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11119/29@3 11:20 4649130 EhVTROHMEHTAL FFALTH is PAGE 01 <br /> W.TE RECEP/FD _ Lvti YSAKitR� <br /> SAKI JOAQUIIV COUNTY7IL,�' i .j1I� EN,-IRONMEN'TALJUAL-I9DEPAATMEN'T <br /> 304 E Vdeber Ave 3"I Floor Stockton,CA 95205 601 <br /> NOV j 9 2044M 468-3420 Fax:(209)4640139 Web:www.co.san-joaquincausidid <br /> NVIRONMFIEN HF PUBLIC RECORDS RELEASE APPLICAUON <br /> APPucAxr; 7XILEF_N -B(1SC {(Q2 A14T ASSESSM,�: Cy '. <br /> ADDRESS: tom . o . 3oX 5'£�i t /f3y��// C� Sv,,�Zo <br /> PHO= 2115 3 S- 55-3 t4 FACMMiLE: <br /> TEWATIYE'APPOINTMt NT GATe Tlm+: <br /> (ritne allow i d twjl dala''from date of app)kAtlon submInd) <br /> I.r CMEG(RO)(TO E7CPEDItE REgU65T•f910a 1Mt�AY4l1ESYPRriCESSED IN 4 0031NEHf,DkYs rf <br /> SIGNATURE OFAPPLiGANT <br /> Deo,�e„antumv DnN <br /> FILE A6DR1166 : - iti unrr <br /> ?(0 3 a P Unit f <br /> vC7 on/.. < <br /> Ease 5 Unit ��-�•. <br /> sowl aGn r / <br /> evnit <br /> s an 0 Unit 5 <br /> Cy <br /> ENYIRONMEWAL HEALTH DEPARTMENT FILES <br /> NDERGROGND TANK(WT)CLEMOP Setic.(LOP) 0 HoLiSM A9At£NENT _ tlr`50t]ti VIrASTE FA1:d7rY.:;-: <br /> OTHER GLEMuP srrE(NON•LOP) - .. 11 FOOD FAj:%M'f - .. ._ . D SbLib ti/119Yf:YPlI1d.E <br /> ' UNnEttt3xt5UNDTlWKd �a°'AL) O COGNERMEL in uAvtr <br /> W, AZNW0USWASTEGERERATDR 0 CHICICENRANCH ❑ PKGTREATMEIiTPLMT ,•,,.- <br /> TIEREDPk7tUMMFACILITY ❑-NOTElRW7rL 0 F"0VKTRUCW'rAR9MME*TDILM <br /> a TATTGOnIODy PIERMG 0 POOLWA 0 LAND UEEAPPLrCAIM BITS <br /> e ME=AL WASTE FAcusry 0 OTHER(PLEASE SPECIF7ry <br /> T, List up to tan adtlrrsses in Iha apace above• Select ti o typa(s)of files from the list above bychocidng <br /> the appropriate boX(es): At I*"%one Us a type MUST be aalacted, Fax V f208)44'1-0Tdd nr mail.to nee <br /> address 1101" ed abQV0, ' <br /> 2 EHD.w111 notify the applicant if any END flus wrist An appointment for ravlaw will be confirmed <br /> approxtMatey five business days but no dater than ten(10)days atter receipt of application. The hies <br /> will be held for a maximum of nva busineav days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. Afile that is actively being wonted on by EHD staff may not be imriiediatey available for review. A now <br /> application may-he�wbmittad when th*ala is svailable. <br /> 4. Anttitl a returned mthe Sams c*mfition as W90sed wdb bw reorgpn; ad by <br /> Any n tHQ staff at the expense <br /> of the applicant Futurmmfile-mviews by VW same applicant may nequ"a$93.011 deposit prior to revWW, <br /> 5. 'TENTATIVE appointmord dates must be cominned with EHD staff. <br /> 5. .Application*received after 3:00 pm will be processed the next businest�day, <br /> CONFIRMED APPOK MEW t]ATE TIMF <br /> DATE CONFIRMED . PHONE FAX lNrrL4LS <br /> R£VIEWF� YkS NO RMEW DATE - <br /> 33!93¢7 • <br /> TO 39dd 5E0T5E65T6 10 :00. E00L/TT/11 <br />