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05/26/2005 10:00 46401= ENVIRONMENTAL HEAT PAGE 01 <br /> EHL LUG NVMdtK <br /> IVMWEV SAN SaAQ aav Co�r�x <br /> ENN IRONMEN TAL HEAL fH DgrARTMENT <br /> N`1k 2 0 ?005 304 East Weber Avenue, 3`d door,Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 FAX:(209)464-0138 Web:www.sjgov.org/ohd <br /> ENVIRONMEN1- HLALi H <br /> PERMIT/SE!gVICES PUBLIC RECORDS RELEASE APPLICATION T 1 l <br /> APPLICANT: !"C 'Lea►'' a1131NF-SSIAGENCY: �� f C S .�h�^��T Rr���a` <br /> A009956: ttl1 gr+olGXW. to 36Mrleirn ('AS2 7 <br /> PHONE(1)Fp, lie 3 -� 0 PHQNF.(2):6 Y� �7 5 ~ S I 0 y, _--FACSIMILE: 't -2 S - 5 j o 2- <br /> TENTATIVE"APPOW W--.NT DATE: <br /> (p(.rsa allow 10 business days from dab of application cubm1=1-"TprttativQ only-muQt bo 000MTod) <br /> D CHr,�Ck B4X TO l:?(pfi0R6 RQQU T-SAS. (CASH CK ONLY)•MQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT VATS 'd 0 <br /> UNrr(mfusUTION CI Uniti O U Unk3 4 in Unit 5 C1 Units ❑ Oth9r(aiactronlcnNrWm") <br /> FILE ADDR END USE ONLY •'1� <br /> Street Ir <br /> street Name elh <br /> C. <br /> n 11111 <br /> 2. <br /> !3. <br /> I <br /> 6. <br /> 7. <br /> 8. <br /> Q a <br /> 10. - - - <br /> VVIN <br /> Speclfic Date Itange of Information Requested:From <br /> ENVIRONMENTAL HEALTH DEPARTME=NT FILES <br /> CLEANUP EITti rl ❑SOLID WAr.Ta FAGU YNSHM" <br /> FRO"UNn TANK(UST) (W G1 FIOUz,�+c AaATFM2t/T in wAm Tina <br /> RR CLPANUr Sriv(No"OP) 10 FOW FACILITY <br /> 13 DOG Ku*qL ❑DAIRY <br /> �]JNdEftOROUMD TAW(IYfONIi NGIR6ROVA�) O CHMKKH RANCH n WAernvATaR TREATMENT PLANT <br /> PHA="D OEW"ATOR d MDTtL!}IOTEL 0 pUyPGa TRUCK/YAF4;gLKPATOILIIT! <br /> ❑Tleaw PgRMI M M PAoe.mr ❑POOL!$PA ❑LAND use AFFLKATION SaLS <br /> *TATTeof 0 y PIGRCINO ❑o (PLEML.9MECIF() <br /> O WDICAL WMTG FAGn.nY <br /> WELL AND SEpne PVWT Pj=R04 ARG Av k&ABL6 FOR Rat~ lgpp,ppY�RtoAY 8:00 AIA-S:OOFN - EJ�CLUC%NO Ii0L1DAYG <br /> of flies from the Iist 2130ve by chocking the <br /> 1. List up to ten addresee> 7— Alk <br /> A In Eho space above. Seloct the EYP+'( ) ,� ,� �e.s1a nr mall to the address <br /> appropriate box(ea). At I*Ut Dna flle type MUST b■selected. F- �a <br /> indicated above Addrose ranges will not be accepted—for additional 89918tance with filo addrelstes,contact <br /> the EEfiD.Applications recelYed after 3:0o pm will be p►�es d ntmhe pnt fbr review will be confirmed <br /> Tho EHO will notify the applicant if any EHD 11198 nxil;t. An appo held for a maximum of five businessW <br /> i Th s after recel of a Ilcation- The filers will be <br /> approximately ten(10)day Pt Pp <br /> days for review. Appointmonts should b®scheduled accordingly. <br /> 3, A file that Is actively being wonted an by EMD staff may not be Immadlately available for review. A now <br /> application may be sub the file is available. EHD at the <br /> a. Any fwte not returned In be condition aig the soma Pp c�t ay requl eoa sea,bo ddp vcitt priorfto revs wp®nae of the <br /> applicant, Future file rev Y <br /> .. <br /> y„Nuc <br /> 0/10 'd MO 95 HH 'ON XU OVNOIIVNHINI SHI0000 WV I0:60 IH 5002-H-BW <br />