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07/12/2006 10:55 209-579' 5 MODESTO ATC PAGE .Q2 <br /> EtaLOG€ O <br /> RECOWSAN JOAQUIN-COUM a& <br /> 304 East weber Avenue,3d Fkm,Stockton,CA 95202-2708 <br /> JUL 12 2000 Telephone.(209)468-3420 Fax.(209}4 1381*14tr: trv.sjSov.orytvl <br /> ENVIRONMENT HEALTH Long lix4r.11111GES PUBLIC RECORDS RELEASE APPLICATION <br /> At : <br /> TC-14TATI V A EIIT DATE: Thm, n",„.-. ..r <br /> (PiwAse aftw io budnou days from data of aWm submW-'rim y-mmt be mAvaec€), <br /> 0 CHE K 0X T01MPE RW -"3-00 FEE(CASH C Ct C€C OKY)-RMMST PROCESSEV IN 3 SUSIMESS RAY <br /> SIONATURE OF APPLICANT ° DATE2. <br /> it [tT WISM ION D Unit 4 0 Unt t2 Q tMi S D UM a 19 UnK S 0 Lit 8 0 OtMr(lett €s st0M ) <br /> _._....._ . w FILE ADDRESS _ Fell)useONLY <br /> sbw Name city_ <br /> .. ....A._................................... <br /> _............................. ._-_.._.._............_..... .............._._... ....._............ <br /> ..._ _...._.. <br /> ........ w .... _ F <br /> i <br /> 4. ? -� <br /> 7. <br /> www.._:_.... __._ --b•-- -� <br /> From r - <br /> ENVIRONMENTAL HEALTH IEP Et iT FILES <br /> # TAW(UST)CLUMP Sas( ) 0HousMAaaVAM �t�a�ra 8"WAM f <br /> AMJrdYSWAF <br /> ='t c�sP Srm PON-LOP)-LOP) � FAiC�S.tSY <br /> RMM TAM(MNGM9V X.) 0 COG KNAM M DAWY <br /> 'fiMRA2J4WM WASTE GEUMTOR 0 CMCMN RA M C WA8TEWATVRTReATAWff PLANT <br /> 13 T wimPoin a PAcany 0 k€taUL440TOL 0 AjwnR TnvcVYAfWCNE9 Tom <br /> 13 Urmofflcay flmwaG t 3 POOLOPA, L"40 Use APF%XATM SO= <br /> 13 WMAL WASTE FACUN 0 OTHER rr <br /> WELL A=SSPM Pvmt+t RwoRns Ape AYA&AmLa R - MoWAY410MY 8*00 A", - EcCLUCUO WKMO& <br /> 1. List up to ten addresses In the space above. Soled s)of flies from the list abeve by Viking the <br /> apprcWfato box(es). At lit one fila type MUST be selected, 13 or Mal to Thedd <br /> 10& M:. Address ranges will not be ac --for additional assistance with file addresses,conta : <br /> the EHE).Applications reca r 3:00 pm will be processed the next business day. <br /> 2. The,EHD will notify the applicant if any END files exist. An appoha# ent for review will be cmArmed <br /> appmAmately tarn(10)days after receipt of applicattm The files will be held for a max mm of five,busi <br /> days for re-0aw. Appointments should be scheduled y. <br /> 3. A file that is actively being worked on by END staff may not be brarraedlertaly ayallable for review. A now <br /> appioation may be submitted when the file is svaltable. <br /> 4. Any fit*not returned in the same condition as released will be reorganized by THD staff at the expense of the <br /> applica rd. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> Z.____. .._.____...�.�.. —;•;gin_ ..� <br /> W140 <br />