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DATE RECEIVED EHD LOG NUM50 <br /> RECEIVED E m ftI2IMNT <br /> � 2.011 600 E.Msin Street, Stockton,C 4 95242-3029 <br /> hAPAR Telephone:(209)468-3420 Fax:(209)464-0138 Web. A- wsjgov.or&hd � <br /> �N �nnE TAS HI., CLIC RECORDS RELEASE APPLTCA17ON <br /> RAUX._AIjy Racoo susuaEss)AGEucY: Live Oak GeoEnvironmenta) <br /> ADOREas: 407 W. Oak SL,Lodi,CA 95240 <br /> PHONE(T): (2m 369-0375 PHONE Rk FACs+etILE: (209)369-4377 <br /> TENTATIVE'APpottmaENIT DATE: 2 3 I Y„A; 9:00 am <br /> (men"avow dtl tanioesa days from only-nuret be wan,m.d) <br /> CHECK BOX TO t APEEq It;RIFT-695.00 FM(GASH OftCHWK ONLY)-iEGUENTPfWCE54ED ni 9 SU31IMS DlY9 . <br /> SIGNATURE OF APPLICANT DATE Lkj I <br /> I <br /> Epectromc information: List Lj Mmp–Dosorlptian: <br /> FILE ADDRESS EHD USE ONLY <br /> streets &&set Name Ci ❑ ta,n <br /> 1• 8901 r7 Vwt tlevLY C-5; l6x 1 <br /> 2• ZDoot g, yMtc E)¢vlr EStolov. E3 Una2 <br /> 3. 10105 TKL k-e-"e �Scalav� <br /> 4. ueic g <br /> f3. - Unit 4 <br /> 10. <br /> Specific,Date Range of InfOrmmton Requested:From all available to yE <br /> ENYIRONm WAL HrALTH DEPARTM04T F0_E.S ` <br /> nDsaon.vurw TANK(UST)CMAram WC(Lop) CI HOURM AOATomon 05mMWAare FAQMnWVW0OLa <br /> (f6 <br /> gxsk CLEANUP S e(NON-LOP) O FOOD FAMM 12 WAsre nRE <br /> aRWnOTAKK(MOWTOMNWRMOVAL) 0DOa KeNNUL DAIRY <br /> ; xwwousWAaTeO�efATOa 12CHOORRMCH C1 tIikvmAm T"Amm PLvf <br /> pTTda2aDPERtttTTED FADa,m . 13 WKMMJHO 13 puesmTmkrdYAeWCNmmTMOM <br /> 17 TATTOOMODY NCRONG D powism ©LAND Ude AFYtiwTtON S"W <br /> MLDicAL WAm FAca-" O OTHER(PLeAaE SPS <br /> WsLA1¢agppnppfeaaTp®DAOAAaEAYA!LNeIaFORRlwE+4 . WONDAY-FNO4Y81;00AN•6:WPM �EXCLUDM3HOLIDAY& <br /> 1, ust up to Ian addrawasm in tlw spay ab o m tieMat the tYPs(s)o"las kam We Rd above by ai ptfg tlta appropdete <br /> box(es). At least otic,tie type Iwt18T be s a9ae. p�>s 1'? L'�-0is6 or_1 Re I MLIAtm xatsd above. Address <br /> ranges will not bre aoaept*l-tor additional asslstann;vrigt file addresses,Dordaat am Et1D.Appteatons?OWvad attar <br /> Sign pm will Ise piveasaad tat next btusWeas day, <br /> 2. Ea6m � (10) <br /> days�r�IptMsPPNsom Tae wwbebMor maximotftvatmgbms.dap <br /> should be aahedulod aooardMgiY. <br /> 9. A file that IS adlvsby"ll wvrKed OR.by EJ+D staff may not be)mmedletaly available for ravlew..A now appODatan may be <br /> subnOttad vtltfaf an an is sm4aLb. <br /> 4. Any 1041 not Mwaad In Ote same awAtdan as Maaead vii be bh O W"Wd by EHD Start 01I expaffse Of the OPP"eant. <br /> Future fie reviews by Ime same applicant may ragniw a W,00 dapdait pular to revWv. <br /> EfID USE ONLY <br /> i <br /> mmm <br /> w.n I <br /> _ I <br />