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FEB. 13. 2007 3: 11PM TERRASEARCH INC N0. 8578 P. 1/2 <br /> cM M E© SAN JOAQUIN COUNTY — OHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 1 3 2007 304 East Weber Avenue,3'f Floor, Stockton, CA 95202.2708VV 7 <br /> S :;7 <br /> ENVIRONMENT HEALTH Telephone:(209)468-3420 Pax;(209)464.0138 Web:www.Sjgov-org/ehd <br /> PUBL�TIC RECORDS RELEASE APPLICATION y <br /> APPLICANT: 0—V\ (' Y I U BUSINESS/AGENCY: <br /> ADDRESS: <br /> - s <br /> PHONE(1): ..�� FACSIMILE: <br /> TENTATIVE`w 10 buTMFM DATE 2 only <br /> t7 Ai / \\ \v� <br /> (Please allow 10 business days tromd of apphca0on submittal-Kentadve only-must be canflrltled (\(�.J'/' lu( <br /> ❑ CHECK BOX TO EXPEDITE RE ST-593.00 FEE SH OR CHECK ONLY)_REQUEST PROCESSED IN 3 BUSIN DA <br /> SIGNATURE OF APPLICAN DATE 13 OSI <br /> Electronic Information: ❑List❑Map—Descd]on: <br /> FILE ADDRESS EHD USE ONLY <br /> sereeer Noma city ❑ unat <br /> 1. <br /> 2 � <br /> 3. <br /> 4. Yy <br /> b. <br /> S. rto �nit4 <br /> 7. <br /> 8. ❑ unit <br /> 9. <br /> 10. <br /> unn e <br /> Specific Date flange of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDER <br /> akOUND TANK(U5f)CLEANUP SITE(LOP) 13 HOUsmo AeATT;mm ram WASTE FAGnL IVEWLE <br /> S1=CLEANUP Sm:(NaN4AP) O F000 FAgif1Y �VA�IE TIPS <br /> "DOWFouno TAw(MowToRm1REMovAL) r3 DOG Kav4EL 2� Ry <br /> Fl y�U�s��WA81EGEH6tATOR O CKcKER RANCH E3 WASTEN/ATER TRFATMENT PUNT <br /> IEREO PEIWITT6TFACU Y E3 MoTELIHOTEL 0 Fiumpm TRUGMYAndCHEMM TOILETS <br /> �A�T�olBoDY PISRCINO 0 POOLISPA CI LAW UsE APP�ttIoN SITES <br /> MELg r1 WAG1PtT 6nY ❑OTIER(PLEAS[SP¢wFyl <br /> WELL ANP SWnc PERmrr REOOROS ARE AVNUBLE FOR REvIEw. MONDAY.FRIDAY a:00 AMS:00 M - ExcLUOaxi HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by chaeking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091494-0138 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 EHD will notifythe applicant if any EHD files exist-An appointment forreview Will be confirmed approximatoly ten(10) <br /> days after receipt of application. The files wnl be held for a maximum of rive business days for review. Appointments <br /> Should be scheduled accordingly, <br /> 3. A file that is acfivety being workad on by MD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file nut returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> eo. mmow <br />