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„ 09/17/2008 16:07 9165641-1 KRAZAN PAGE 02102 <br /> T�Re'uigiV�01 I��I! -•1' EHO LOU NUMBER <br /> I _ �1N.IaAQUI:N COUNT' <br /> S ~ <br /> ENVIRONNIENTAL AaA1,14 DEPARTMENT <br /> 2008 -act,East Main Street, Stocl�ton, C:A.952()2�27Q <br /> ail ;j ._.a Tcleplioixe, (249)4683420 X+ax: (209} 4640139 Web: %v,9w.sjgov.org/chd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1U_ BUSINPSS,I�A]GENCY: <br />` ADDRESS- S !1 /' _ C L i <br /> PHONE=(1): �`Gr �i� �. �f PHONE(2 ��� ��� � �'— -FACSIMILi_: <br /> TENTATIVE APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of applicatlon submittal -*Tenfaflve only-must be confirmed) <br /> CHECK SOX TO EXPEDITE REQUEST-598 (CASH OR CHECK ONLY)-REQUEST PROCESSED INS BU NESS DAYS <br /> 91GNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List[j Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Skrepk#! Street Name Gify w ❑ Unit 1 <br /> oaf <br /> 2. ❑ Unit 2 <br /> 4. Unit 3 <br /> Unit 4 <br /> 6. <br /> dille <br /> 9. <br /> _ Unit U <br /> Specific Date Flange of Information Requested: From to <br /> ENVIRONMENTAL HEALTH (DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING ABATEMENT (SOLID WASTE FACILITYIVRWC1.E <br /> OTHER CLEANUP SITE(NON-LOP) G7 FOOD FACILITY WASTE TIRE <br /> I UNDERGROUND TANK(MOHITORINGIREMOVAL) D D6(3 KENNEL E l DAIRY <br /> AZAROGUS WASTE GENERATOR ❑CHICKEN RANCH 0 WASTEWATI:RTREATMENT PLANT <br /> IER:ED PERMITTeo FAciLITY ❑MOTELIHnTEL 1:7 PUMPER TRUCKlYArtDICHEM TQ14ETS <br /> a TATTOO/RODY PIERCING © POOLISPA 11 LAND USE APPLICATION SITES <br /> E7 141120ICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REYIkIN - MDNOAY-FRIDAY 8:00 AM-5:00PM - ExCLUDING HOLIDAYS. <br /> 1, List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 208 464-0135 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHO will notify the applicant 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 maxium of five business days for review_ Appointments <br /> should be scheduled accordingly. 7 <br /> 3” A file that is actively being worked on by EHD staff may not be Immediately available for review. A now appllGatian may be <br /> submitted when the file is available. <br /> 4, ,4ny file not returned In the same condition as released will 6e reorganized by EHD staff at the expense of elle applicant. <br /> Kuture file reviews by the same applicant may require a$99.00 deposit prior to review. <br /> EHD USE ONLY <br /> *** If you should need 'Further assistance please contact Diana Mortinez @ (209)468-3425 directly. Thank You*** <br />