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07!12;2006 10:55 209-579-2 MODESTO ATC PAGE 0: <br /> �����V�� SAN JoAQt,�L�rCott�+t'�i'Y EHOLOGHtAaER <br /> 304 East Weber Avenue,3'6 Floor, Stockton,CA 95303-270$ <br /> JUL 12 2006 Telephone: (209)46+8-3420 Fax: (209)4:64-)(39 Web: www.sjgov.ortjvld <br /> ENVIRONMENT HEEKH PI)BLIC RECORDS RELEASEAPPLICATIONMnlvll 11 <br /> APPIAC e€aT:1���?�2._ tt Cif tnrs S ads a€€r: -I0. -RSA.k f <br /> A€KESS: o .� `� tye�.�/�>�;, Nun Air'? [110'C�1;�4,� C.0. <br /> PHONE!(i):2...+1 5 t'1 .GeG!t PHONE(I): FACSONLE:;-£>!•�1:�,2.i.�:..L 4s.4� <br /> TENTATIVE"APPOSE mENT oATE:_L-2• -06 3 Time: <br /> (P€ease(Now t0 bus€twTs days Nom date tl`arNNicyflcR RWRnktrd••TerrfidM on€y-must be conf mord) <br /> 13 CHECK SOX TO EXPEDITE Ft U T-y$93.00 FEEL:(CASH OR CHECK ONLY)•REQUEST PRCCIESSEO IN 3 LI SINESS Mf'a <br /> SCG NATURE RAF ApfALICANT DATE <br /> UNIT o€STRiaUIROY 0 Unit t ❑ Unit 2 O unit 3 D UM 4 ❑untf s 0 ur&6 ❑ Other{s€eetronit�;iazwnixipe) <br /> ..W _ FILE ADDRESS _._.__. 151,11)USE ONLY <br /> streoka sb"A Name .---..... Cay <br /> k` z k _ 1 _ 7 <br /> ---.__ <br /> 4. <br /> _._ <br /> L ? <br /> a _. 1 <br /> 7 <br /> 9, <br /> 10. .. ....,.. <br /> _-__— —�pr:.00ifiD Datm fla;ig2al�n_tonoN Requested:From 'L1S-r to <br /> ENVIRONMENTAL HEALTH DEFARTMIENT FILE <br /> ,t11€D�RORo7:'No TAVK(LIST)C�.EAEB€P SM(LOP) OHous"ABAT04M 'Ci 9MM WAStE FA=ATxYWAX <br /> QtrteR CLEANUP SrrE(NOR-COP) 0 FOOD FACP M 0 WAsTE Tme <br /> AYb** WROLWD TANK(h10W0MNWF.EROVA%) 0DOG Kama 0ONRY <br /> ` t4izJ.Y0l3U8 WASTE GENERATOR 0 CHICKEN Rmmm PLAff <br /> a 0 PURATTR T AA wEmr TO4.E'rS <br /> 0 TRAED PEA.'RIrE3 FAMMY 0 MOTEL.dHOTEL Aaf€e <br /> r9 TATTooffiwY€Nma a 0POOLISPA 0 L"M USE APfIXATXi$TES <br /> •VIEWALWASTSPACILITY 0OTHER(PLEASE <br /> sPEUfY) <br /> WELL AND SEPT:PER1tn RECO:'RW ARE AVAR."LE FOR REVIEW• U0N0AT+PNDAT 6.00 AU';:00PM - €CCLUrOO H(ha YS. <br /> f, List up to ten addresses In the$:pace above. Select the typs{s)of files from the list above by cht klr*g he _ <br /> appropriate box(es). At least one file type MUST be selected. fax to(20914 A:*13S or ma to theadd--reag <br /> dz)r_icil d above. Address ranges will not be accepted—for additional assistance with file addresses,contact. <br /> the EHD-Applications received after 3:00 pm will be processed the next bust gess day. <br /> 1 The EHD will notify the applicant If any END files exist. An appointment for review will be ao-nfirmed <br /> approximately ten(f A)days after receipt of application. The files will be held for a maximum of five busirAss <br /> days for revaew. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being wanted on by EHD staff may not be Immediately available for revhm. A now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 daposit prier to review. <br /> 3 <br /> _ I <br /> f <br /> END.affitleS <br /> USAJ05 <br />