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►$3/22/2005 15:43 20979595x- APERIO INC PAGE 02/0 <br /> 03/22/2005 15:38 46401a6we ENVIRONMENTAL FEt�^ PAGE rc01 <br /> Mdr.�cvcu SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTFI DEPARTMFM X71 <br /> 304 East Weber Avenue,3rd F1w. Stockton,CA 95202-2708 <br /> Telepbone:(209)466.3420 Fax:(209)464-0138 Web:www4gov org/ehd o,. <br /> PUBLIC RECORDS RELEASE APPLICATION HAR 22 <br /> APPLICANT: 8(JaINEa3/ACiENCY: <br /> ADDRESS: t 1L �pl��tt{�0�--- 'T✓�G�d CIT- ` rz PARYNEHT <br /> PHtNIt?h): I)q- /q� ( !✓ ,I PHONE(2): FACSINULE: <br /> TENTATIVE*APPOINTMENT DATE: 4f'.\ 1,130 s rine:^ 1Q!00 a,,-, <br /> (Plaaw allow 10 baina days from <br /> ludate of app0 on submetal-'TwdaHve only-IIIMgt W confirmed) <br /> ❑ CHECK 80X TO EXPEDITE REO ST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAys <br /> SIGNATURE OF APPLICANT / - DATE 3- <br /> its <br /> -its UnitI) Qtkhar(*Iaotrcnldlist —Ps) ' <br /> FILE ADDRESS EHD USE ONLY <br /> Strf atnN mom <br /> &-. �� <br /> 4. <br /> 2. fsG cT� <br /> 5. <br /> 7. <br /> 8. <br /> 9. <br /> -11-4 Z___j <br /> nonn <br /> ==MOM <br /> 10. - <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 07 U"AaROUNO TANK(UST)CLaANUP SITE(LOP) D NOUYINO AMAIMMEN[ IS 4aLp WAATR FA LNYPVMWL <br /> JR OTNEn CLEANUP SITE(NON.LOP) ❑FOOD FACILITY ;R WASTE TIRE <br /> a[URoaROR0UN0 TANK(MONmoRINQ1RVAoVAL) MDoc KENPEL EI DAIRY <br /> at HAZARDOUS WASTE GENERATOR.._ ❑CHICKEN RANCH ❑WASTEwATER TREATMENT PLANT <br /> TOUTS <br /> 13 TICIro P'iRNn'raD FAan.r1Y ❑MQTFLIHOTEL O PUMPER TRUCWARDICH M <br /> D TATTOOMOOT PMRem 13 POMAPA Tl LAND U%APPt1DATgH SITES <br /> MEDICAL WASTE FAMM D OTHER(PLEASE SPECIFY) <br /> WELL AND""Ie PDPJV RIoo"Asa AVAILAILa POR Ranlm NIaNDAT+HIDAY 4:00 A";WPM - FIVELVmNG HOLIDAYS- <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above l t checking the <br /> appropriate bMaac(eq). At icaet one file type MUST be selected. <br /> 64-01 SS It mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance w(th file addresses,contact <br /> tho 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 will he confirmed <br /> approximately ten(t D)days after receipt of application. Tho filoe wni be held for A maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A naw <br /> application may be submitted when the file is available. <br /> 4. Any file not mturnsd in the same condition At rakrased will be reorp*nic*d by EHP atro(aff at the Wpense of the <br /> applicant. Future fie reviews by the same applicant may f84ulro*•$93.00 dapoaitprla to <br /> En a+taac <br /> 171afRa <br />