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lqw <br />UCT 21 2004 1140 FR AM TO 120946401 P.01/0/1�� <br />Hip <br />+. ii LUV%0 11. 4K 4t)(4n1 ,'Gi' I AL P AQ E 01 <br />DATE RECEIVED <br />SAN JOA►QUIN COUNTY <br />ENVIRONMENTAL HYALTH DEPA�t7Cm <br />} 304 E Weber Ave 3`' Floor Stockton, CA 95205 <br />a� 1200 209, 468-3420 Pax: (209) 464-0138 Webs www.cozm-joaquinxzx&/0hd <br />PIUBLIC RECORDS RELEASE APPLICATION <br />G <br />EHO LOG NUMBER <br />A 4Vi}1nG �.7•IVti7G�V ••lMr IIM <br />ADDRESS: ¢ -i c`R y.-elly i7'Rit�' - 'Sc a' k T> Q g k— t*^ d JC A � <br />PHON & G r�.�FACSNYt1LE: Sf fj ��'{"7S <br />r'o `f 3� ` `� a'Z 00 <br />�i - <br />4 EN ATIW APPS OWMENY DATE: 1 • — �� <br />tPleno allow 40 buriness days from date of APP - <br />�cHECK BOX To EXPEDITE REQUEST -21= <br />D IN S BUSiNE.S$ DAYS <br />SIGNATURE OF APPLICANT DATE <br />f�redcei y <br />2�ct�5 <br />VA <br />Depwtnent use OrAY <br />1. List up to ten addresses In the &PACs above, Select the.VWS) Of files from the list aboe_re by Checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to 209 4 38 or—mail to the <br />ad res& Indloated above. <br />2. EMD will notify the applicant If any EHQ files exist. An appointment for review Will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />wIll be held for a majdmum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be Immediately avallabie for review. A new <br />application may be submitted when the file is available. <br />4. Any file next returned in the saltie condition as released villi l be reorganized by E,kiD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />5, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />•Ct3NFlR1 tVAffiPouifMeNT twrE TIME - <br />'OAT E CON�I1tMEL'! :� ' n ''I'tiONE FAX•.. :•JNR-;A1:S •. _ <br />'12 VIEWED *ES No REVIEW DATE. <br />env.e.a:.oa . <br />OCT 21 2064 11:21 <br />c TOTAL PRGE.01 ** <br />r •THER CLIOUP SITE (NON4M <br />w DAIRY <br />_. . • . • i <br />HAZARDOUS WASTE GENERATOR <br />■ .• n <br />13 CHICKEN RANCH <br />El PK6 TREATMENT PLANT <br />• PUMPER TRUCKMARDICHE"TOILETS <br />a. it - - •. <br />N SM1 <br />tor• :•. - �-r <br />. ICAL WASTE FAM" <br />... .. <br />. OT.. OlrAgll SPECI <br />1. List up to ten addresses In the &PACs above, Select the.VWS) Of files from the list aboe_re by Checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to 209 4 38 or—mail to the <br />ad res& Indloated above. <br />2. EMD will notify the applicant If any EHQ files exist. An appointment for review Will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />wIll be held for a majdmum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be Immediately avallabie for review. A new <br />application may be submitted when the file is available. <br />4. Any file next returned in the saltie condition as released villi l be reorganized by E,kiD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />5, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />•Ct3NFlR1 tVAffiPouifMeNT twrE TIME - <br />'OAT E CON�I1tMEL'! :� ' n ''I'tiONE FAX•.. :•JNR-;A1:S •. _ <br />'12 VIEWED *ES No REVIEW DATE. <br />env.e.a:.oa . <br />OCT 21 2064 11:21 <br />c TOTAL PRGE.01 ** <br />