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0 <br /> SAN JOAQUIN COINTY <br /> RECE V ED E'NVIRONMINTAL MALM DEPAATMENT <br /> 304 East Weber Avenue, 3''Floor,Stockton,CA 95202.2708 <br /> JL1L © 2005 Telepbone:(269)4684420 Fax:(20)464-0158 Web: vm'W-Sj90v.0rKfebd <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> AP I,JCMT;�„ rtu Scwa e; .,eUaUtF.SSfAa@NCy' ��—. -_. <br /> AnoRrrsS:_►5�� B SF�ect• �.{o-y�� C � °t4S4 1 <br /> PlUXEl: Slt7 du7-'188S *3oa_pHoNL,p):_9ZS - 33Q -Sgt FACSULE: S/D-8 84 S379 <br /> lt <br /> TENTATIVE'APPOIHTWM PAtt: F �. <br /> (Plsaae etew 10 tKKlneb9s days hem wte of�ppGcatron s�taabal-'TsnWAve aNY-must ea'r�mad <br /> XNA <br /> tECKBOX TO EXPEOM REQUEST.S13.00 IM-9[(CAH ORCHECK ONLY).-REQUEST PROM133s oO W t BUS 581RE OF APPLICANT _ DATE <br /> UNT OMIWOUTM 0 Unit t O Um x Vo&t a 4 0 U k i 0 Uatt 1 0 Dew(N0cbv(4 U#tzmuM) <br /> FILE ADDRESS EHD USE ONLY <br /> stmt a Stnet raroe onY n <br /> 1. G)as �[ {o + ova d9 <br /> 3. <br /> 44 <br /> Spaoek Date Range of Infoanall n Requested:Fr �-' <br /> J/ ENVIRONMEN HEALTH DEPARTMENT FILES <br /> 1.',, to UNeeADNoth10 TANK(UST)CL"Wr&M(LOP) ASATwrF 0 Souo wAsm FAcam .A <br /> ,oTr�ea CLC~Sae(110w-Ap) racurr 0 WASTE irm [4° <br /> B(�wanAa01a10TAM fVpW0Amta/Re40vu) KDmm 0t)NRr <br /> r ,HAraA�pUS W4tR OENEaAtoaCMGKFk p.wFN 0 WASTEWAtta 7aUTYEMI PLANT <br /> MS ToRm Pomarm FAmm 01AoteJ407EL 0 FUntMR TwxWYAAormw Tonal <br /> O TATToasoav Palwaie s 0 PDoUSPA 0 LANO USE AanucATION S'ns <br /> O m"AM WAATe MCiutY b On"(PLOYA nKcrq <br /> , tMe-Luosermpliffl r AWA AVAaAaUFOR RXMV- MQHDAYFarDAYM00MA-a:e]MY - Excramulo11ouoAYI, <br /> 1. List up to ten addresses In tfie space above. Select the type(8)of files tram the list above by checking the <br /> epproPrtata box(es). At Nut one file type MUST be selected. Fax to(1091 .Ot 38 or ll W thf addross <br /> (pdicated e. Address ranges will not bo accepted-tor additional assistance wkh tilt addresses,contact <br /> the EHD,AppNcatlans received atter 3:00 Pm will be proaessad the next business day. <br /> 2. The EHD WM naft the applicant If any EHD files exist, An appolntmant for review will be conOtmed <br /> approxlmetely ten(10)days after receipt of application, The files will be hold for a tnax(mum of five business <br /> days for review. Appointments should be scheduled accordingly, <br /> 3. A file that Is actively tieing worked on by EHD staff may not be immediately available for review. A new <br /> aPplicatioa maybe submitted when the fila is ava0able. <br /> 4. Any fpr not returned in the ease condition as released will be reorganized by EHD staff at the expense of the <br /> appiicanL Future file reviews by the same applicant may require a$93,00 deposit prior to review. <br /> t t1114� <br /> TO 39tid -1tl1N3WN0dIAN3 SVi13 66ES98�:E1__GOOZ/61/L9 <br />