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Sent By: BASELINE; 510 420 1707; Jun-22-05 2:39PM; Page 1 /1 <br /> (�V :y/1�1art t' 94iA <br /> D �� <br /> V EDD EHU LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> JUty 2 2 9005 ENVIRONMENTALH-EA>LTHDEPARTmENT <br /> 304 Fact Weber Avenue,aro Floor, Stockton,CA 95202-2708 <br /> EKARONMENT HEALTHTelephone:009)468-3420 Fax:(209)464-0138 Web.'wwW.sjeov.0rg/ehd <br /> PERMIT/SERVICES 011 <br /> y PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: GY4G... SUSINEWAOENcv: <br /> ADDRESS: !0 a "t 5' , '( <br /> PWONE(,): � Et2Y•, LO�424'94 6_ tN-'ACSIMILE: <br /> TEN ATNF`APPOWTN1ENT DATE: rims: <br /> (Pwaee.aaow,o bualnsu dqa Tram date Of OPP110OU001 eab tftl-•Trnh money mus(be confinnod) <br /> CHECK BOX TO EXPEDn E REQU (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 8 a INM DAYS <br /> SIGNATURE OF APPLICANT PATE <br /> nla'T DISTRIBUTIOFI g Uoii, „❑Unx Utdl Unit O unae © IInh6 13 oem(deefronlonlaWnmP6) <br /> FILE A <br /> atnMee IM -. EHOUBEONLY <br /> aaweNI <br /> _ <br /> O <br /> 4. <br /> a. <br /> 8. 1 V1 <br /> 110. 1 <br /> SpedBc pate Range of information Regtwecad=From 10 <br /> ENWaONMEWALHEAL,TH DEPARTMENTFILESS <br /> UNDERGRouso TANK JUST)CLEAMUP SnE(LOP) O HOUSING AISATEMeNT O SOUOWASTE FACILITYNEICLE <br /> CLEANUP Sm:(mm-LOP) 0 FOOo FAciuTY ❑WASTE TIRE <br /> R4RAWA Mt 00CRAORINNRlMWAL) Q GOaKENR4, CI GAMY <br /> .. �NA2A/tD0116 WASRaG4PAmN . .G.GecNEN RA,MGI OWASTEWATER TREATMENT PLANT <br /> 'Q TOM PEPMUMb FACILITY ©NOTELn101EL ❑PUMPERTfMILMARDICHEM TOILETS <br /> 13 TATrOO1BODY Piemm O P000SPA O LAND IIB:APPLICATION&TUI <br /> C]MEDICAL WASTE FAGUTY. In OTMA(PLEASE SPEaFY) <br /> WeLL AMU SEPTIC PERMIT RECORDS Alm AVNLAneFMft w- NONOAY-FRIDAY8:OOA":O" - FxcLt�HDLmYs- <br /> 1. Lint up to ten ass <br /> ddrees in the eppce abisve. U,Ott this type(s)of 11109 from the list above by checking the <br /> approprlate box(es). Atleast one file type MUST be selected. Fax to f2")484-0198 or mail to the alddreae <br /> n a Address ranges w8l mol be accepted-for,additional asslstatrce with fits addresses,contact <br /> the EHO-ApplicAUons receivedafter 9:00 pm will beprocessed the next business day. <br /> Z The EHD will no",the applk:agt if any EHD flies exist An appointment for revlew will be confirmed <br /> approximately ten(10)days after recelpt of application. The files will be held for a maximum of five business <br /> days for review- Appointments should be scheduled accordingly. <br /> L A file that is actively being worked on by EHO staff may not be immediately available for review. A new <br /> appllcoUon anay be aubmRMd oim the fUe k avaliable. <br /> 4. Any file trot returned In the same erudition as released will be reorganized by EHD staff at the expense of the <br /> applicant Future file reviews by the same applicant may requim.a 599.00 deposit prior to review. <br /> RUSH,nm <br />