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06/08/2005 14:42 530676600 ' - <br /> STRATUS NO CALIF PAGE 01/8 <br /> JOAQUIN COUNTY <br /> ENYWRONMNTAL HEALTH DEPARTNrq.NT <br /> J'UN - 0X15 344 East Weber Avam,3"Floor,Stoclaon,CA 95202-2708 <br /> Telephone:(209)468-3420 Pax:(249)464-0138 Webs www,sjgov.orglehd <br /> Et�Nf QUI PdT F� ALTN <br /> PERMIT/SERVICES P IAC RECORDS RELEASE A.PPLICAUON . <br /> APPLrCANn: SUSIl ao>=facer: Stn&4-Us r<hv,'rdylyyrew <br /> ADDRESS: Y0 33n Ca rltit 'avti picr(e. ��:✓L � G V �o-WA U-M CQ 9 S'6 L <br /> PHONE(i h 6�b�-(o oc B Pis(�k qr 6- _�.FAQStIt�E: Sao-6 n-d o a S"_ <br /> TWATIVE; APPowriam DATE: u.Ae- Tnrre: <br /> (Please Rllatr 10 bMldess dM/roma data of 8ppkMion submittal-"reaftm only-mud be cofi imwd) <br /> CHECK BOX TO F 7MM-M R QM;T- R3A0 M(CASHH OR CHECK ONLY)..R QUEST PROCEURD-W 3 RUSOMS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> UtalT lifsTRiBUTtglt 1h11k 7 LjUnItZ jPFUrft3 C Unit 6 d tk*6 CT other(ete cl�LzL snaps) <br /> FILE ADDR@ S <br /> Street HEHD USE OILY <br /> Strgati€ ama cigr <br /> r7. <br /> 1 Omni3. <br /> ; <br /> . <br /> S. <br /> X10. <br /> Specific Date i2atfga of Information Requested:From. /9"��. ,. __.- to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> )<ii rNn TAW NS17 Ct��;f*(EAP) 0 MUSIC ABAWsOM 13 Saud WAM PAMUTdV aC..E <br /> 13 OTrrett OLeAs p VIC(NOWWP) n P600 FACILUY O WASTE Tam <br /> FrUMVWjVWTANK(MONITOKWWREMOVAL) 13 DWK9NNEL A DOkW <br /> 13 IHAZUW01:$WASTE GM*MTW C3 CH=K RANCH E3 WA2TEWAT99TFWATKWt"T <br /> C3 TIERS PEStlt[r=FACIL$Y 13 Mdret MOTEL ©PI(WMTMj0N YARWCh&0 TOLETs <br /> 13 TAvroof fifty PrRom '❑P000SPA 11 LAAW fiat APKJOAMN Sue=s <br /> 0 l'At3yi=WAmE FAcusrr ©Onteta(PLPAsa5P6VFV) <br /> yiaL AKD SErm P rPxtTRzcmas ARE AYAif.ABLa Kot Pm(MW- Y-FWAY S,00 AM-4,00PM - CKCLUUMr MUDAM <br /> 1. List up to ten addresses in the space above. Select the types)of files fr o n the Iist above by aheeking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to fzos)454-0138 orr�r ajl ktbg address <br /> Indicated above. Addrmss ranges Will not beataceptecl-for additional assistance w9h file addresses.contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. 'rise EHD will notify the appiicimt If any EHD tiles exist. An appointment for review will be aonf'umed <br /> spproximatety ten(10)days after rsceipt of application. The files will be held Har a rn=";nwn of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> Z. A file that is actively being worked oti by EHD staff may not be Immediately avwlabla for review. A new <br /> application may besubsfted when the file is available. , <br /> 4. Any file not returned In the sauna condition as released will be reorganized by END staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93 00 deposit prior to review. <br /> � •tib�i�}' V'4•rr <br /> ' 11f1�1o4 - <br /> T9 39Vd HI-IV3H -W N3WNOZ11AN3 BE10b9b 81=Z1 900Z/60/90 <br />