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07/17/2@06 13.38 916-371-1,SB9 RANEY GECTECHNICA! _ PAGE 01101 <br /> EHD LOG NUMSER <br /> r DATE}tECEIVEC1 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL MAL'TH DEPARTMENT . <br /> 304 East Weber,Avenue, 3rdFloor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 k'sx:(209)464-01..38 Web: www•gjgay.orglehd <br /> I PUBLIC RECORDS RELEASE APPLICATJON <br /> APPLICANT: ! i v. - t'U81NFS3ll1OENCY: Gi C <br /> ADDRESS <br /> PHONE(1):4f 7i �� �__•Rl•ioNE(Z): ;Ra t eG'? <br /> TENTATI11VAlswnlldTMMTDATE:"_Tl ' I 10CI6 Tire: Dq .. " <br /> {Mlease Alknv 10 hualnvzrt days from data of ppllcalian submltlal-*7•enfffm only-MUM tis coniirm4•—.._ <br /> CHECK BOX TO EXPEbrM REQ $9 00 C OR CHECK ONLY)-REQUESTFROCMrM±H 3 EUsi S FLAY. <br /> SIGNATURE OF APPLICANT DATE <br /> UNIT DISTRIBUTION ❑Unit 1 I'7 Unit 2 ❑ VQ 3 C Unit 4 a tlnit$ M units .0 t2tller{eleatraric{ilstslmaps) <br /> F3. <br /> FILE ADDRESS EHD USE ill"astreet Street Name City <br /> __ <br /> 4ti O,p �aS <br /> 3PZ_ <br /> ZZI <br /> 7. <br /> 419 — ,•a <br /> 10 <br /> 0. 1 <br /> er <br /> sprinxte Date Range aft On Requested:From ! to G4 Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �Ir40MMOMM TANK(UST)CLEA14UP SITE(LOP) 0 MOV8180 A6ATEMM &1;wD WAeM FAMTrYI1leHWAy- <br /> ® MER CLEAMVP SrrE(NoN-LOP) Ca Fool)FACWT R WATM 710 <br /> �i ' sacrcaorm TANu{ilAaNngtttrtolRauavAy M Doc K wNEL 13 DAIRY <br /> �.RpC1U8 WAMF GENERAMR 11 I.H=KM RANCH 0 �1RGF�Tr111C1clYnR�Imr P Awr rs <br /> [w Tr m PERrtrrrap FAC�urr o Mo H-OrTr� PLiR <br /> M 1'14TTOV180vrPIRRema E3 PMAPA 0 LAKDUsEAFRL1CATi'JI+S1rI;8 <br /> 0 M€DILA{•WADTs FACHM 0 OTHER(PLEAS{:SPECIFY) <br /> WELL AVO SEMO P cfwrr RMADC ARC AVAI ABLE FOR REVIEW- MaKDAY-FRmAY E:OO AM-5:00M EXGr. iNC HOLMAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files frorn the list�bo3v by checking the. <br /> 4Ipprop4iate box(es). At least one file type MUST be selected. Eax to L2091IS 38 or mail tv_the address <br /> Indicatedabove, Addtess rengas will not be accepted-for additional assisUnce with filo.addresses,contact <br /> the END.Applicatlahs received after 3:09 pm.will be processed the"next business day. <br /> 2. The END will n*tify the applicant If any END files exist An appointment for review will be confirmed <br /> approximately ten(19)days after receipt of application. The Tiles will be hold for a maximum-of five business <br /> clays for reylow. Appointments should be scheduled accordingly. <br /> 3. A file that Is actively being workod on by EHD staff may not be immediately avfi)lable for revlew. A new <br /> applic*tlon may be submifted when the file is available. <br /> 4. Any file not returned in the sal a condition as released will be reorganized by EHL?staff at the expense of the <br /> applicant. Future file MVIvws by the same applicant may require a$93.00 deposit prior to review. <br /> +t+uaa <br />