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1 I, Page t of t 20'14_05-20 04:45:01 (O M'17 '1808444308o PLOT:P.—I Wo1002yr1
<br /> .� . '• : ;►�,/,.. , . '"" ' '1.•I, ' EHD.LO 'NU BER
<br /> SAN JOAQUIN COUNTY`-
<br /> ir ". ENV RONM.ENTAL HEALTH.DEPARTMENT
<br /> MAY"2 Q:201A : 18613East Hazei4m Avenue, Sfoekton, CA:95.20.5-6232 . '
<br /> Te,lophCinee{2Q9).46B-34.20.:Fax: (209).464-0:1,38:Web Ww4ralgov orgi...
<br /> EWRONMENTALHf: ul -
<br /> PERMiTisERwc> PUBLIC RECORDS. RELEASE-APPLICATION g
<br /> 7APPLICANTs Fawl W'OlOS 1P&6U E 1y1TQS�.OnW. N�anageX17e1� , lne..
<br /> Q E 171ta� no A-y- e' 424$ CITYIS.TATEI.ZJP,-S-aGXf�IT1ento.- ' .95. ' 1
<br /> FACSIMILEggS-444_ 0$.Q.
<br /> `Please allow 10 business days from date of application submittal for the:records to be.available..: !..
<br /> StWw' ill contactyou to arrange.an appointment date:,and time revjew:the requested records, :
<br /> [ GHECKBQX.70.<XPEPITEIft4. FEO ..A > WUSINESS:D; 11 ASRC :
<br /> SIGNATUREOFAPPLICAN7 DATE .5/2AYS a '-! •
<br /> 14 OW
<br /> Eleotroniclnfomlatio .. "❑ List© Map-Description:
<br /> "
<br /> .r .1., �. el II
<br /> ..
<br /> FILE.ADDI2ES$ ., . ' EHD
<br /> . ;tPeeEf# §treet:Name- •. `.. :City. "
<br /> `Unit•i `
<br /> ,.. '050 Louise,Aue = Lathron*
<br /> -77777:77E
<br /> ' Uni"
<br /> . Lippise Ave
<br /> 4, WAanj Rand -' r2r
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<br /> ...... ...
<br /> W-Init'4
<br /> Fie: s :gall:.to diScuss'..� X. can OAM�v. da_ ;u ft,file �:�arc. .:.` .:... .
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<br /> I�.DnLL'a
<br /> IN IF
<br /> ;SpecMc Date.Range otlQfonnatlen:ReyUested: From
<br /> :1.�QNP.ERCtR.w4DTAN,((:(tJ$TjCLEANUR SITE(LORjRgNMnMEDCALW4?FFA.iiLLTry., `l.T S.o41o]NA$T,E FAC .IT.YNF�NiC4E .
<br /> t FILES.
<br /> :®OTHER.01-i MOF SITE(NON-1.0P)
<br /> HO.U$lNG ABATTcialENf '. ' WASTE TIRE
<br /> UNDERGROUNp TANK(MONITORINO/R*-QV L) '.., ©-FOQDFAGIL(Tf " 1]1)AI,RY "
<br /> .. .
<br /> "�ASOVEGRODNO TANK .. ::CHICfO?,N R9ltCH1(700.iCENNEL _ QWA�S•TEWATER TRFJ:.T"MENT PLANT '
<br /> [ HAZARDOUS.WASTfIHA7„4R,DOA16fi1ATERiIk ,. ❑.MOTEL).�OTEL, ... ,®PUmPERTRUCK/YARDICHEMICAL TOILETS' -
<br /> .
<br /> TIERED PERMITTED F.ACIWTr. ❑:PogliSPA4 '®LAND.(ISEAPP{.ICAI'ION SRfS
<br /> `....
<br /> .❑TATTOOBODYPIERGING ,I,�Q GOMPLAWTIRES@ONSE RECORDS• " 0THER(FLEA$,ESPE4Z1F.Y
<br /> :'W,F; AND,SEPTI,Q;PERMITW(:O fIR ARE AVAILABLE FORREyiEW:`MONDAY,-FRIDAY$qq Ane -SACIPM(FtixCLUO;Kq HAu,.L.Sj
<br /> 1. List up to ton addresses.in the space above. Selectthe type(s)of files%from the list above by checking the appropriate
<br /> box(es). At leastone.file type MUST be selected. Fax to(209)464-0138 ormail.to the address,lndicated above. flddres;a -
<br /> r;inggs.wilitiotboR�qqopte.d,Applippit.lonp.reco.ivocI after : 0 pm-will be processed the next-bpsiness.'day, -
<br /> 2: ,Forassistance.in identifying the nature and content of.EHD records.,;pleasecontact EHD.at the number noted above. :
<br /> ". .4,.The.EHDwillnotifytheapplicantif.anyEHDfilesexist "Anappointmentfor review will beconfirmedapproximately'ten(1Q) `.., ••
<br /> ' .• . days after receipt of application, The files will be held foramaTSimLm i
<br /> of fveh sines,days for review: Appointments
<br /> ' �shoutd be scheduled accordingly, -
<br /> :4r Any file not returned.in the same condition as released:wilFbe reorganizedby EHDstaff atthe expense:of the applicant,
<br /> Future file.reviews.by the same applicanf.may require a.$.125.doposit-prior to review...".BOXED AREA-EHD USE:ONLY*"* '
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<br /> Rec4Fds:provided"by Staff-l?Pft Corttpfete..scalr:Name; ...........................................................................................
<br /> .....
<br /> Received TimCMay, 19, 2014 9:44PM No. 609
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