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May 12 06 09:16a Bagley Enterprims Ina (24>'' 37-5424 p.1 <br /> DATE RECEMED ` EHO LOG NUMBER <br /> e!, SAN JOAQUIN COUNTY <br /> ANVMONMMTAL HEALTH DEPARTMENT <br /> �` . 'Naber Avenue,P Floor,Stockton,CA 95202-2708 <br /> 209)468-3420 Fax:(209)464-0138 Web:www.vjgov.org/ehd <br /> TOI x �� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLiCANT Jg.V Wiley BUSINESSIAOENCY:Bagley Enterprises, Inc.. <br /> ADOR : 2170 Maggio Circle, Ste 4, Lodi, 95240 <br /> PHONE(1): 367-4800 PHONE(:4: 329-0582 2/ �^ FAcalmILE: 367-5424 <br /> TEMTATi' E6 APPOINTMENT DATE:IY1���^% I�i/rI'Y Zff,t 'hm.- Z /0'yn. <br /> (Ploase allow 19 bminew days*or t Orta of sm[ tion sub itm-'"r&jgt vve only-is t be colfftmed) <br /> ® CiteGK BOX 70 ExPEi31TE RF 3.�FEE(CAS OR CHECK ORAL`)-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 0_f_,fes f aeo <br /> UN iT RtSTRIBUTfQN Q Unrt 1 Dalt 2 in Unit 3 0 Unit 4 0 Unlit 5 O Unft 6 13 Other(alectranicAlstz hsps) <br /> _.. ....._ <br /> FILE ADDRESS EFICI USE OfYt_Y <br /> Street# = Street Nen" T � C <br /> on <br /> Z. 12�✓ 3e J a�(�171T1 .St. ttlL Kton - <br /> 3. ( 7QOU✓ _ icharl�Canlis Dr. -t•�.. e'"nk -- __ _ <br /> Q- ` 5C>0✓ W. ioslsital- Rd. _ French Camp <br /> 7�44 !... N. l ckc C.ra-v_e Rd, .N; T7LQDT <br /> s- ' 45Z0✓_-. 1r7. :.E�.�,bt �1c;�.Rd..... .. ; �t�el��oxt_... ., .. -_ .. __ <br /> 7- OQO✓ ...__..� �L.G�iuZis.Blvd- French_Camp <br /> $-. 087.8.✓ 1 .99...N., Front c _gr'rx+to <br /> GPecitc DOW Rage of InfonY460A Req :From Jan It 2003 to Mai 1: 2006 <br /> ---- -- --- - _-ElWiROW TAL--HFA-L-'M-iDEPA—RTMENT—RLES-----_._ ------- <br /> 0 <br /> 0 LIMERGROUNO TANK(UST)CLEANUP SITE(LOP) 0 HGu3NG i eATErmw 0 SOLID WASTE FAGIUTYIV FKCLE <br /> O�R CLEANW SUE(NON.I.OP) d FOOD FACILITY Q WASTE TORE <br /> &41N�RGROVN0 TANK(MONITORiNC41REMOVAL) CI DOG KENNET. 0 DAIRY <br /> 0 HA2ARMM WASTE GENERATOR 0 CHICKEN RANCH O WASWWATER TREATMENT PLANT <br /> 0 TIERED PERM IriED FACILITY ❑A10TELIMOTEL 0 PUMiPERTRUCKIYAROFfCHEM TO=i.i^d`& <br /> 0 TATT0000DY PIEWIgG Q POOLISM 0 LAND USE APPLY'ATIONSITES <br /> 0 MEDICAL WASTE FACILITY D OTHER(PLEASE$PECIPYL <br /> WELL AND SSMC PERh§T RIMORDS ARE AVAILABLE FOR REVIEW- MONDAY.FfttAYS:OQ AM-6:AOPm - D9GLUOM4 HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Seleathe tAm(s)of flies from the list above by checking tate <br /> appropriate box(ss). At least one file type MUST be selected. Fax to(2092 38 or mail to the address <br /> indigIM lb2d#. Address ranges will not be accepted--for additional alssisUnce with file addresses,contact <br /> the EHD.Applications ed after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EMD filers exist. An appoirltitlent for review will be confirmed <br /> approximately ten(10)mays after receipt of application. The flies will be held for a maximum of fives business <br /> days'..for review. Appointmerft should be scheduled aocoodingiy. <br /> 3. A fife that Is actively being worked on by EHD staff may not be Immediately mailable for review. A new <br /> application may be submitted when the fife is available. <br /> 4, Any file not returned in the same condition as released wilf be r=acrganix+ed by EHD staff at the expeme of the <br /> applicant. Future file mviewe by the same applicant may require a$93.00 deposit prior to <br /> 7[94!05 <br />