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0'/16/2006 14:53 FAX 9162900 WKAaENVIRONMENTAL Z 002;002 <br /> C 4-E PE^FFFa BO -IiD'_OC NL VFIER <br /> RIECEME0 ENVIRONMNTALHEL COUNTY <br /> Aver <br /> 304 East Weber 46 -3420 F,3�Floor,9)4Stockton,CA 95202-2708 �1.�-� 3 <br /> SEP 1 S 206 'I"eleghone; (203)468-3420 Fax:(209)464-0138 YveU:wv,w.aJBay.or;/chci `i <br /> ENVIRONMENT HEALTH PUBLIC RECOIMS RELEASE APPLICATION <br /> PPPLIAPPLICANT: GiT .�i77:H3'rR:o.+Cs 6USINESSIAGENCY:Wwa6..�Ee-14uA1�. A ac,wvG'-`>: <br /> ADDR,E^s: /I-<W /JRbj� cC7�s+,rC i E✓e� _ ew'r.�ss� eA �i 5441 <br /> RHON€(t): -ff3'F PHONE(2): I16-Z75-033.5 FAC'.51MILF '6'/t:-,ZS0--S��79..�.. <br /> TENTATIVE*APPOKMENT DATE: 71-me: <br /> It!lease 311E. 76 tuainesa days from dace of application submittal•*Tentalem onlylynitaillbe ca firma+s', <br /> l`�ctit=GK sox,TO EXAE017E REOUE�..595.40 E(CASH 01d CN U -pR ED IN 3 EL'*6NE89 DAYS uzatTF �' <br /> IGNATUREOFAPPLIGANI C � � 1� D E 0-y <br /> WC 0 <br /> EltftST:n% Information; ❑Llst❑f4ap-Description_ 294 <br /> _ PILE D,Df3RE$3 _ EHD Uff:INLY <br /> • ---std fi idea.Name city <br /> AST N W (, 13 L o w s . *AaF� sa✓ 5:ae a t'w. I 9 <br /> N FF B- 13 Z 5 volt.? <br /> N F F 4. I <br /> ,wry �7 aeJCSTaw v <br /> AFF s <br /> LST 7. 'i✓�!J h+', ansa Ave 57Azrcu <br /> SEP 16 200 o anbs � <br /> NFf 8. 1�° w -ems R fl✓'� Yd crC 7o J O is f3 N <br /> UST }7D. / 27+F Fv M•�sT..•�r �rncKrar 1 1GCor mIC BaK� C <br /> ----- <br /> Specific Cate Range of information Requested:From 'Ar_r_ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNnSRGRC1iJND TANI((USTD C"tEANUP SITE(LOP) ❑HOUSING ADATEkENT ❑30130 WANT&FACi1tY 4 <br /> 9rQT'1ER CLFANaP'SITE(Mom-LDP) ElFoco FAaLrn ❑WA£tFTIRE ' <br /> `L"A�oERcs9uNo TANK(MOHITGRINdRcMcvA:j O DOG KENNEL DAIRT <br /> Sof HAZARD0 a WASTE GENERATaR O CHICKEN RANCH 0 ftmeWATER TREATuENT PLANT <br /> TIEREo PERN rnio FAcnnY 0 MoTELIHOTEL 11 PUMPER TRUCKIYARD/CHEM TOILETa <br /> p TATToo/600y PIFRcmu ❑POOLJSPA 0 LANo USE AppucATN]N Sues <br /> ©MEOXAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERan RECORDS ARE A"fAS.ARLR FOR REVIEW- MONOATf'RIDAY 6:00 Am-5;PuPM - MLUe1NG HOLIDAY& <br /> to List up to ten addresses in the space above. Saiect the"(a)of files from the list above by chec4ng the appropriafs <br /> b^'x'ael. At least one Ilia type MUST to wlscted- Fag-to 091413"138 or mail to the address Indiealad ahays. <br /> rangss will not ae acc IPW4_fcr addlJORaE assistance with file addresses,contact the EIgD.Applications received after <br /> 3:00 pm will be processed the next business clay, <br /> 2, The EHD will notify the applicant if any EH0 flies exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five businass days for ran-low- Appointments <br /> should tae sohedulee,accordingly. <br /> 8- A51.that is actively baing warked on by END staff may not be immediately available for review. A new applic€tion may be <br /> 1�;.b-rlt��Nd whsn the files eveli?"ble, _ <br /> f. Any file not returned in the sama conottlon as released will be reorganized by EHD staff et the expanse of the applicant. <br /> Future file reviews by the some appileant may require a$95.00 deposit prior to mvlew. <br /> EHD USE ONLY <br /> RHO 49u6 91134006 <br />