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MAR, -24' 05(THU) 11 :50 VERSAR, INC, TEL:0169622678 P. 001 <br /> DATE RECEIVED MID LOG NUMBER <br /> n�����p�D SANdoAQurNCoUNTY <br /> fry v D "W. L, <br /> ENVIRONMENTAL FIPtAr.TH DEPARTM304 East Weber Avenue, 3`a Floor, Stockton,CA 95IL;AR 4 71105 Telephone:(209)4511-3420 Fax:(709)464.0(38 Web! ww13c) <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE. APPLICATION <br /> PE <br /> APPLICANT: BUSINESSTAGENCY: Vu-SO-C' Nyit<. <br /> ADDRESS ��` •.& it e" �r lCpl �r� Cir✓ gkjy,, , c 9�X <br /> PHONE 111: 8.1.3-93 PHONE ITi: FACSIMILE: r-i lLn- <br /> TENTATIVE*APPOINTMENT DATE: rU� a •�5 _Time: 116LjN. ' <br /> (Please allow 10 buAineas days from date or app,codon sabmldal-'rentedve only-meet be ooldtrma111 <br /> M CHECK BOX TO EXPEDITE REQUEST•$99.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 RU6INESS DAYS <br /> SIGNATURE OF APPLICATER� k1/4W/24­, DATE /4q)05 <br /> UNIT DISTRIBUTION MUntt 4 el Unite Cl Unk3 0Unk4 QUnit 4 rT Una6 G Other loleCtrQDlsAletalmaPa) <br /> FILE ADDRESS _ __ EHD USE ONLY <br /> Slnot_a 5lreat Name _ city .,, V Y <br /> 1. MGL- r' -Sty _, � � "'� <br /> 2. 55U .Mir �t� 1.—!s� _ - raw <br /> 44 <br /> 7. _.. . <br /> 10. <br /> Specific Date Range of Information Requested:From to ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDFROAOUND TANK(UST)CLEANUP SITF(LOP) M HOUSING AaATEMENT M SOLID WASTE FAcRITTNEHICLE <br /> LT OTHER CLEANUP SITE(NON-LOPI 71 FOM FACILITY AWASTE TIRE <br /> UNDERGROUND TANK(MOWTORINGIREMOVAL) ❑PDD KENNEL rT PAIPY <br /> HA2ARDDIl9 WASTE GENERATOR CHICKEN RANCH O WAw"ATER TREATMENT PLANT <br /> TIEREo PERMITTED FACILITY AISOTELRtOTEL QPUMPER TNUCKIYARDICHEM TOILETS <br /> ❑TATTDOIBODY PIERCING CIPOOI-leFA M LAND USO APPLICATION SITES <br /> ra MEDICAL WASTE FACILITY 17 OTHER(PLEASE SPECIFYI <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILARa FCR RENEW - MONUAY-FRIDAY 0:00 AN-6:60PM - F=-UPING HOLIDAYS. <br /> 1. List up to tan addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2081484-01311 or mall 10 the address <br /> Indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Applications recelvNd after 3:00 pm Will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(1o)days after receipt of application. The files will be held for a maximum of flue business <br /> days for review. Appolntmorta should be scheduled accordingly, <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the file Is available. <br /> 4 applicae not returried nt. Future file ln the same r views by the samoa applicant may n as released will <br /> requireoa$931zed.0 deposl prFHD iorrto reviewat the Panse of the <br /> RM a-0�aw <br /> 111111115 <br />