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1 01/20/2005 15:01 916-371-1809 RANEY GEOTECHNICAL PAGE 01/0 <br /> UA:kREl E1Vs=L7 EHD LOG NOMRI=R <br /> - - SAN JOAQUIN COUNTY jo 2 .9 2005 <br /> ENVIRONTMENTAL HEALTH DEPARTMENT NJ R001i <br /> 304 Fast Weber Avenue,3 F"loo.r, Stoci£tan,CA 95202-2708 f NVIRO�1 "GES <br /> Telephone;(209)468-3420 Fax; (209)464-0138 Web:wvww.sjgov.org/ehd �dR�� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APf�LICANT;, _ Cw d' e tivr�_ L✓- BUSINESSIAGENCY: �+�- Qo i EG� kG,a. <br /> ADORE5S: o b _19( <br /> ¢.ac�irt. .vi-_---- IL _ r_ O C � 9 f p <br /> PHONE(1). � t Is ' l-s •A,�^�r E'F'7h:C (2).�---� r —_FACSEr4E��:...2W��i���_'_i <br /> TENTATIV5*Ap?".?4T1.FMTINATF: <br /> (Please eilow'i0 bugrness days from dais of opplicat]o submial-*TentaUm only�must be eonthmed) j <br /> ❑ CHECK BOX TO axpr-)rrE REQU -$9 CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OP APPLICANT DAM �b <br /> LsNIT OiSTRiSu-naN 13 unit 9 0 unit V nit 3 Unit 4 0 Un 5 0 Unit 5 M Othar(electronlefilstslm epo) <br /> FILE ADDRESS H USE ONLY <br /> street Name City._ <br /> u5T 14, . <br /> 16. <br /> �ST H } - <br /> 4. <br /> Specific Date Range of Information Requested:From � f��� - to <br /> ENVIRONMENTAL H AI.TH DEPARTMENT FILES <br /> fJNDFRwtoUND TANK(UST)CI rAmum Sr*e(LOP) n HDUSFN a ADA'MMENT 0 SOLID WAsTF FACILrry/Wi CLe <br /> OTHER CLEANUP SrtE(NON-LOP) t7 Foon FAGILrrY wAmE nRE <br /> UNDERGRCIUND TANK(MONITORINGIRELRWAL) m DOG KENNEL L•7 QNRY <br /> AZARDOUS WASE GENERATUR 0 CHICKEN Rmco M WAsmwmER TREATMENT PLANT <br /> t'I <br /> TiERI?D PERMFITED f-AGILII'Y L.1 MOTPI_NCPTEL L!ftMPEK tCiUCKjVAkD1GHU_M'TVLETA <br /> 0 TATToolgwy PiegoiNo C POWSPA 11 LAND USE APPLICAMN SITES <br /> M MEDICAL WASTE FACILITY 0 OTHER(Pt,EABR SPECIFY1 <br /> WeLL AKA SEP is PERMIT rt8CORDS ARC AVAILABLE FOR P"YIEW- MoNDAY-FRIDAY 8:013 Am-6,11)CPM ^ rxcLHDfNG HoL(DkAYB. <br /> 1. _rt Up rl.V.a _..J3-����- y�ab.r ..___a �,.a..� a�l....t i4�♦...„.�.-!.1,-iF:1..w irnA.ikn I;s♦4f•�n++�a k,"� ch"ekpng the <br /> appropriate box(es). At least one-file type MUST be selected. F_x to•(209) -0438 or iMa to tit®addC�S <br /> Indicated above. Address ranges will not be accepted-for additional asslstance,with fine addresses,contact <br /> the EMD.Applications raceived after 3:40 pm will be processed the Next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for ravlawwlll be confirmed <br /> tlpproximately ten(to)days after receipt of application. The files will he held for a maximum of five business <br /> LiClyS fVr t''.;,5{'.viti. nNpt � : .W r• Y.tluu.$ avCCSrd:.•:i•r. <br /> 3. A file that is actively teeing worked on by EHD staff may not be immediately available for review. A now <br /> application may be submMed when the file is available. <br /> A. Any file not returned in the sante condition as released will be reorganized by EHD staff at the expense of the <br /> a pp1GVNf... <br /> r gni _1(� ♦ rl. �..e.,..r�..AI., �..rw `....i:CwS!.T.' rnn� .��S9 .�R�n►rT�?nf�r, n. O raVi@1M. <br /> . I-1YYY�Y .I.• . .0 - .v' - .r _ r �+1•. YY rY.y - <br /> EN13 492-006 w. •-- <br />