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12/10/2007 12:23 13107982841 PAGE 01 <br /> 14:48 454013e ENVIRCQ MENTAL. HEALTH PAGE 01 <br /> t�i 1 U SAN JOAQU+r COMY AM <br /> ut-:L1 1:-D 2007 . 304 East Weber Avenin,3rd Floor,Stookloxi,CA 95202-2708 <br /> ENS <br /> Telephone:(209)468.3420 Fzx: (20R)464-0138 Web:www-9jgov.ot'g'/cbd <br /> ,RkNT HEALTH <br /> �� <br /> PUBLIC MCCORDS RELEASE AY PJGTCATION <br /> APPLICANT: IN a_Ul„«E ,'OVA BUSINESSIAGENC'Y:' <br /> ADD�t:SS: '� C kIl't 0 17 pc 11010 Wei Sa2L CV/�06- ql <br /> o mom(11; !2 2 q Z '� _PHONE(2): FACSiMiLE: ` Z!� -G1 q4- 'z S <br /> TENTATIM APPOWTMENT 1DATM Ceti k�1'1 ,J(S �►VC QG'i Tim®: — <br /> (FlOate allow 10 business days from date of appilcEtion submittal-"'ranra only-must be OmAgrMetl) <br /> CHF..CK DOX TD EXXPE TEP QVJ M$S EE(CASH OR CNMK ONLY)-klE CtuEST PFaC►CEsSEd M 3130SINESS DAYS <br /> a�'IGt`lATiJRE OF APiaRl Gln; f�` t2. J2,{ cri DATE 1 z/1© O? <br /> Madronla Infortltaftp; 0 List[,]Map—Description: <br /> FILE ADDRUS C)uss ONLY_. .- <br /> :lfirvset:s Iatreet Name City 0 Unit 1 <br /> mo <br /> Z (,�.. unit2 <br /> 4, Uwt3 <br /> Unit d <br /> .– -- unit <br /> S, <br /> Mile <br /> 1f�1 911MMRIWI®Y�1 <br /> Specific Data Range of Information Requested:From to <br /> ENViRONMENTAL HEALTH DrEPARTMENT F�,L4$ � �Z Was e—Me <br /> �LlNDweRouw TANK(USI)CLmup tam O-OP) 13 HoU&aae AUA7MENT e'er MoLm th►As t a FaaiarvNaNrct a <br /> ,..17'mune tsmpFOODFAmLITY ZrWAMTiRE I7,/1TyAq <br /> jj:KL a6RGUND TAriIC(10f51ul�t rGtRf agaYlu.)✓ i og KaNNEL 1 vCHICKEN RANCH �AS1t"�YATMETROAMENTPLANT' <br /> 76Rt+A FAcam Q MtyTEUNOTEL 0 PumPERTftuaQYAFP1C1?em TdiLM <br /> 1 A 1 fi 71aoDY FSeEf2C3Pt4 0 V00V$PA Ad LAno U-st APPIi IGAYtQhI$nES <br /> -4!7 mimicAL wAsrg PAcLny V r +w a(PMMIR saec <br /> WELL AND SOPTin PEKMrr MCORDS A41L1,b,'VAUDLE FOR ROMW, 1NONnAY-FMVAY 8'..k.AM-5:00W - 7CCLUDINO WCLIUAYS. <br /> 1. List up to ten addresses In the space cabbavo, Select tha type(s),of flies froom the list ab±ave.bY checking the appropriate <br /> box(es). At feast one fore Voa MUST be selected. Ea&t q09 Abd U'138 orAddraas <br /> ranges will not he aCGopted-for additional aas(stance with ilia Addresses,contact lila END-Applications received after <br /> 100 pm velli be processed the next business day, <br /> .2, The EHD.Wilt notify the applicant if any Ei4D friaa exist An appointment ft ngview will be confirmed appraxltraatety ten(10) <br /> days after rocelpt of appiinalio". The flus will be held for a mcmdmuol of Elva business days for review. Appointments <br /> should be schaduled accoreangly. <br /> 3. A file that(s actively being wonted on by Fr D staff may not be Imlmedistoly avallabte for review. A new appllcxtti en may be <br /> submittad whran the lila is available. <br /> 4. Any plo not returned In the same condition as released vitt be reorganized by Ride staff at tho ex1ans6 of.tba appliaant <br /> Futon file reviews by the salve,applicant may require a$95.00 deposit prior to reviaw.,, <br /> !will]USE ONLY <br /> EIS 46A0 531,' 06 <br />