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MARL 12005 'I'l-09%;4 RRASEARCN INC E NVIRONVENTAL IE r; NO. 0150,,JP. 2,—e2 <br /> SAN <br /> JOA UfN COLNTY <br /> �DIrl �� T�[D) A�T NT <br /> �N 'Weber ENIe 3 �'StvCkjon,CA 95202-2708 f <br /> 304 E Weber Avmue,3rd Floor, ov.or ehd 1 <br /> { 3 20M Telephone'.(204)458-3420 Fax:(209)460138 Web:www,sj$ � <br /> g41V1F,10 ,1ENT�� E1 A Tei TC RECORDS RELEASE .APPLICATION <br /> P-1 r 4 G E S PURL <br /> l3usiNESSfAGEHCY: 1 l S <br /> APPLICANT• �ay- <br /> ADDRESS: FAC51MILI~ '2 �(o�(nL <br /> PHONE(fl'.�i1.I (2,4 y WDP14ONE(2)I Time;7J 1� `0 0-vy�l <br /> TENTATM*APPOINTMEW DATE: —f, en submittal-+rentatfvP bn1Y mu&t bs confimiad) <br /> (Please allow 10 business days from data of op ifCati <br /> ST.S93.0Q FEE(C $AH OR CHECK ONLY)—f'trQUES7 PROCESSED IN 3 BUSiN�9S PAYS <br /> C7 ct�RCKeaXTO>�cPs�ofrLit•Q PATE <br /> SIGNATURE OF AP PLICANT Unite o Omer(olartronicliswMaps) <br /> UNIT DISTRI13UT1014 M Unit 1 <br /> nit 2 Uttlt 3 in A C7 units <br /> FILE ADDRESS EHD USE ONLY . <br /> Stm—Name <br /> City <br /> 5treet>ti Qµ i(L <br /> 2. <br /> 4. <br /> 61 <br /> 7- <br /> 10. .n to <br /> -10. to <br /> Specific bate Range of Information Requested:Frflm L HEALTH DEPARTMENT FILE$ <br /> 1=lWlRQNMEI3TA ❑!�OuQwASTeFAru-,'rylVEHIcLE <br /> CLEANup slit(LOP) 0}oumiG ABAWMENT ❑WWeTIRE <br /> JAUrXtRGA0WDTAWK(UST) 13 FOOD FAMTY p DAIRY <br /> OTHER CLEAN&SITE(NON-LOP) o DOG KsNNEL C7 WAsmWATER TREATMENT PLANZ <br /> 11ND8RGROtlNDTANK(MONrr0RINWREM0NA0 a CHICKEN RANCH to pUMFERTRuWYARDICHEUTOILETS <br /> HAZORDOUS WASTE GENERATOR ❑MOTEU%OTZL in i.AnD Usr AppuCAT10N SIsr-R <br /> 0 TIEAnD POWITTFv FAGLITY 0 PODUSPA <br /> 173 TATY00II300YPIrSCING ❑OTHER(PLEAStSPECIFY) LIOING FIOLIDA . <br /> ❑1 DIOALWASTE FACIi TY MQNPAY-FRIDAY Q:00 A9Z. PM - ch2Gking the <br /> WFLL ANO SEP-no PERMIT RECOFPS ARE AvAILA�FOR ftTavMW- of files from t!I0 list abov0 by . <br /> ¢MUST be selected, >+a to 209 4-0138 or mal) a the address <br /> 1. List up to ten addres At I th one fits typ ve. Select see the�e�additianal assigtance with rte addresses, contact <br /> appropriate box(es), be ecce ted for <br /> 'sndiCat abbabs Address ranges wltl not Ii be processed the next business day. <br /> the E AD <br /> the received after 3"AHD fI es exist- An appolntment for review will he confirmed <br /> 2. The EHD will notify the applicant iPany <br /> b days after receipt of application_ The files will be held for a rrlaximum of five flus ne'Ss <br /> a,pproXin'►ately ten('i } Y <br /> days for review, Appointments should be scheduled accordingly.lmmodlatelY available for review. Anew <br /> worked an by EHD staff m8y <br /> 3. A Elle that is actively bolrig arfl�cd by EHD staff at file r3xPense of the <br /> application rrlay be submitted when the Ells avaiiagte. osit prior a review. <br /> d_ Any flle not returned in the same he samditiae aPpn as iicant may leased �r quire a93.OQ deo <br /> applicant. FutUre file reviews by S f, C <br /> t <br /> + .r -1iJ♦ <br /> EHE A&WAOO <br /> qd <br />