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Pages 3 of 3 20'13-02-15 h9:50:55(GMT) -18885733982 From: Mich ale Perkins <br /> EHD LOG NUMBER <br /> SAN JOAQUIN Coll NTN <br /> ENVIRONMENTAL HE "ft2 <br /> FEBbi 1868 East Hazelton Avenue <br /> 9 AOTC <br /> .;T V V1 <br /> orgiehd <br /> Tel (1)09) 468-- ,420 Fax: (20 gov. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: c4U h(y--1 BUSINESSIAGENCY: r <br /> - Y' CITYISTATEIZIP: nv�_��co <br /> ADDRESS: _10W�,,m 0 <br /> PHONE(11); PH 0 t 4%E(2): (MILE: <br /> TENTATIVE"APPOINTMENT DATE: <br /> YS M p ical�ion submittal- Tewn W­ wily(Please allow [a business da ho JP Ve wil -Mast be confirmed) <br /> CHECK.9OX TO EXPEDITE.REQUEST-$125 FEE(CAS-H OR,CHECK ONLY)-REQUEST PROC-5.SSE0 IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: L] List Ej Map-Description: <br /> FILE ADDRESS StrAet#r EHD USE ONLY <br /> Street Name City und I <br /> 2. I n Loo.d__Onq_� __70_U11i,9-- <br /> CA <br /> 4- C4L C .&MnAa Y� <br /> Unit 6 <br /> "i <br /> Unit <br /> Fr-;-rn, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> !)NDERGROL dD TANK .QST)CLEANUP SITE(i,.t1P) [],MEDICAL WASTE FACILITY i3ZPbL!D WASTE RCPLTTYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 HOUSING ABATEMENT ONAsTEPRE <br /> JiITY DAIRY <br /> cRoUtiDTAw(Ma.N1rr0MNGRE',J10','AL1, 0 Focio FACII E]DAIR <br /> N <br /> 4DER 0 CHICKEN RANcHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> T 9 <br /> F <br /> ND TANK <br /> MOTE0110TS. <br /> ABOVEGROUND <br /> _102s�.JA.ZARDO SVWAv.'.',rFJKA7-kRO-OUSMPTF-TzIA�S POOLISPA ❑LAND USE APPLICATION SITES <br /> Al-Ti.ERED PERMITTED FACILITY CpMI�LAtUTIRESPONSF 0,ECORDS ❑0-RHER(PLEASE!3PECV- ,1 <br /> TATr_-01.50m,PIERCING <br /> WELL AND,StPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5-001"M(EXCLUDING HOLIDAYS) <br /> i. L'st up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> s Iriftnta nU Addres <br /> box(es), At least one Tile type MUST be selected. 464-0138 or mail to-the addresi) <br /> ranges wall not b-^accepted-.�or additional assistant with file addresses,cOrk ct the E. <br /> Applicationshnreceived afters <br /> 3:00 pm will be processed the next business day, <br /> 2. The EHD Will.-jotify the applicant of any E,41)fifes exist. An appointment for review will be confirmed approximately ten(101 <br /> days after receipt of application. The files Will be held for a maximum of five business days for review. Appointments <br /> sh <br /> � ouid I°e sch.erfuled a(,,ceordingly. be <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application ma y <br /> submitted wber tVte file is a74*alfable. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file-evievvs,by the s.-,,ne applicant may r0cjuife a$125 deposit prior to review. <br /> Received Time Feb. 15, 2013 11 :50AM No. 2326 <br />