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07/12/2006 10:55 209-579- ?5 MODESTO ATC PAGE 02 <br /> vjEM YE 0 ENVIRON IME AL TH DEPARTmENT <br /> 304 Fast Weber Averute,3'd Floor, Stockton,CA 95202-2708 <br /> JUL 12 2006 'Telephone:(209)458-3420 Fax.(20q)464.0138 Wer. w%,w.sjgov.orf/ek1.� J <br /> ENVIRONMENT HEATH P(JBLIC RECORDS RELEASE APPLICA.'nON <br /> APPi_lCANT;I OW)D '1;�1C- { sostmEsswwEatar: Axe, -ASS <br /> AMMF SS:—lllr� re% �r� <br /> �j�.�T�� '� —, <br /> PHONE(1): �•rJ I• rSd..t_tPHONE(2): FACSRAUX" .GA.J�1 •Ci�9• _ <br /> TENTATIV€"APPOR rMEW DATE: 7.2%'0 Tama: Mn <br /> i7ki se sltca 10 bezirl"s dap frau data of awlcadm subrow-`Terttroly enenvy-lTNmt be rvnflnv, d) <br /> C7 CHECK£OX TO EXPEDrrF.R£ T•$93.00 PEE(CASH OR CHECK ONLY)-REQUEST PROCESSED 1H 3 MISiNESS DAYS <br /> i <br /> SeGWATURE'OFAPPLICANT —DATE <br /> UUT DaSTrBE:}f110N� ❑unit 1 0 unit 2 0 unit 9 0 Una a 0 unit 0 0 Unit 8 0 Other{al*Ch Micfl.3sisfnnips) �. <br /> FILE ADDRESS _.................. EI-10 USE ONLY <br /> sue*M curt NanN: CKy <br /> _ <br /> a <br /> a .a..-- -.--._..__. <br /> 6. <br /> s . <br /> ae,UJ_e Date iCasttps of NtfoDnataon fta4uestad:From 'A ST toLi�: %_ _ _ <br /> ENVIRONMENTAL HEALTH DEPAPTM04T FILES —- - - <br /> 1/,�{,p'ti oEnaAoi:k€D TAJIK{ii5'�CLE?AAti 3ETE(APj O Hous"ABATEMENT WXSIM FA�-:Y?vEWAX <br /> ':r`�a�oTNE4 CLE. NvF Eon(NON-LOP) FOODPAc±i.rrY 0 WxsTE TnE <br /> a-vk' '.6A"JUnD TANK(MoNrrgRfFVGtkemovx.) 0 Goo KENNEL 0 DARY <br /> ,'A�YAIJ.RDLiU3 WASTE GENERATOR OCWKEN RANCN C1 WAsT.%vATER TREATA*ENT PLAar <br /> 0 TR'REo Parata'E]FAG' m 0 MOTE (HOTEL 0 PV-APEfi TROCKIYAMCHEM TWLER <br /> .0 TATTQOn3OOY lilt ?NG 0 POOUFSPA a L2Jfa USE AP' ATON SMS <br /> 7 6U=AL WWI FAGAL 0 OTHEP.(PtEABE SPEary) <br /> V&LLANDCVP PEP.Mrr RECOeROS AXAYJ$LE FOR REAM M0*AY4-MDAYB:00AM_:W% - EtCLOLtSlH0UoxYS, <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking thea <br /> appropriate box(es). 41 least one foe type MUST be selected. e x to i209)464-0138 or mail to the add[regis <br /> Sr d') :tatvd t&avR. Address ranges will not be accepted-for additional assistance w10 file address".contac�' <br /> the EHD.Applications received after 3.00 pm will be processed the next business day. <br /> 2. The END vA111 notify the applicant If any EHD files exist An appointment for review will tea confirrnnd <br /> approximately ten(10)days after receipt of application. The filer,will be held for a maximum of five btlsin-s <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that Is actively belrg worked on by EHD staff may not be immediately available for revLw. A now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganlzed by END staff at the expense at the <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> vices <br />