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04/05/2006 16:59 13107982841 PAGE 02 <br /> kJJI a ri 21385 12:45 464" 9 ENVIRONMENTAL UH PAGE 01 <br /> DATE RECEIVED EHD LOCs Ntlfhl3tFt <br /> �.A,PT,�Q�1QiJIlY COUNTY <br /> �- r E+muoN NTAL +"ALTH DE+PA,RTmENT <br /> { �`„l� <br /> 'lf � "� � 304 East Webt~t•A.venuc,P Floor,Stockton,CA 95202-2708 <br /> T'clepbone:(209)468.3420 Fax:(209 464-0138 Web:www.sj '.arg19hd ?o9074 <br /> 0 l_JUb ) <br /> AI TO PUBLIC RECORDS RELEASE APPLICATION <br /> P / DUSit�E9Srae3EN4Sf: .__ �;o <br /> ADpRas: •+�-L CITY ~ Tq 4 �/— <br /> PFWNE{1 ..�.__^ {2): —FA0131MILlk6 <br /> TE;NTATW APPOIKINI 'r DATE: Time. <br /> (Plam=allow 10 busirteass days Front d1W of appNCatloll atlpAtiltal-"rbn#f vv only-must be ace9rmeM <br /> MMK*OIC To©cPEOrM RE T- FRO(CASH OR CH90K ONLY)-ReQUIRST PROOMEP IN 3 8US1N,M� DAYS <br /> �SIGNATUAR AF APPLICANT DATE Slceo <br /> Eiactronle <br /> Itrforrntitton � List 01IAEp-Dee:aipflan ._ <br /> FILE ADDRESS END USE QNLY <br /> 8braek P street Name Cfar <br /> 2. E] Unix 1 <br /> z. VVQLA <br /> . 0 Unit 2 <br /> Unit <br /> s. <br /> 7. ; Unit 4 <br /> a. ❑ Unit 5 <br /> 9. • <br /> A-in <br /> 10• Unix S <br /> Specific Dato Range of Information Request9d:From to <br /> MMR0NMEkTAL HEALTH DEPARTMENT PIL,):,,a <br /> XUNDEIMMUND TANK(US11 CL"XUP5mI(LOP) O Housm AMATMENT WAM FAcruTW nMV1a <br /> ;'OTrtER CLEAVI,srre(NON4.OP) ❑Faoo FAQUty ❑WAasE TIRE <br /> X L"WrJWUND TANK(MDNITDRwdMe=VAL) ❑Doc KENML 13 DAVIT <br /> W HA7.ARDOUC WASTE 431149MTOR 0 drlR%EN Rw" * 4YJ a%wATER Tr*AvEw Pww <br /> O TMRED P6 MMO FACILITY C MOfkrma?m 0 PUMPER TRUCKIYARIVOREIMAL TOMETS <br /> A TATreOSIOUT P1016 M PWUSPA D LAND UsK AmnJgATN SM <br /> ❑WMALWA=FACILITY ❑OrrINK(PLEASE sPEOMY) <br /> yYELk AND 94"r.PLMMtt'RECORDS ARI:AYAe6 KR Ism PM W•MONDAY-FRIDAY 8:00 AAI.5:OOPM - f7cCLWWG Hot.mAm <br /> �win� iwrr.—+nin•��� - - �.e�irr .wig w <br /> 1. List up to ten addressees in the space above. Select the type(*)of 111108 tram the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected- Eax tp(0)484..0.1.38 or mall-to tftp addrm <br /> indicated abgve. Addrees mnges will not be accepted—for additional assistance with file addrewas,contact <br /> the EHD,Applications received aftr 3:00 pm will be pmcened the next businem day. <br /> 3. The END YAJI natify the applicant if any END files exist. An Rppoftftant for review will be confirmed <br /> approximetaly ten(10)days after receipt of application. The filen will be held for a Maximum of five businm <br /> days for review, Appointments should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately avaliabie for 1Wview. A new <br /> *application may im submitted when the file is avaligble. <br /> 4. Any file not returned in the salve.condition as released will be reorganized by END stsiff at tho expense of the <br /> applicslnL Future file reviews by the same applicant may require a$9$.00 deposlt prior to review. <br /> Efeo.�aae <br /> 1Q�t�Ix006 <br />