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07/12/2006 10:55 209-579-2fb MODESTO ATC Pr GE 02 <br /> ��CAAlt RECEIVED em #71 R <br /> S <br /> WLSV��� V ISD ANJOAQUINCOUNi TY <br /> ENVIRONMENTAL REALM DEPARTMENT OOP <br /> 304 Bast Weber Avenue,3'Ftr)Df,Stockton,CA 45202-2708q5 2eZJUL 1 2 2006 Telephwje. (209)46,8-3420 Rax.(20q)4.64-Dt38%Veb: +max-w.sjgov.orf/eh4� <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERf6H`T , <br /> PliQ.yf.t„J ta�}�E,SS <br /> a-ME(1):, �• YT •�G, PHONE(2): FACSI-AtLE*, <br /> TENTATIVE"APPOadfuENT DATE: 7.2,6 6 Tamp: 96-4n <br /> (PW"a sff*W 10 bushmis days:from date of app"C000£subn*W-*716"tem ort?y-m�£be cw,tinned) <br /> 0 CHECK Sox To EXPEDITE RE¢U T-$93.04 FEE(CASH OR CHECK Otd.Y)-REOVEST PROCESSED M 31 AINESS 3S <br /> 5,10- ATURE'U'F APPLICANT f`(�_k\, DATE <br /> UEtiT DESTt:IEtISION ❑Unit i ❑ Untt 2 ❑Unit 3 ❑UM 4 ❑UPK 3 ❑ Unite ❑ tNher{elegrenleYiatatrtutpa) <br /> i sweat s -_........_..._—.FILES CRESS <br /> EHD USE ONLY <br /> —__. .......t _ city <br /> - <br /> "-,** ,--,k3 <br /> a..—.......-......... - -- — r ? _ - ,arY _ _ 'SID <br /> 1 � <br /> _....... <br /> __–Specific Catw R:n;rog4f_orWomtator.Requested:From `FAST to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES _ <br /> kOERG`ROiWO TAIK(LIST)CLEAwp Stre(ILpP) O HWsWo AaATZWBTr XD sxxx ve=x FA=rSTrAw,4x <br /> �{'aC,THFSR CLEARUPStzEfltoet-LpP} ❑Fom FACam 0WASTE TIRE <br /> p�.-VtiOER53 totwo TANK(ASON90 <br /> n4RrMsmO'SA ) ❑DOG KEeNEL ❑GA'RY <br /> S�T°AZA*DM7Sw rr GENERATOR 0CWKEN RANCK O WAsTEwATER TREAT.wa PLAHr <br /> �3 TltM PEF9drmo FAMny ❑MOTELFHOTEL "il' PON-ER TRUMNAWCHEM TDRSR <br /> 0 TAT1001E1oUY t'ICR. 0POOLISPA 0 Wto USE Aptixm*7H SnE9 <br /> ❑IIAM;IAL WAST2 FArAUN 0 OTHER(PLEASE SPECIFY) <br /> _ WELL VM SEPTIC PEP.#IT RECORDS ARE AVAILAELE FOR REVWW- MONOAY.PWDAY 6:44 AM5:WM - E£CLUM6 HOLIDAYS. _ <br /> 1. List:up to ten addresses in the space above. Select the type(s)of files from the list above by checking tivi _ <br /> appropriate box(es). At least one file type MUST be selected. Fax to(203)418-0938 or ma€l tis the addma s <br /> it dica ,4_f°bo..:.:.q. Address ranges will not be accepted-for additional assistance wit'r file addresses,contaD <br /> the EHD.Applications received after 3.40 pm will be processed the next business day. <br /> 2. The EHEC x911 notify the aprticant If any EHD files exist An appo%ntment for review will be conf€rmad <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five businew <br /> days for rev'ow. Appointments should be scheduled according€y. <br /> 3. A Erie that Is actively being worked on by EHD staff may not be immediately avaltable for revbw. A mnF <br /> application may be submitted when the file Is available. <br /> 4. Any fila not returned in the same condition as released will be reorganized by EHD staff at the expon of a" <br /> applicant Future file reviews by the some applicant may require a$93.08 deposit prW to review. <br /> utana <br />