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MAY-10-2006 14:31 FROM:CAMPER P""0 122098238197 TP- '-640138 P.1/1 <br /> UW.,1Vt4VV0 1J.Y1 MOYVIJG\YArV_"14•IG1,11fi n' 11'1 y..r rvvi�NN mow.. G1 <br /> � SAN-JOA,QUIN COUNTY" N--/ <br /> ENVIRONMENTAL REALTA DEPARTM N',t' <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgovor#ehd <br /> 7�k5K4 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT.• LzbRUSIMMIAGM4CY: <br /> ADORE-SYS: <br /> PHONE(U ���,' PHONE(2p PACStR'ip.ti: <br /> TENTATIVE"APPouffmNT DATA; TOM <br /> (Pkvse 200W 10 businees days from date of appGcalfon svbmIUM-*Td[tx6W Only-must be cMfintted) <br /> 17 CHECK F*K TO OCKI E REQUEST--$93.00 tome(CASH OR CHRCK OMY)-REQUEST PROCIMED 013 8t/SIMMS DAYS <br /> SIGH AAME OF APPLICANT DATE <br /> Mtoratatton <br /> O Ust 0 Map <br /> FILE ADDRESS etta USE ONLY <br /> sbrcet a Street ttamo ph <br /> i. O Unit 1 <br /> 3 Unit 2 <br /> 4� <br /> ;rUn€t 3 <br /> s. <br /> 6. X UnA 4 <br /> T.z <br /> T. 0 Unit 6 <br /> a• Unit <br /> SRecif[c Date Range of infonmtjon Ftcque*ted:From , <br /> ---_--- ---'-—ENVIRONMENTA1--HEALTH-DEIIA-RTM04T-OLfS-_ _._.-------- .------_---- <br /> u ot, D TAW(M)cL SM(trc►P) O HOUMG ABATt�T , amIP wAsre FAaLfTYNttM6 <br /> OrCtEAtdltR StiE(NQN-LOP) n Foot FACLM Q WAM TM <br /> ERGiCOttN�TANK(t totatoRtedO1>REtsavAl} t7 CH Kew O <br /> �Ckq{'�EI ttl►!lClt ASiE:1KA'f1ERTRt?11TMEen'PiANF <br /> AMAZAMOM WAM GEATOR <br /> a P9UMR Tmjwvy,#Awc"mc <br /> ALTaRzft <br /> ATTie=P PINY •!MOTBLFfOF ��t€ZAFVL=&T1M$Tr% <br /> TATTOO MYPIMCmG O oA <br /> KMEwALWAtE FACTa OTna <br /> LEAM <br /> G HOURA . <br /> WELL AND SkvnC PEFM FJ=RM ARE AYARAPIA FOR RSYW-MONDAY-FIRPnYs:ao Aw6:o9)ra chectcEn the <br /> q. fist ug tQ ten addresses in xtte Space above. Select the types)Of fifes from the list above by 9 <br /> appropriate bog"). At least one fila type <br /> MOST be t:olficbpd. , xto f2(t91t4I138 r Mali the addle <br /> jndicated above. Addmss eaanges will not be aecapted-for additionalassistanet:with fit®atfdresa+es,oc+rtSGt <br /> the EHD_Applications received after 3:00 pm will be processedthe next busing day.An inWent for mview atilt be=mftfmcd <br /> 2. The EHD will notify the appltcant if any EHD Fies exret' The t etwiti bo hold for a ma:dtnufn of flue b1minsss <br /> appreximatety ten(10)days after receipt of application. <br /> days for review. Appointments ohould be scheduled c000rdinglY• <br /> . A file that Is actiVety being worked on by EHD staff may not The legm uliately avrailable far revt�rr• Anew <br /> application may be submitted when the file Is available. EHO staff at the expense Of the <br /> 4. Any file not returned In the same cendMOA as released will be reor8anlxed by <br /> appliaatlt. Future file reYlirws by the same applicant 012Y M1111a$83;00 de sit prior to fe�tlevr. <br /> �u� <br />