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Rug 16 07 11 : 37a Ma Tyree Herbert (9251 <br /> -3738 P, 1 <br /> "R[rIVED <br />` Il� SAN JO.A,QUIN COUNTY EHD Loc NUMBER <br /> 7 <br /> ''1 I VEID ExVIRONMNTAL WEALTH DEPARTWNT <br /> A o��Mo �(zoS6kt� �s <br /> 6RViR0tqj� T�erba�:�z9s �, : � aol3s webwww.sjgoV o <br /> N1 <br /> PUBLIC R1ECU . <br /> S RELEASE "PLICAMN <br /> ApPucA DA E R FS E 2T eusiitessrACENCY: W fa iZ - So v-T-Koag%1- <br /> ADDRESS: 31ST-. STE. g (_DD1 qS +O <br /> PHONE(1k C 9 ZS) q q 7 r 3-!3 B PHOr�tz): X925) 1-11 FACSIMILE: (?-Oct) 331 -S3'i 4 <br /> TENTATIVE*APPOMITAgENT DATE: - Sl -0-T (0 G. -1 <br /> (Please allow 10 b uslneas days from da*of app6eotien submitral-"Tent�trYe only must be eorlrtlTrted) <br /> ❑ CHECK BOX TO EXPE01[E REQUEST 6.- <br /> sqgoo FEE(CASH OR CHECK ONLY . <br /> SIGNATURE OF APPLICANT EST PROCESSter)IN 3 SUSDIESS DAYS <br /> DATE g-' (,2-0'7 <br /> Electronic Information: [❑List❑Map-Description: <br /> EIIE ADDRESS EHD USE ONLjUnft <br /> Strad# Street Name - --.._. <br /> 1, <br /> S0+0 �f, O� �65VvG�S 11i {o v� !f 5G�C. 0y1. . iS w. w�Ls1�e -EaY1 �jj � <br /> 3 7,1-2 <br /> a vv. St-. t aLk- <br /> 4-0 n <br /> k- <br /> 4-0h St. 51ock+orl wit ' <br /> s. 23o5 W. <br /> Waskivt tan <br /> s, 2321 w. .. St Stc>ck+ <br /> unite <br /> 252(0 W. Vvoask',- 4ovt Sr. Sfiocic O,-, <br /> 2615D -V1/. ^WGLSkiex govt `J�'. Jr{oC�rot� ❑ Unft5 <br /> (/ s. 2`I oo W. ' VV czs t-17 i c>ra St 51�Gk} <br /> V11. W as(.•ii 4-ovt St: S{-oc k art unit s <br /> Specific Date Range of Information Requested:From cu <br /> CLGlcS t0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �u NK TA (UST)CLEANUP SITE(I,Op) 0 HW&WC ABATEMENT <br /> /aROTHER CLEANUP SITE(NON_L0P) 13 FOOD FACILITY SOLIO WASTE FACa tTYtVFHIG E <br /> �UNVM4GRDIIFID TANK(MONITORiNOJRMOVAL) 0 DOG KiameL WASTE TYRE <br /> HAZAWXXA WAsrE GEWRA� 0 CHICKEN rtANCH 0 DAIRY <br /> T o PERMffw:a FACILnT A2rWASTEWATER TREATWNT PLANT <br /> � O CHICKELfSPN <br /> pwRctmi; 0 PO TEU"OTEI PUMPER Tf VOWARDCHEM TOILETS <br /> ,PUEOICAL WASTE FACILITY 0 OTHER(PLEASE SPEpF+� 0 tArAND USE APPLICoN SITU <br /> WELL Arm SEPTTC PERMIT RECORDS ARE AVAILABLE POR REVIEW - blONonr-FmDAY gree AIWS:OOP(A - tJCCLUDaeg HOLI)AYS. <br /> 1. List Up <br /> . ten ast one eS,in the spaco above. select the types)of tiles from the list above by checking the appropriate <br /> box(es). At least one ftie type MUST be zelecW. Fax in 1211ffi 464.0138 or mail to the address Ind <br /> ranges will not be accepted-for additional an*Wtance with Ine address",contact the Em. seated above. Address <br /> 5:00 pm will be processed the neat business day. 1 pp catlans received after <br /> 2. The EHD win notify the applicant N any EHD files exist. An appointment(Of review will be confirmed approximately ten(10) <br /> days after receipt of application. The fit"will be(told for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHQ Staff may not he immediately available for review. A new application may be <br /> submitted when the file Is avau-labie, <br /> 4. Any file not returned in the aftna condition es released will be reorganised by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> ENO USE ONLY <br /> EnD�e-0e snsraoo� <br />