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` MAY-28-2809 15:15 Tetra Tech, Inc. -415 974 5914 P.02 <br /> ~ <br /> EMD LOG NUMBER <br /> DATE.RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> i 600 East Main Street; StOWQrt,CA 95202-3029 <br /> Telephone:(209)468- 0 Fax: (209)464.0138 Web:WWWA9OV-0 <br /> PUBLI On RELEASE APPUCATIQN <br /> APPLICANT. YYI ?.4 "a �.Q���L 1&USlKESSlAGENCY_ CA <br /> AMRESS: k77OHJT i � 'JG ClklilSf Zip 41 7' T�} < <br /> PHONE(1): 45 CJS 1 6Cil l PHONE(2): I _FACSik{1t E: — -- <br /> TENTATIVE`APPOINTMENT DATE: � y.Z [� IV.m ��?ovill <br /> (Please allow 7d business days from date a!aPPllcaltlnn submttial-`rentatfvc only..must be cantirmed) <br /> Q CHECK BDX r O E%P1 a1 i IZEQUF-S -5 OR CHECK ONLY)-REQUEST PROUFSSED IN 3 BUS1146$5 DAYS <br /> SICsNATURE OF APPLICANT DATE _ .,?. 2 <br /> Electronic Information: []List❑Map--Description: <br /> ' FILE ADDRESS,._ EttO t]SE ONLY jUnit2 Stroom I 1Stret Name I �1t1 ._..._. �`-24. <br /> (�7. i--_._-_.....__ � ~_.. .__. Unit 5 <br /> 9 I--------- <br /> '001E <br /> lJnit 6 <br /> 40. I <br /> Specific Date Range of Information Requested:From to - -- <br /> 1 ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> -4UNorRGRouND TANK(UST)CLEANUP SITE(LOP) 0 H0LkVt4 AMIVnNt A.I SOLID WASTE FACILIVIVEHTCL€ <br /> O�OTHER CLEMVP SITE(NON-LOP) 0 FOOD FACILITY M WATT TIM <br /> 0UNDERGROLTHOTANK(M0NkTORINGTRU*0VAL) 0 DOG KERNEL 0 DAIRY <br /> 'M H=RcouS WASTL°1 GENERATOR 0 OHICKEN RANCH g WASTEWATER TRFATML+NT PLANT <br /> I -nEAEDPFAMIrIEDFAcrUJ Y C1 MDTET1FW rL C1 PUMPERTPJJCVYAFVCHWTOILETS <br /> I ❑TATTOORR=PIERCING In PGOLISPA K LAND USE APPUCA114M SITNS <br /> -'❑tMEDtOAL WA$TP FACILITY Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RPCORDS ARE AvAji-AaLF FOR RZAt IN-imONDAY-FamAY 9,00 AM-6:00pm -EXCLUDING 1`100DAYS. <br /> i. 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 tp f2{1j 4¢4-0758 or mail�the addnesa_in4icated�bave= Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the F-HD- Applications received after <br /> 3,00 pm wilt be processed the next business day. <br /> 2. The END will notify the applicant If any EHD files exist- An appointment for review Will be aonfirrned approximately ten(10) <br /> days after receipt of application. The files will be held for a maxInTUM of five business days for review, Appointments <br /> should be scheduted accordingly. <br /> fife 3. A e that is actively being wo*ed on by EHCJ staff may not be immediately available for review. A new application IrMy be <br /> submitted When the file is available. <br /> 4. Any'file not returned to the same condition as released will be reorganized by EHD staff at the expense of the applicant- <br /> 1 Future file reviews by the same appilcant may require a$105 deposit prior to review. <br /> £Fit]USE ONLY <br /> EHO 48-06 51f14108 PUBLIC RECORDS RELEASE APP FONM <br /> r <br /> TOTAL P.02 <br />