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[np ;W11 PaAI �3;� <br /> LL60 'IN N40 9 1 0� <br /> DA 6�,WED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> All CT 90FIC . <br /> J U L 15 2016 ENVIRONMERP L ENT <br /> 1658 East HazeltorA!11.1�2 toc 95 05-6232 <br /> P0kh'V1R0N'-r,&ENTAL HLE'AITtj Telaphana: (209)468-3420 ax: 2 64-0138 Web;wwyIe.sjgov.c-g/ehd <br /> E PUP,E,"S E R Vt�E S <br /> PUBLM RECORDS RELEASE APPUCATION <br /> I <br /> AP'OLICANT: <br /> AbPRESS: HM Si 5Q4e 5 P44U W� 895Z <br /> PHbN2(i): PHONE(2): FAX 01; E-MAIL,. <br /> Please Rilow 10 buslness days from date of application submittal for the me c-ds to be available. <br /> Staff u ill contact you to arrange an appointment date and time to revlewthD 'equested records. <br /> Ll CHECK BOX -0 EXPEDITE PEQUEST $130 FE (CASH OR CHECK ONLY)-REQIJESTPSC? ESSED IN 3 8USINIESS DAYS <br /> S16NATURE OF APPL1 -ANT DATE -111-.116 <br /> I.:, LIst up to ten add.r!sses In the sp Wow. Select the typG(g)of flies from the list bele is by checking the appropriate <br /> box(es). At least c is file type MUST be selected. Fax to(209)4,6_4,-Qj3g or WgIl tp tbr� .1,L;­!2eg Indi5!9212d above. Address <br /> ranges will not be iccepted.Applications recelved altar 3:00 pm will be processed the lie ct business day. <br /> 2.; For assistance in I lentily Ing the nature and corilmnt of r=HD eQcords,please coritact EHI) it the number noted above. <br /> The EHD will not"i, the appticant If gmy LHI]fles exist. An appoIntmentfor reviewwfil Im confirmed approximately tan 1110) <br /> i days after receipt If application. The files will be Geld for a maximum of five business Ela fs for reylew. Appolntment5 <br /> should be schedul Dd accordingy- <br /> 4.:: Any file not return,-d In-the same condMon as released will bo roorganIzed by P_HD st0'z.I:the expense of the applicant. <br /> Futurefille lovlow., by the same applicant rmay rsquire a$130 depoelt prior to review. <br /> Vv,ELL_ANID SEPTIC r, EPIAIT RECOMS ARE AVAILABLE FOR REVIEW: PAONDAY-FRIDAY 8:00A11 .5:00PM(EXCLUDING HOLIDA7YS) <br /> rElectronlo lnfcrs at cm: Ej List[] Map—Description: <br /> Specific Date Ran' In of Information Requested: FFOM t4 <br /> , <br /> 5-NVIROMMENTAI <br /> D S 0 " <br /> 14'112ALTH DEPART WR NT FILE ADDRESS PE H U E N LY <br /> FILSS <br /> UNDERvRoUND TANK(UST) Street Name City <br /> E3 CONSUMER <br /> CLrANUP SITE(LOP) <br /> HAZARDOUS WASTE <br /> TIPRCD PFRMITTFb FACILITY 2 <br /> AbOVrGROUNo TANK rj cal F-c a- <br /> 0 PWS <br /> V1 UST (MONITORING/kEM0% Q <br /> H&nPOOUS MATERIALS RZ CJ <br /> E <br /> 9SPILLIKELEA51E Rr.PONSr WATER QUALITY <br /> SO1,11)WASTE FACILITY NEI CLE <br /> FooD FACILITY <br /> ffslit MITIGATION <br /> POOL <br /> /SPA <br /> DAIRY <br /> L_ND uls8 APPLICATION SITZ 3 <br /> SEPTIC PUMPER TRUCK/ <br /> YARD/CHEMICAL TOILETS 2M <br /> WASTEWATER 7REATM ENT i ANT COPA <br /> HoLmNG ABATEMENT 7 <br /> MOTEL]HOTEL <br /> I. CHICKEN PANUH/Doc KeiI, IEL <br /> MEDICAL fts-Tr FACILITY <br /> TAT-roo/SoDy PICROING J m M1-cQkIC1 WANE <br /> WASTE TV <br /> COMPLAINT <br /> �OTHEr(PLEAS.11 SPECIFY)! ACCOUIONG <br /> L <br /> AREA- USE ONLV" <br /> Ej Pecords provi ied by Staff-PPR C00=16ter Staff, Nams: <br /> EHb ZaEi <br /> A 12 <br /> j q) 1.0 :ZL 3 1.W9 /Llm E, <br />