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0 <br /> ',V18/2008 14:53 FAX 9182905• WKA*ENVIRONMENTAL Z002/002 <br /> RECEIP ,TERECEIVED METALR �TH� HD'_OCNUNPFER <br /> VED ]ENVIRONMENTAL COUNTYHD <br /> 304 Eut Weber Avenue,3d Floor, Stockton, CA 95202-2708 3 <br /> SEP 1 8 2006 Telephone; f209)468-3420 Fax:(209)4640138 Web:wv,w.sj$nv.org/cbd <br /> ENVIRONMENT HEALTH 1"UBLIC RE,C0I1DS RELEASE APPLICATION <br /> BUSINESSJAGENCY:Ww4cna7-f< 1.t_.a�1t85-ac,alsti':i; <br /> ADDRESS: 1115/ "AY"-' St•Ia'Lf 141+ A,/ns Snc.enr.t.'.rre� CA �7 5`69/ - <br /> PHONE(1): 916-377. -/,1-39- PHONE(2): ?16^L75-0335' FACSIMILE: %C- ZOO <br /> TEI+iTATNE,*AFPOiNTMENTDATE: Time: <br /> (Please al4?w 10 burimen days from dale of app€ka@on submittal•'TentatfYe only• b be axlfirma!P', . ,n .�. <br /> CHECK BOX,TO EXPEDITE REQ-UEE' $9 E(C b OR CH - _ ED IN B @USINESS DAY <br /> \ SIGNATURE OF APPLICANT <br /> Eac+?rfa.rrc InfTarnlation: [] Liae❑ifiap�DascriptioD: � ,�� <br /> FILE ADORE9S EHD USE ONLY <br /> AST H W <br /> ,\ <br /> St"ee`i St19M Name City ®� v V V ❑ unit 1 <br /> �-- �• --- -. . V / l,Jt <br /> 1. <br /> 2. 1 13 Z S N. .M s3 5E•! h =✓2r 4 (_,l unit 2 l <br /> 4. <br /> NrF 5. <br /> 6. f-17 w. A _ S 1cra� <br /> �ia��srs, <br /> 946 <br /> "T 7. 13.15' hi. dwp, Av it Sy-�st7p-� <br /> I)!'`9^/ 6✓._we'"E017,, 71, C *y�y^yGaC'7ar' SEP • $ 20M UnliS 6 <br /> El vwte <br /> UST € 'i R. ';/�7�- h..- Fc.Fa9w:-•�Tr-� � S�Toc.�r«ar-^' Y11cCarmlG '' fS2.x1-e�/ <br /> Specific Rate Range of Information Requested:From ^4` to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNpERGROU!d4 TANS(UST)CLEANUP SITE(LOP) 12 HDuSING ABATEai ENT Cl Souvlll ate FAcdnY nl _ <br /> OT'iF.4 CU-"UP SITE(MON•LOP) El FOOD FACILITY ❑WAEIT:TIRE a>♦ <br /> ` IiAVBRG IVUND TANK(MOMRGRINWRuVcVA2) ❑DOG KENNEL ❑Dwy <br /> W MzAr DOUR WASTE GENERATOR 0 CHICKEN RANCH 0 WAM-EWATER TREA.TYENT PLANT <br /> 111 TIERED Pmmi=o FAciury 0MgTEi JHom 11 PUMPER TRUCKIYARD/CHBM TOILETS <br /> TATTODJBODY Fr RCINU ❑POOL/SPA a LAND USE APn=ATION SITES <br /> MEDICAL WASTE PACILnY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERWIT RECORDS ARE A"=YAAABLP.POR REVIEW. k1ONOAY+FRIDAY B:Ua AN-5;oIIPM - EXCLUDING HDLIDgYE. ...nom. <br /> to List up to ten addresses in the apacs nbovo. Salta the type(s)of flies from the list above by chec<ing the appropdate <br /> b-cx as). At,,toast one file type MUST Le selacted- Fj,,r,(_o jZ2M 46"138 or mail to the address IndIcaried above. Addmba; <br /> ranges WH&not be accepted_fCr additional assisitance with file addresses,contact the EHU.Appfi al:ions rMelved af'ieI' <br /> 3:40 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 will bD conFrmed approximately ten(14) <br /> days after receipt Of application. The files will be hold for a maximum of five business days for renew. Appointments <br /> should be scheduled accordingM_ <br /> B- A IMP,that is scUve(y being worked on by EHD Stal#may not be immediately avallable for review. A now apulivet(on may be <br /> .A5&mit°9N whsn The file is mpable. <br /> `�. Any file not n:turned in xha Santa conOltion as released will be reorganized by FHD staff 92 the exp-n:6e of tfle applicant. <br /> Future file reviews by the some eppficant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> aHD<6AA Sy13rl496 <br />