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4/05/2006 16:59 1310799'041j PAG£ 02 <br /> I931b t/2H06 12:45 4640. - , '[- }''�. EfZIRONPEh ALF IH PAGE 01 <br /> GATE REf)ENEp ✓ r �, ' t SHP LAG NVMRK <br /> IN dbuN <br /> E �Nt WAIoo � <br /> M" D 304 East ber Aven 3 Floor,ftekton, 708 <br /> Telephone:(209)468.3420 Faxt(209)464-0138 Web; www.sjgov.a:gJehd2 974 <br /> w,�r; C� EGGS (((v//// <br /> 1 PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINE981ARENGY:^ �. <br /> �•�p-� t�' CL7Y� 4�[E � TAIR.7� <br /> �.PHONE(9�9 .�-A3 (21: FACSIMIL ,57 Q <br /> 9� TENTATNE'APP0ImTm&4rr DATE: Time. <br /> (Pleaca allow 10 busineHUc days from data orappficabon w4amml-"Tentative only-must be oc M med) <br /> ❑ CHECK BOR TO E XPEDM RE Y- FEE(CASH OR CHECK ONLY)-REQUEST FROCMEII IN 3 BUSINE14I DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Eleetronie ❑ Lint M M�' aDWpUm <br /> Inlformation _ <br /> FILE ADDRESS Ell pNLY <br /> 8hartA aVUet Name Cid <br /> 1. <br /> 2. ❑ Unit 'i <br /> 3• O Unit 2 <br /> 4. q�, <br /> 9 ar n Unit 3 <br /> 7. Unit 4 <br /> e. <br /> y- 0 Unit 5 <br /> 10' Unit 6 <br /> Specific Data Range of Information Requeatadt From <br /> to <br /> y ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> XL440ERGMU14D TANK(UST)C4EANUP SITL(LOP) ❑H011 =AaAT6MENT .X40W WASTL FAVLrn1vLHIG.E <br /> XOTh5R CLEANUPSrrE(NON-LDP) ❑FOOD FAcn.mr ❑WAaTETIRS <br /> X LNMRRcROUND TANTS MIQI ORM6IREMOY4) G DOG KRNNEL l7 DAIRY <br /> "AWHAZAROOU6 WASTE GDNERLTOR 0QtOKEN RANCH >4WAeTeWATERTREATMERTPww- <br /> 0 TIERED PORM TAO FACILITY C MUT"OmL IIn PUMPER TALIe YAIWCREWAL TOILETS <br /> ❑TATTOOMcvy Dime is t7 P=Jspk ❑LMtb USE APFLrOAT*N am <br /> O f1Ez=r WAMFACILITY ❑OTMA(PLEASE SPE01M <br /> WELT.AND SEPT PINUST HECCRba ARE A'iAttAKII FOR REMW.MONDAY-FRIDAY 0:00 AM4:0OPM HMMAM <br /> t. List up to ten addresses in thVpace above. Select the type(c)of fifes from the lixt above by cheoking the <br /> appropriate box(eS). At least one file type MUST be selacted_ Fax tg(209146"138 or r k to address <br /> Inde aq ted epgve. Address ranges will not be accepted—for additional aoaixtanee with file addrensax,contact <br /> the EHD.Applications received atter3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD filas exist An appointment for review will be confirmed <br /> Approximately ten (10)days after receipt of application. The files will be held for a ma);mum of five busineas <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 avallaWe 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 ataff at the expense of the <br /> applicant Future rile reviews by the same applicant may require a$93.00 deposit prior to review. <br /> u: <br /> oto 4-Oe <br /> HMx1IZ00E <br />