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DEC 27 2006 3:21 PM , .,C " R EARTH TECH _ t N0, 0666,,,,,,P._ <br /> SAN J'OAQMN COUNTY <br /> • JENMONMIENTAL R&ALTo DEPARTmeN`r <br /> 304 Just Weber Avenue,3rd Moor,Stockton,,CA 95202-2708 <br /> Telephone:(209)468-3420 F=(209)464-0138 Web:www-4Sov.org/ehd <br /> PUBLIC RECQIRDS MEASE,A►PPLICA'TION <br /> AFPUCMT: W,6 A, �d vslNEss�A/G�l�,� 9G`lr: I�._•®_ <br /> ADDRESS: C 5:7-0 <br /> PHONE(9)- 'Z9J prtol�� :�Z OI aaDa- t=acslrs�►,>;:�7�DqW' czo <br /> TOTATIVE'APPOINTMENT PATE: 11 ':DO Time: Z+� A <br /> (Please allow i0 business days from data of I tl n subdit-1--Tea(aNve only-must be confirmed) <br /> d CHKCK BOXTO EX=Ra -595.00 Q OR C ONLY)-REQUEST PROCESSED iN 3SIN -8 DAYS <br /> 61GRATURE OF APP LIC DATE <br /> Efectronla Information: ❑List[3 Map—Desarlptio . <br /> FILE ADDRESS EHD USE ONLY <br /> stmt a Street lime city 13 unit 1 <br /> [22, t0gA.unit2 <br /> 3. 515 u.:-,� IKA �N►it 3 <br /> 18 W A RLunit a <br /> _ 00 nits <br /> ��f s; 69'1 •�, ®�,e•� 1jC�.- � Unit6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,�1Ji O9RGRWNO TAMC MM CLUMP Stns(LOP) '141ou Nc ARATNr 16or o wAwm FAcLmNu x <br /> ERCLEANUP SITE(N'ON.IAP) ®FOOD FACLrrY Cl WASTF.TNS <br /> �MUNDMLVROVW TANK(M0NITO flWRW0VAL) 13 DOG KEHM 13 DANRY <br /> A HAZARDOUS Wawa GENERATOR O CSN RANCH 13 WASTWAY'ERTRCATMF.NT PLANT' <br /> D MEMO P FACRtrr ❑MOTIMMOT,Ei. ®PumPLgTfwCK1YAR)/ct4EM TOtLM Afth, IL <br /> ❑TATTOOGODY PIERCING la PCOLISPA ®LINO Use APPUCATION SMS <br /> 13 MEDKAt.WASYB FACILrrY C)OTWR(PLEASE SPC - <br /> WEu.AND SEP=PRow RECORDS ARA AVAILABLE FOR RIEW"- MONDAY-FMAY 8:00 Am-5:00PNI • EXCLUDING HOUDAY9. <br /> 9, List up to ten addresses III tho space above. Select the type(s)of Cries from the list above by checking the oppropriat® <br /> box(es). At least one file typo MUST`be selected. Fax to(209)4 38 or mail to the dress indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Applications raceived after <br /> 3;00 pin will be processed the neat business day. <br /> 2. The RHD will not'Ify the applicant If any END files exiot. An appointment for review will be confirmed approxIM101y ten 00) <br /> day9 after rece(pt of appllc�ation- The Rica will be held for a mwd murn of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review. A new application may <br /> submitted waren the file Is available. ' <br /> 4. Any file riot retumed in the saner condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the sant®applicant may require a 495.00 deposit prior to review. . <br /> EHD USE ONLY <br /> E4r <br />