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I4 11—1 14,41 FnA 04 0c ty V 3 4el WNATLNV1KUNMLNIAL 16001/001 <br /> IDCHO LOG NWHI-H <br /> SAN JOAQUIN ('0UN'I'V <br /> F,NVJR-0NMU.N'1'A1, I-JEALTI-1 DEPR <br /> ATMENT <br /> DEC 2, 1 20,07 600 East WitlStrCet, SlOck-ton. CA '95202-3029� <br /> I'Viephone"(120 9)468,4WO Fax:(209)4(i'1-0 133 Wel): Nvww".� <br /> jk, <br /> ENVIRONME-INT HFACTH ,1 Z 5 73 <br /> P <br /> ER IM I Tl S E f.` !C I'—:S' PUBLIC RECORDS RELEASE, APPLICATI(IN <br /> APPLICANT: IC„ T— 3lb-f AA <br /> SVSINESSIAGENCY <br /> ADDRUS,, il Ilk <br /> PHONE '717- <br /> _PHONE <br /> TENTATIVE*APPOINTMENT DATE- <br /> (Pleaso allow ib-Ibmthim, <br /> 44Y34rdtft d6tb 61600ftition submitt,11-'ro4fR(Am only rylustl'boC.006'--: <br /> 014ECK BOX TO-EXPEDITE REO 0 .0KONLY)•REQUEST PROCESSED IN 313USINESS DAYS <br /> 11I.Od FE H��14�011 ONLY) I <br /> $JGNATPR.EVF APPLICANT DATE <br /> EleCtrork frif a m.. L s01 mup—Description, <br /> FIR;WR—KP7.; <br /> Stm <br /> City <br /> 0o <br /> ioi5, U Uffit:2 <br /> 3. <br /> 4. 1 <br /> Sz S <br /> F" <br /> 13(qo <br /> ....71s.' <br /> 9. <br /> Unit a <br /> 10. <br /> Specific Date Range of InformalUorl Requested.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> duNDERGYMNI)TA 'ANIIPS:111,011: 0 Houma ADATEMENT 0 SOUP WA,-jTE:,f�513U1Y/VrJ0CLf <br /> "1 1 OR N"UaTCLr 1. Q <br /> V" No.-Lop) C1 F000 FACILITY Cl WASTE TIRE <br /> TIIERCLE"OT 6-1E I SOJR(" 0 boo xp�m Wi I. V DAIRY <br /> *NDERGRIIN A 'I"I' At) <br /> p iyfRtu1tY'YFf3 <br /> X'r' <br /> I'lrRATOR CmcKrN FlAmct4 t1 W�SIVNMV.R TREATMENT PLANT <br /> W�TEG <br /> T'.n' LIM <br /> r El MOTELIHOTEL P0 FER TftUCKjYAWrJ1CItEM TOILET,, <br /> C3 TATTOO1800Y Pir-RuNc. 0 POGUSPA 0 LANG Use APPLICATIONSiTrs <br /> mcomAt YVASTE FAr.ILPry <br /> VYLt :AAi68&ticPLP.Nis,rRtCORDSAf4C.AV.441.AULI4f-C)RRrVIC,W-MONDAY-fRtMAY8:00Am-S,OOP - CXtLV0N0H0W0AYS. <br /> 1. List tip ter ten addresses in the spacelbove. Select the Wm(s)Of filos from the list above by chocking,the appropriate <br /> box(os). At least*oe file type MUST be selected. Fax to2t}9� <br /> or tweikft1h tc3cirgss#Frtlitatotl.jtjqjp.. Address <br /> ranges will not be iccopted-foradditional assistance with file addresses,contact the END,ApplleatjorI4 reCelved after <br /> 3-00:pa will:be procussw the next hualness day, <br /> Z Tht::6`10 will n ofify theapplicant if any EHO files exist ,An appointment for review will be confimiefd*pprdx!Matuly fed(101 <br /> dzO after roceipt�fiioolk ti.6 n. The filed;Will he h idr. ,a maximum of of five basionss darts formvfe <br /> W. poinuilants <br /> -should be or <br /> 3. A-fite thm isactivolly may riot be immediately available 4or.I-evlm Anew application may be <br /> submitted whion.1ho. <br /> 4. AnyAWriot-returned.1h W66tedwill be reorganized by EHD s'Offatthe expense bf1he.applicant. <br /> Futurefile r*Vlew.3 by 1110:9.41116 applicant rri* "W.06-4$99.00 deposit prior to mview. <br /> 'y <br /> Mil)USE ONLY <br /> ................. <br /> ........... ------- <br />