> _ <br /> FILE ADDRESS >^HD USE ON <br /> SSrc«t#� Str"k Mame CtV — --2. <br /> -7 - <br /> ._...5 { �; G- ' r '" <br /> PCs!Ll_ �4 rf xy t t'q; rF C - <br /> YII <br /> SpeAf Date R,nge of In atim FteclVested:FrorTl <br /> ,,,/ EIIVIRQi`MENTAL HEALTH DEPARTP1 TENT ,'.. E i <br /> !�J Nf3EWROUMC TANIf(UST)CLEANUP SfTE(LOP) 0 HOvsINEM <br /> o ABATENT lk,SOLI(#WA*'W FACXi.,(WEPICLE <br /> P Tania CLS.mvp SITE(Nvt4-L0P) 0 FOOD FACRM M wA Il TIRt <br /> T}! DEFtwtOuND TANK(MoNTTuRltl'OrRf_NAVAQ 0 DOG KER14EL DAIRY <br /> VV 1iWR0�0USWATTEGeNERATOR CCHtemmRANCH QwA.s'r•_WATeRTRcATMENTPtAw <br /> Tr::RCQ PERMuTeD FACILJTY 1)MOTMAi0TEL M Pvvri--mT*gKIYAR)ICr Fm Toi,.Es'.a <br /> M ruTraQrSQDY?IaRCING 13 POQJSPA M LANE}NSE AFPUCAT13N,*mES <br /> Cr zmjALlf sirFAMMY MOT"rR(PLEASE:PEGIrYj -- <br /> VVEI..L rtap SEPTIC F'ERm%R:O.'Qxts me RvA%-ABLE FOR RENEW- M.oNIIAY-FPMAY 5:00 Am-S OFM " EXCLI MMC P-MMAYS. <br /> 1. List up to wrl addresses In the space above. Select the type(s)of WO&S fnlm th Ilst i2bov.a by clrecl.(nrg the <br /> oppropriafe box(es). At least on2 file type MU$T be selected. E8X to 209)464-0138 or rTlail to the addr ss <br /> indicated above, Addroas ranges will not ba accepted—far additional&rsisftnce with fila addresses, contact <br /> theEHi'g.Applications recei*red after 3:00 pm will be processed the next business dad'. <br /> 2. The EHD will notify the applican"A If any EHD files exist. An appointment for review will Jae confirmed <br /> approximately ten(10)days after receipt of application. The files will be hold for a maxirnurn of five busines <br /> clays for ruvie!w, Appointments ahould be scheduled accordingly. <br /> 3. A file that Is,actively Wing worked on by EHQ staff unary not be immediately available for rimlcaw. A.neer <br /> applir-Kion may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will b§rearganizind by HFID staff at the expense of the <br /> opplictint. Puture file revimp r by the same applicant may require a$93.00 deposit prior to.review. <br /> - <br /> 1l1dfU 6 <br />