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06/28/2005 11:46 FAX 770 642 0257 RMT INC. ATLANTA IM002/002 <br /> 06/24/2005 07:50 4640130 ENVIROM£NTAL ATH PAGE 01 <br /> RECOV © SAN JOAQUINCOUN Y <br /> ENVIRONNEENTAL HEALTR I)SPARTMENT <br /> 304 East Weber Avenue,3rd Floor,Stockton,CA 95202-2708 <br /> j U N 2 3 7.005 'Telephone:(209)468.3420 F=(209)464-0139 Web:wwwsjgov org/ehd 'I �f <br /> ENVIRONMENT HEALTH• PUBLIC RECORDS RELEASE APPLICATION (((��� <br /> APPuemT: S i susINESSraGFl+cr: <br /> ADDRM: Suite IDD klavitat GA 30350 - <br /> t PHONE(tl: _I10-(AV-915(o X149 Ptiow ): FACSwLE_ 110- 1042-025] <br /> TENTAM"APPOINTMENT DATE:_ 12 D 5 _-ram 5_O <br /> (Please allow 10 busrnxa days from dace of rpp0oa00n sutRnittal-"Tedtaffm only-must be c ffnded) <br /> ``\_ p' ❑ CHECK 13OX TOI E(PEDITE REOU T•497Ao FSE ICA§H OR CHECK ONLY)-REQUEST PROCESSEOIN a e(ISMESS DAYS <br /> 0 SIGNATURE Or APPLICANT a-- DATE .(0129I05 <br /> taNfr QISTR18VrlON t7 Unn 9 O Urdt z a eft El UAft 5 ❑ Una 6 ❑ Other(e14WbVidrlUsaJrtwPs) <br /> FILE ADDRESS EHO USE ONLY <br /> sbvdf stwiName city 16 <br /> 1. 5 est 0 <br /> 2. r <br /> 3- <br /> 4.4. <br /> 5. <br /> 0. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Spaclfio Date Range of Information Requested:From 1918 6o 005 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> . UNDUMOL110TANK(UST)CLEMNPSmE(LOP) OHousm AaAmeNT 176owWA9TCFA4VJr(1VP=Z <br /> P(Ot1Ea CLMANW Sm:(NoN4.0P) 0 FOOD FAGKm ❑WASTE TME <br /> . UNOEROFOUNOTAIK(MOWTOWNCrPMOVAL) 0 Dec KORML P DAtY <br /> )ll NAZAR000.4WA9MGeWAATOR 0CHO"RANCH ❑WASTL+WATERTREAraENT PLANT - <br /> 0 Totm Pouwrrm FAcuw 0 M6vaA40TEL O PUWMTRUGWARD/C"T(aLTS <br /> t]TATrO019oDY PVt Mia 'O POOLISPA 0 LAND USS APPUCAT"SM3 <br /> IM M8XCALWASTEFACM1nY Oonmt(l)F sPECFY) <br /> VYELLApSOHMPMWRECOROSN -AYARABMMRRUi M- MONDAY-FRWAYB4e AN-6-0" - E=UIGR1 ML&Aye. <br /> 1. List up to ten addresses In the space above. Select the types)of files from the fist above by checking the <br /> appropriate box(4s)• At least one file type MUST be selected. Fax to(2091464-0138 or mall toIto address <br /> indicated above.I Address ranges vAl not be accepted-far additional asststsnea with file addresses,contact <br /> the EHD.Appricatfons,received after 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant H any EHD files exist. An appointment for review Will be confirmed <br /> approximately tan(10)days after receipt of application. The files will be held for a ma)dmum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD sfaff may not be Immediately available for review. A new <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 requirea$99`3.00 deposit prior to review. <br /> ,TfL,N! <br />