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--'/05/03/20@6 11:34 269-579-2225 - MODESTO ATC _ PAGE 62 <br /> EHD LOG NUMBER I <br /> GATE RECEIVED SAN JOAQVIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,34 Moor,Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax;(209)464-0138 Web: www.�gov.org/ehd <br /> Z0351 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUMNESS1AGENCT- CaG+ <br /> i <br /> Avmum: <br /> PHONE(1):2009 PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE:— �4�•Ole T9ms:_ t+ <br /> (Plmaee allow 14 business dm m It=data at applioatlon submittal-*Tsndltlrn only-must be eonfim"d) <br /> CHECK BOX TOM R E T i93,0Q FEE(CASH OR CHECK ONLY)-REGUMT PROCESSEo IN 3 0031NEXG OAYZ <br /> SIONATIJFtE OF APPI.C "r DATE •� <br /> UMT DI3Ml; F;N M Unit 4 0 unit 2 7U.N3 Unh 4 ©Unit 5 Unit B © OdW W*CW"ldl s) <br /> Fit>S AE]GRE ]ENDE ONLY . <br /> SLrot 0 Stnwk Nems City APPOL <br /> 7_1 17067AP5 e. PvTA 96m! <br /> 2. 1aTI <br /> CC�` a !r 3. 1 <br /> 5. IfAUA&IO C--VZh,7.SpeeHlc Date Range of Inforrnadlon Requested:From ST to <br /> ENVIRONMENTAL HEALTH DEOARTMENT FILES <br /> =Rakoumo TANK(UST)GLEANur Srm(LOP) C1 H4)=No AeATEmFxT 'FtAWD WASTE FA CILnIIVENiCLE <br /> Ult <br /> OTHER CLEAmup 81TE(t4w4.0P) p FOOD FACRZrT Q WASTE TwE <br /> UNOERfiROUme TAU((MOWTIORING(RENWAL) 0 Dod KootEL CI DAIRY' <br /> HAZARDoils WASTE GIM ATOR Ca CHICKRN RAHM C3 WABT WATER TREA1TMEkT PLANT <br /> )MTI>wl"PSRWrMD FAoCp M o MOTLA407% M PumPER TRucwtYAKu CHEM T4xLCU <br /> 'D TA7 mM*DY Pimcm Q POOLISPA 13 UkNo USE ARPLICAMN FIt X <br /> 19 MEDIC&WAM FACHJTT ❑OTHER(PUMM SPECIFV) <br /> WaLLAND SEPTIC PERUMT RECORDS ARE AVAILABLE FOR REv;Fw- MIONDAYaltmQA7 6:00 Am-5:00M - EXCUKHNG HOLIDAY& <br /> 1, List up to ten addresses In the space above. Select the type(s)of fife$from this list above by checking tha <br /> appropriato box(es). At least one file type MUST be selsCftd. Fax to f209)484--o738 or mail to the address <br /> q indicated above. Address ranges will not be accepted-for additlonal assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after recelpt of application. The flies will be hold for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for mvlew. A now <br /> application may be submitted when the file Is available.. <br /> 4, Any file not returned in the some condition as released will be reorganised by EHD staff vt the mxpenss of the <br /> applicant. Future file reviews by the some applicant may require a$03.00 deposit prior to review. <br /> sNo�e,otaer �% �'`• <br /> 711iA6 <br />