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03/1^-/2007 15:27 220946401 ENVIROITIE14TAL HEA, PAGE 02102 <br /> DATE RECEIVED_ <br /> --; j �e SAN JOAQUI'N COU-NIT <br /> Loc NUMBER <br /> ` �' ENVIRONhLENI'AL R.EALTH DEPART' ENT <br /> H� 2007 304 Past Weber Avenue, 3d Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)4644139 Web: www4gov.org/ehd � <br /> ICES PUBLIC RECORDS RELEASE A.PI'LICAUON � � <br /> 1 <br /> APPUCANT:�r"t LO<. b HUSINESSIAGENCY: li4,-C, A�1�"t <br /> ADDRESS: 1'70 `F 8 �1� DeL �<� S�A�v Lc�- zoo - liq-5,3o <br /> PHONE 0): z76, PHONE(2 FACSIMILE: '71r,z— <br /> TENTATtYE'APPOINTf.1ENT DATE: 71ma: <br /> (Please allow 10 busimcc"from date of appiic:allon sutxaiU, -•rerrWtfye only-must be=nconflrmed) <br /> CHECK BOX TO EXPEDITE RE $T-1 500 FEE,(CAS/t�.O_R�ECK ONLY)•RE4JEST PROCESSED IN]BUSINESS DAYS <br /> SIGNATURE OF APPLICANT T�fup Rye_ tip DATE z(4r:Z <br /> Electronic In ❑List© Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ Unit <br /> C'Is� r <br /> / 2. z..']47 C,uti CL/16 &U liSioL, Jn.l� "/�'l - ❑ Unitz <br /> 3. <br /> 4. v IV01K unit <br /> fi. l T unit4 <br /> 7. <br /> 1^ <br /> 8.. p ❑ Un;t 5 <br /> 9 <br /> 10 ❑ Unit6 <br /> Specific Date Range of Information Raquastod:From to <br /> ENWIRONMENTAL HEALTH DEPARTMENT FILES <br /> —'MUNDERGRDUID TAHc(i.rST)CLFIJWP SUE(LOP) 0 Ifo s:w AaATwAEIr SOLD WASTE FAaLr YNMNU_- <br /> 0 OTM CLEA"SITE(NOH-LOP) ❑FOOD FAcxrrY 13 WASTE TRE <br /> UNDERGROUND TANK{MONtTORrtx htEM7YAL) Ll DOG KEma - 0 DARY <br /> 'G,8AZAFt00 %W/STEGFAFPAT0R ❑CHCKY tR.44cN O WAsTmATER TaeATrw MT PLANT <br /> TMR<_oPERsT=FACUTY ❑MoteJMTEL ❑PUMPERTaucxNAFQ"EAITOczTS <br /> TATMOIBODY PIERCMG 0 POOJSPA ❑UMD Un APPLY-ATrON SITES <br /> ❑ ldE cAL WASTE FAVAITY ❑OTIE'R SPLFASE SAECFY) <br /> WELL AND SEPT20 Pp2YtT RECORDS ARE AYAIUBLE"RMCW . MONDAY-FMAY 8:00 IM13:00PN - Ex=DM RoLDAYs. <br /> 1. Ust up to tan addresses In the space above. Select the types)of files from ft list above by checking the appropriate <br /> box(es). At toast one fife type MUST be selocted. Eax to(209)464-0138 or mail to thn address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications recNved atter <br /> 3:00 Pm will be processed tha naxt bur lnese day. <br /> 2. The EHD will notify the applicant if any FUfD files exist AA appointment for roYow will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held fora maximum of five business days for reviaw. Appointments <br /> should be scheduled accordingly. <br /> 3. A fife that Is actively being worked on by EHD staff may not be immodiatoly available for review. A new application may be <br /> submitted when the file Is available. } <br /> 4. Any file not returned In the same condition as released will be roorgan"Izod by ENA staff atthe expense of the applicant. <br /> Putire file reviews by tho same applicant may roqulro a 885.00 deposit prior to review. <br /> END USE ONLY <br /> ' 2�' CcX�EF� t✓��, a� Cit.>�� Lry ��z�tF�, �f't,�.ti� � �r� �L�' t F--�-�-� <br /> Lf <br /> EnD oar ar <br />