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04/05/2006 16:59 1310798nc41 PAGE 02 <br /> n3l0!/1005 12:45 4640 IRONNENTAL I AH PAGE 01 <br /> \ � <br /> DATE R[iCEIVEp :v., , i 6 SM LAG rwtMl.bH <br /> UNWCEoVElo ENVMO AL <br /> REAL LTH DEPARTMM 2 1074 <br /> 304 East Weber Avenue,and Floor,Stnakton,CA 95202-2708 <br /> Telephone-(209)46&3420 Paz,(209)464-0138 Web: www sjgov.arg/tbd <br /> �,rr; E "cOEib <br /> 1 PUBLIC RECORDS RELEASE APPLICATION <br /> EDIVIRQP �,t <br /> P 'f" i U Sr�t(1 $JJSINESSfAGEnar: <br /> AaoRES !�j ���•'���p�-zi a crrc11 1�k.j"I"C.IC- �J+f rATE. <br /> TENTATIVE^APPOINTMENT DATE: 700: , <br /> (Please arrow It business dM From Gala of application p#m,Mal-•rintftom only-must be ccnfl,mod) <br /> ' ❑ CHECK BOX TO EXPEDITE RE Y-S D FEE(CASH OR CHECK ONLY)-ReQUEST PROCnSED IN 33 BUSINESIZ DAYS <br /> •SIGNATURE OF APPLICANT DATE <br /> HHarmation ❑ List O Map-Dascrlptl D <br /> FILE ADDRESS E Ul ONLY <br /> s'�plN strecl Name CRY <br /> 1. <br /> s. ❑ Unit 1 <br /> a. Ci Unit 2 <br /> s. ar U Unit 3 ��I <br /> s. <br /> 7. Unit 4 <br /> s. IF M MIL I <br /> 9- ❑ Unit 5 <br /> 10- Urlit 6 <br /> Specific Dato Range Of Information Requested:From to - <br /> yv ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �.rayUNDERBROUND TANK(UST)CLEAKU?SIrTi(LOP) CKwswoAaATtmew )<*MM WAM FA02rI =tjfCLE <br /> ; OnrtR CLEANUP SrM(NON-LAP) ❑ FOOD FADILny ❑WASTE TIPS <br /> ;V URODWROUND TAW(MOMT0AW McM0V4) G DDG KRNWL In DAIRY <br /> 'AWHAZARDOUS WASTE GANERATOR ❑a ltcrp, K RANCH VrWAVIEWATER THEATMrw P:,W <br /> O TIERED PMWTE0 FAOIUTy 0MOrbl =L ❑PUMPER TRUCKIYARDICHEWCAL TORETS <br /> ❑TATTOOMODT PIEROW0 ❑povisPIC O LAND UDE APPWA,T10H Srn <br /> 110DIC WABTRFACILITY ❑OTHER MLEASE SP=1FYf <br /> WELT,ANDBEFTIC PeRRM REGOK02 ARE AVA"mr FOR REmw -MONDAY-FRIDAY 6:00 AM-5:00PM - EXCLUDWc HoLmAM T— <br /> t. List up to ten addresses in theaapace above. Select the type(a)of files from the list above by checking the <br /> appropriarW box(es). At least one file type MUST be selected. FEtp(20914"4138 or m jE to the a3dress <br /> Indicated at gye. Address ranges Will not be accepted—for additional asaWtance with file addre!rsss,contact <br /> the EHD.Applications received after3:00 pm will be proces"d the next business day. <br /> 2. The ENR will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately ten (10)days after receipt of application. The files will be held for a maximum of tivs business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avallable for review. A new <br /> application may be 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 expense of the <br /> applicanL Future file reviews by the same applicant may require a$99.00 deposit prior to review. <br /> END uae <br /> 1on,rsops <br />