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<br /> YNVIRONMENTAL HEApG��i��®
<br /> H DEPARTMENT
<br /> 1868 "East Hazelton Avenue; Stocktpn- q9g2M---625
<br /> r Telephone: (209) 468-3420 I"ax: 209 46
<br /> SEP 1 1 2013 ( } 4-0138 Web: www.sjgov.or91ehd
<br /> ENI PUBLIC RECORDS RELEASE APPLICATION
<br /> iBUSINESWAGENCY: FNGEO, Inc
<br /> �'7�7
<br /> ADDRESS: 580 N. Wilma, St:e. A
<br /> CITYiSTATE/ZIP: l�ipon, CA 953 f;5
<br /> PHONE(1): 209-835-0610 PHONE (2): 925-570-4056
<br /> I
<br /> TENTATIVE';gPPpiNrMENT DATEFACSIMILE: $$g-279-2698
<br /> (Please allow 10 business days from: date of application submittal Telfla"anly-Inst be confirmed)
<br /> XCHECK BOX•TO EXPEDITE REQUEST_$125 FEE
<br /> SIGNATURE Or- APPLICANT CH ONLY)-REQUEST PROCESSED 1N 3 BUSINESS DAYS
<br /> DATE 9-11-2013
<br />�4 Electronic Information; _
<br /> FILE ADDRESS
<br /> Streeto - E"D USE ONLY
<br /> Street Name Clty
<br /> 1. 30.1Westr Stewart Road Jaat rop Unit
<br /> 17 2. R r a ( r n' �spung
<br /> 3. - iiinit 2
<br /> 4•.
<br /> 5. P`!']Unit 3
<br /> 6.
<br /> 7.
<br /> Unit 4
<br /> $,
<br /> 9' Unit 5
<br /> 10.
<br /> Specific Date Range of InformationRequested; From any Unit 6
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to current
<br /> ®UNDERGROUND TANK(UST)CLEANUP S[TE(LOP)
<br /> OTHER CLEANUP SITE(NOH-LOP) ❑MEDICAL-WASTE FACILITY E]SOLID WASTE FACILITYIVEHICLE '
<br /> 1 ❑HOUSING ADATEMENT
<br /> UNOERGROUND TANK(MONIiORINGIREMOVAI WASTE TIRE
<br /> I]FOOD FAc[LrTY
<br />! ES ABOVEGROUND TAnlx ❑CHICKEN RANCHI DOGKENNEL
<br /> ❑DAIRY i ��
<br /> HAZARDOUS WASTFJHAPARDOUS MATERIALS C]WASTElNATEIt TREATMENF PLANT
<br /> 0 MOT&LN IOIE1
<br /> TIFUFn PERMITTED FACILITY PUMPER TRUCKIYARAjCHEM[CAL TOILET&
<br /> ElTATTOO/$ODY PIERCING POOLISPA [LAND USE APPLICATION SITES
<br /> CrCOMPLAINTIRESPONSE RECORDS Q OTHER(PLEASE SPECIFY)
<br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS)
<br />! 1. ist to en addre�zses in the Space above. Selact the
<br />! box(es). At least one fife type MUST be selected. 1= X to p9sdS4of f 073 f o nit it list jabatl�rbe�checking dtctdhe oVpralOriata
<br /> ranges will net be accepted_for additional assistance with'file addresses,contact the END. Appficatlons received afters
<br /> 3;00 pm will be processed the next business day.
<br /> Z. The EHD will notify the applicant If any END flies exist. An appointment
<br /> days after recel t of a hCation. The files will be held for a maximumf flue f3ualtl as da confirmed rev,ew. oximateiy ten {4D)
<br /> should be scheduled"accordingly.
<br /> � Appointments
<br />! 3. A file that is actively being worked on by END staff.may not be Immediate[
<br /> Submitted when the file Is available, y available for review. A now application may be
<br /> 4. Any Elie not returned in the same condition as released wlli be reorganlzed by EEHD_staff aL_tha expense of the applicant.
<br /> I I�uturs
<br /> i file reviews by the same applicant may require a$425 de" -
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