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Aug 16 07 11 : 37a MaTyree Herbert (925) <br /> -3738 p. l <br /> NEO EHO LOG NUMBER <br /> D �C'(C�JS(I1� �D� SANJOAQuINCovNTY <br /> ENvIRONWNTAL HEALTH DEPARTMENT <br /> olon <br /> 600 PAist aur, 1 200? Telephone:(209)468-3420 Fax:Street,ain 95464-0t8 Web;CA www_sjgov.o <br /> 202 <br /> pVIRU , <br /> IV'ti1(yr PUBLIC RECORAS RELEASE APPLICATION <br /> APPUCANI'.�r14,Vf�¢ICDA EfE2BERLT BUSINESS(AGENCC�Y: WCa{Z. - Sot&r vje%i- <br /> ADDRESS: IS W. PINE Ljl-. s'f"E, g L-DDI V'rl Z•�}"O <br /> PHONE(1): C 9 ZS) q c1--1- 7)-{3 g FACSIMILE: (Zt)l� 3�jq--S3'14 <br /> TENTATIVE'APPOIITMENT DATE; v - S I D 7' (p 0.n--T <br /> (Please auow to husiness days tram ease et TIM: <br /> appacalien e.bonift l--Tenbm,only-must be conRmed) <br /> ❑ CHECK Box TO EXPEDITE REO(1E3T•Sep00�(CAS�CK OIL EOUEST PROCESSED IN 36USNESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE g-I (O-O7 <br /> �i <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS -USE.ONLY <br /> SirsetM Steel Name <br /> city ❑ <br /> I. unit I <br /> Zo¢o W. Wast-.; +on St. StaGIL+o✓I <br /> 101 3 2115 W. WasF i +ar Sfi. Stock ova �d Unit <br /> z <br /> 3. 21 ,o W. hJash: 1cr� St. . . 1acLiorl <br /> Vv aski 4-D v1 Sr. Stock+nn Unita L\ <br /> s• Z3oS W. Washi vt n St. Stock}�� U <br /> \ 8' 2321 W. YVasl1_n�c Ooh sr. Stocic{on UnK4 <br /> r. 252(0 _W. _Wask� +ov1 5i". Stock3-o l-, <br /> �•�( s. 2(05o ul/. WQS�k✓, 1nvT ❑ Unit <br /> ////.VY�rll��yy"pp"" St. .Sfo cktn n <br /> 9• 2'100 W. Itiashi 1-bn St. 5ta�k.}� <br /> kA) ]-,I sr. Unita <br /> Specific Date Range of Information Requested:From 4-11 d-a1�5 <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �eqUMOEIMOUW TAW(UST)CLEAN,,SITE(Lop) tiO11aING Ae1TCwENT �Q7� <br /> /ry-OTHER CLEANUP 5ITE(W*-Lop) ❑Fwa Hm8wc1Ury SouGWANTE FACkn1fiVEINCLE <br /> C•UNDEgGRDUND TAW(WDNITORINGIREAIOVAL) ❑PDG KENNEL ATWASIE TOE <br /> HAtgpD(Nlq WA$TE t.-ENERATWi OKx; EN NEI_ 0 DARY <br /> J�TIEREG PERMITTED FACILITY OCHICKE{OIEI, /O`WASMWATait TREATMENT PLANT <br /> �TATrDryDODy pERCalc ❑PODLfSPA XPUMPER TR,GtfyARDfCHEM TOILETS <br /> 'MEDICALWASTE FACILITY 0 WO USE APPLICAnON SITE$ <br /> Q OTHER(PLEASE SPECITY) <br /> WEU AND SErmc PEgNIT RECORDS ARE AVAILABLE ToR REiTaw - <br /> GDNDAY-FgIDAY 1:00 AN-5;eapM _ E%GL,DMG HOLnIAy, <br /> ,• List up. At least one fila type MUST be aalaGted,len addresses in the space above. <br /> boz(es)es Select the type(S)Of files from the list above by checking the appropriate <br /> address rangwill not he accepted-for additiFax to f209)X64-0138 or mal onal asaNrtanee went tBe addresser the oddress ind infed above. Address <br /> 3:00 pm will be Procossed the next business day, contact the Applications received ager <br /> 2. ClOYS The END will nDtHy the applicant 1f any EHD files exist. An appointment for review will be confirmed apprG%Imaleiyten(10) <br /> ager receiptof led accordingly,application. <br /> shoultl be scheduleThe files will be held for a maximum of five business days for review. Appointments <br /> ahou <br /> 3. A file that Is actively being worked on by EHD staff may not he immediately available for review. A new application may be <br /> submitted when the file Is evadable. <br /> 4. Any file not returned in the sone condition as released wfl(be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the earn*applicant may require a$95.00 deposit prior to review. <br /> EHO USE ONLY <br /> ENp'N-0A LtylOor ' <br />