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Sep 05 06 06: 54a P- 1 <br /> v EFL]LOG NVYlEft <br /> ��- SAN JoAQ[JiN COMM <br /> ENVIRONMENTAL HEALTH DEPAK:f'ME:NT <br /> P - 5 2006 304 Easte: C Weber Avenue,3a Floor, Stockton,b. 95202-2708v.or <br /> SE <br /> Telephone: {209)468-3420 Fax:(209)464-0138 Web:wwwsjgov.orgieild <br /> ENVIRONR�EN� NEf�!1H <br /> ��R��� <br /> ��E�tViCES Pr[JBYdC RECORDS RELEASE AJPPIaICA'TiUccP1GG <br /> *PW . — '1.{J BUSINESSlAGENCY:�I�, r n\! — <br /> A POCANT:(.,o1'adizona_..(J..- <br /> _s <br /> AIDRES,S: �l�.��.rS� )y(%YY-�l4�L4 I� <br /> K _�LS�.iL'S S1-•�-- � '�,rJ/��[/_� <br /> PHONE III: _3_J..1s�.d-,—PHONE(2): —FACSIMILE: <br /> 9/5- X 51 - ATE-NITATIVE:"APPOINTMENT DATE: <br /> n <br /> '1 ff (Please atim 10 burine m days from date of 8Pplicadon submittal-•Tmtatve only-must be confirmed) <br /> CH_::K BOX TO FXPECITE REO'Ak $95,.0/O_FEE(CASH OR CHECK 1 )-REDDEST PROCESSED iN 3 BUSINES DAYS <br /> 51GNATURE:OF APPL GAM"f �l r��� � —DATE _ : Wit`'% <br /> t•.%� <br /> , DISTRIBUTION ❑Unit ❑ Una2 ❑Unita ❑ Urtft4 ❑URkS ❑ J---�HG- ❑ Cher(�� t t _ <br /> •� BILE ADDRESS m Owl <br /> -- —-- <br /> . Stm r y <br /> LIST_ ' <br /> HL,) <br /> 2 -- <br /> � 2 �- <br /> _.. .. .... ki 15cz v IS w J r� Ct�s . <br /> ,. <br /> NoT-_ IL.RB <br /> -- <br /> S peDLfie Dale*range of in ormalfon Requested.From <br /> I:I'iVIRONMENTALHEALTarELa ' <br /> I C ❑HOUSING ABATEVENT ❑SOLID WASTE FACILIT"NEHM-E <br /> `1OTHER CLEANUP <br /> (JOV-LLEAN:IP..ITIE(LOP) ❑FOOD FAciUTY 0WASTE TIRE <br /> 71 OTHER GLEAIUL'P SRE(NOV-LOP) A <br /> =INOERGROUND TAW(Moinof wk4R'UOIV ) ❑DOG KENNEL ��� Y <br /> ROOVSWASTE GENERATOR ❑CHICKENRANCH rTEkYATERTREATMENT PLANT <br /> CI TIERED PERMITTED FACLrn 17 MOTELIHom _ 2❑ RPVWERTRUCK/YA.RMCHEMTOILETS <br /> ❑TATTMBODYPIERCING ❑POOLISPA ❑U.HD USE APPUCATIDN SITES <br /> :I MMCAL WASTE FAciLrrY ❑OTHER(PLEASE SPECIFY)- --- <br /> NEU_AMD SEPDC PERWT RECORDS ARE AVAILFZLE FOR REVIEW. MOWAY-FRIDAY 8:00 AM-S:OOPM EKCLlDING HOUDAYS. m <br /> t. List up to ten addresses in the space above. Select the type(S)of files from the list above by checking the <br /> e OAUST be selected. Fax to 209)4F4-0130 or mail to the address <br /> appropriate box(es), At[east one file type �1— <br /> indlcatedabove. Address ranges will not be accepted—for additional assistance with tale addresses,contact <br /> .the EHD.Applications received 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 wih bs confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. K.ppoirtments should be scheduled accordingly. <br /> sowo3. A file that is actively being worleed on by EHD staff may not be immediately available for review. A nvn, <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 staff at the expense of the <br /> applicant. Future f)le reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EH0 60A& <br /> 6yfi: <br /> i <br />