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22aat Friday, October 09, 2015 12:52 PM Jodi Vanneman 415-479-3988 p.01 <br /> ra to <br /> a <br /> D a <br /> a <br /> as � <br /> aa'R E C <br /> Ei r - �..,.�,.,... EHO LOO NVM6ER <br /> SAN JOAQUIN COUNTY <br /> OCT 0 9 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazellon AvenuB, Slocklon, CA 95205-6232 <br /> Telephone: (209)1168.3120 FaIL (209)161-0138 Weh! www.$)9ay.or91ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT! Jodi Vanneman BU SINES SIAGENCY: EBI Consulting <br /> ADDRESS: 829 Tamarack Drive C(TYJ5TATE012: San Rafael, CA 94903 <br /> pHaNg(1): 415-342-5144 pHONE(2): FACSIMILEE: (yanneman{rD917cRlOhal.net <br /> Please allow 10 business days from dale of Epp)icetlon submittal for the records to be available, <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CkECK BOX TO EXPEDITE REQUEST-9130 FEE tCASM OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i^'`''" '"' '-" DATE 10/09/2015 <br /> Electrenielnlormatlon: ❑List❑Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Str"t 9 Sdsel Name city ❑un't I <br /> t• 75 West Val Ico Road Trac <br /> Z. Una 2 <br /> 3. <br /> 4. in <br /> Unit 3 <br /> 5• nn e <br /> 7• I M <br /> 11° Cl Una 5 <br /> f-I <br /> tD. , day <br /> SDeNflt Date Ranpe Or IRlefmal1011 RequeRetl: From til <br /> ENVIRONMENTAL WEALTH DEPARTMENTFILES <br /> �UNDERWO ND TANK(UST)CLEANUP SITE(LDP) KEDICAL WASTE FAGLITY SOLID WASTE FACLITYNEHK1E <br /> DINER CuElAuP&TS(NON-LOP) KOUSDa^.,ABA1EW1117 WASTE TRE <br /> SUNpeR.7R011110TANN(161ew110RMWREUMAL) FOODFACLi1V DAIRY <br /> ABDVEGRWNDTANK CwKENRANcwDoo KEhwl. WASTEWATERTREArmENTPLAHr <br /> ❑HAZARDm WAsrEb1AZAFums MA7FRfAia ❑ttoTELIHOTEL PUMPERTRucKNAR01CHEUC9 TOLETR <br /> eTERED PERNRTED FACEm' POOVSPA Luo USE AvPLICAIK*"I <br /> TATTOd'BWY PERCtrG ComPLFdT1RESPONSE RECORDS OTHER(PLEASE SKCFYI <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIoAY 11:00 AAaS:OODu(EXCLUDING HOLIDAYS) <br /> 1. List Ue to ten addresses In DH space abavo. Select the type(%)or was 1Tdm W Nit above Dy OnK king me ap propnals <br /> boXles). At least one flit type MUST to selected. FaX to(209 464815 o m I!loth cadres! Indicated above. Address <br /> ranges will not be accepted.Applications received after 0:00 pm will be processed the next bus mess day. <br /> 2. For assIsta moo In)dentrf inp the nature and content of EMD recerda.please contact END at the number noted above. <br /> 3. Tice END will nmfifyths applicant if any END nlea*XISL An appointment Tor reYleW WIN be confirmed approxinriately ton(1p) <br /> days atter receipt of application, The files will bt held for a maximum of five business days for review. Appd)nanents <br /> should be scheduled accordingly. <br /> e, Any flit net returned In uta same eontlMom as released will be reorgontstd by 9 H staff at the expense of the aWlc*nL <br /> Puturt file reviews by the same applicant may requirt a 4110 deposit prior to review, ' 'BOXED At;Eq•EMD USE ONLW^ <br /> ep tc)tei h Pf C;vi Sed y is .PP R C ornp eta. sura Name: <br /> Ew tea -or.ai-« <br /> Received Time Oct. 9. 2015 12 : 53PM No. 9144 <br />