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ENVIP.ONMENTAL WALT PAGE 141 <br /> S3/H7/2006 12:45 4643138 • EHGLOUNWNn <br /> MH <br /> DATE REcaIVED SAN JOAQUIN COUN YC ��11O, <br /> A,�7I ,, ) ENVIRONMENTAL HEA.LTII DEPARTMtNT �3�1 <br /> 304 East Weber Av2FA aro Floor,Stockton, CA 95202'Zv or ehd���'1 <br /> Telephone- (204)468-34200 k'ax7(209)464'-013$V+'°b: `v°`'�' <br /> ' •gJ%o � <br /> W PUBLIC RECORDS RJ LEASE AP'PLICATIOi� <br /> uustwsy5,1 FMCY: <br /> APPLICANT: Cn,y V'✓L ik I— TA-11 <br /> ADDRESS: FACS3h9LE <br /> PHONE 117� �-� t�KJ V�JO PHOPIE(2)' CY, /I may. e I/ " <br /> Time! <br /> TENTATIVt; APFOINTA9EKT PATE: only•mutt be COFdi <br /> (Please alloy 10 bneiness days fi'otn data of"liitcdcr.suxoiffiI•"Teat QU'@OU <br /> 8T PROCt3SSEi71a 3 BW91HE 3 GAYS <br /> CI CHECK Box To F-xPERrfE R£QWEST-S91oo PEE(CASH OR CHECK OKY)-Rc. <br /> DATE <br /> SIGNATURE OF OF APPLICANT <br /> Elechow ❑ List 0 Mag-DescVdOn <br /> h�fonnatlim <br /> FILE ADDRESS EHD USE ONLY <br /> SGeetR SN'eec Name Clty <br /> ❑ t.lnrt 1 <br /> 1. Ifyy° i o Unit 2 <br /> z. s � <br /> 3 r Unit 8 �\ <br /> Unit 4 <br /> 7. I rk Unit 5 <br /> 8' <br /> g, Unit � <br /> 1 D. <br /> Specine Date Range of Irtbrmation Requested;From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> CLLI/lUP Srra(1,OP) O HCUsptlO AOATEMENT W wASTE FA^+tur .7VE torr. <br /> (.}HpeRORDUnD TANK(UST) ❑FOOD FAG14n:r ASTE TRE <br /> DTHER DLEANUP SITE(Ha1N,OP) ❑DOC KHNNFI 0 PATRY <br /> �RourvoTANK(pggm7❑y lRancvAL) WAeTEv4TE.9TReAnWKTPLAIIT <br /> OUPe WASTE 6HNgRATOF, I7 OWOKEN RANCH O pUVFER T.1UC P,ARb1CHwmA1 Tol CTS <br /> T�EsenPEAppriF.�FACILITY UMm-..0114TEL ❑ LMUWAPM4GA70NSnES <br /> - <br /> O TATbQ1OM PIERCING ❑OTKOTxI RM PA <br /> iN6➢ICALWASTFFAC1LITY (PLEA~F <br /> D SFECtFY) <br /> WEL. AHo sEPnc POWT RECQRW An AYA1LAM9 co�Rr=vYW -�OWWAY-PRiDAV B:OD ArbB:OD e EXGLUDa�HOLmAYB, <br /> 7. List 1p to tort addresses in the space above. Select the types)of files llvrtl the tilt above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax 1 D or+mil to the ad <br /> Indicated ahbox( Address ranges will not be accepted—for additional S6zistance with file adelmsses,contaqEMa ct <br /> the EHD, Applications received alter 3:00 pni will be p ocossed t6 trfi nt fo$i�AW Will be confirmed <br /> 2. The EHD will notify the applicant if any EHD files exist. An appo <br /> approximately ten (10) days af4ar receipt of eppiication. The files will be held far a nia?dmum of f'VC business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A flit that is actively being worked on by EHD staff may not be immediately available for review. Anew <br /> application may be submitted when the file is available. <br /> by EHD Staff at tilp 4. Any file not returned in the same conditlon as meas antmay Ill berequr2 a 5g3 DO deposit prSor to review orgonLzeDl <br /> a of the <br /> appiieant. Future flit reviews by the same app <br /> 6NDd8•�t <br /> 1a/31R006 <br />