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EZ"Fr- cU r_U10 't: lbrn basics Lnvironmer tai , Inc tD i u8j�+so98 P . 1 <br /> E: <br /> SAM, JOAQUW COUNTY EHD LOG NUMBER <br /> APR 2 MS ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hszelton Avenue, Stocicton, CA 95205-6232 <br /> (20 r,; (209) 464-0 38 Wb: www.s-jgov,orl;/ehd <br /> mfr OFTIonE: 9)466-3420 Fae <br /> PUBLIC RECORDQ`7- R-ELEASE APPUCAT[OKI E I V <br /> ILL UUF <br /> APPLICANT! EIvIrnnrrPnf,,z.l <br /> ADDRESS, 655 t2jh eta! CIT'-,'1_1-'TATErZiP! <br /> PHONE (1): 510-834-9099 PHONE (2):_ FACSIMILE: 610-834-90R5 <br /> P1EES6Ef1GW10 bUalnsaS dFyg fTOM dRte Qf gpplicallon ev�rnittzxl for the records to �t- valliLb[c, <br /> Staff 01 oont�a you to armng@ &n tppofntment dtta Lind the to revish,the requested records. <br /> ❑CHECK 0Y TO EYPPINTE FE,QJJEST-SW FEE(CASH OR CHECK CNLY)-REQUES7 PROCESSED IN$BUSINESS(DAYS <br /> SfSRATURE OF APPLICANT DATE 04.12012016 <br /> LE=60tronic tnfCrM&t1Cn: <br /> FILE ADDRESS EF.0 USE ONLY <br /> etme, Ntm& C'Ky <br /> 4201 East Fremont Street _Stock'ton <br /> G unit 2 <br /> 4. <br /> Unit 3 <br /> 7. <br /> Unit r. <br /> B. r <br /> v <br /> Spoulfiic r;7'Inreffration Rr9cjuazLrd: From to (7 <br /> ERVIRaNWMRT4L HEALTH DEFIAATMERT FIE�MS <br /> ❑UNDERGROUND TAMK(UST)CLEANUP Sri E(LOP) ME01CAL kNASTE FACILrTY MSOLJDWAFTS FACILITYIV=.HIC:LE� e. '�Cv <br /> 0-iH-.R CLEANUP SITE(NON-LOP) HOUSING ASATEMEN7 WAXTe TIRE <br /> UNIDEP(3RouNo TANK(MONITOPIN3,1REMOVAL) F000 FACILITY DArmy <br /> 7 ABOVEGROUND TANK CHICKEN RANCH/D=KENNEL ED WASTEWATER TrmcrMIN-t PLANT <br /> HAZARDQUO WA9TF,1HAZkRD0U5 MATEMAL5 M07WHOTEL PUMPER TRUCKrYARrn Hr.Nir.AL TojLmi <br /> Tj;Rw;P;RwrrED FfziLrry POO'�;SPA LAND USE APPLLCATiON SITIE <br /> ❑TATTOO/BODY PiERciNG Q COMPLAINTIRESPONSE RECORM ❑OTHER(PLEASE SPECIFY <br /> WELL t4ND SEPTI(:-PEPJA;:V REcoFzos K;zF-AvauL&KL9;:r5;Z FZEviEvv: f4OHMAY-FIRMAY r2!00 Am-5:DOpm (EXOLLJOW2 HOL10,&Y&) <br /> 1. Llyt up to trr7 redryslorip In the space above. Select the type(*)of flige,from the lift above by checking the appropriate <br /> b6x(6s). At Beat or,6 filts type MUST be selected. Fax to (200iEd-6iZEL or mail to tho jj1drprF Indlortik abL <br /> y <br /> Addr*zz <br /> ranges will not ba accepted.Application& received after 3:00 pm,will bo procoss6d the next bosIn4*9 day. <br /> 2, For assistance In Identifying the nature and Content of EHD record*.please contzct EHD at the number noted above, <br /> 3. The EHD will notify the zppllcant If any EHD files 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 business days for review. Appointments <br /> should Int scheduled accordingly. <br /> 4. Any Me not returned In the same condition as released will be ralarganted by EHD staff at the GxPensr-of the jappileariL <br /> Future rile reviews by the same applIcarrt may require M$150 deposit prior to review., —DOXED AREA-EHD U117F ONLY—' <br /> 'D Records-Provided by Staff-RP R C05MPif!fe!' &t--ff Nam:. <br /> F-Ho <br /> Received Time Apr. 20, 2016 4: 24PM No. 0721 <br />