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�-VJ•2/2005 15:43 2097959553 APERIO INC PAGE 02/0 <br /> 03/22/2005 15:38 464E ENVIRONMENTAL I TH PAS 0�1n . <br /> V„ �•, ��u — SAN JOAQUIN COUN'T'Y <br /> ENVIRONmNTAL HEALTH DEPAP-TwNT <br /> 304 East Weber Avenue, 3"Floor,Stockton,CA 95202-2708 <br /> Telepbonc:(209)468.3420 Fax:(209)464-0138 Web:WWW.sjg0V.0rg/ehd <br /> 2005 MAR 22 PH 3: 53 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSINESSIAGENCY: O HF N r A L T Y <br /> ADDRESS: EPA HENT <br /> PHONI(1): Zq r)_I S [SJ .] PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOWMENT DATE: AV(-I\ J� r": IQ!0o ao-1 <br /> (Please allow 10 blulndss days from date of applicaflon Submittal-*Tentaftve only-must bo confirmed) <br /> t� CHECK BOX TO EXPEDITE REQ ST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATElie Ile __AF <br /> _bN D Unit 1 El Unit 2 unrt a nk 4 ❑Unlc s unit 6 a Other(#j**v r+IcntsWrnaRs) <br /> UW DISTRZ <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name dry ` <br /> 3. 2JO 1 `� <br /> 4. 24 A <br /> 5. <br /> f. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Specific Data Range of Information Requestad:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> 19 D Hous:AaATIMENT A aoLro WAaTe FAGILPVVCHrLF <br /> UNo4aaROUNe TANK(UmT)CLEANUP MITE(LOP) JZ WASTE I)RE <br /> �OTHeR CLEANUP SrrE(NON-LOP) ❑FOOD TY d DAIRY <br /> �UNp%go ouNA TANK(M4NIT011ING411 A011At) Q DPGG KENNEL ❑ ME' <br /> WAmwATER TRPATNT PLANTtf HAZARAOU3 WA=GENERATOR ❑CH1Cf�EN RA14CH p PUMPER TRUCKIYARD1CKFM TO"- <br /> r3 IVK&v PgPmr rco FAai,.rr e 13 MQTTiL HOM ri LAtin Uw APPMATION 61TE9 <br /> ❑TATreea9ovYPORCINS C3A <br /> E3MMICAL WASTE FACIVTY O OOTTWRS(f��E SPECIFY) <br /> We"AND""Ia PL'gW RPOORDs ARN AVAILAWLS PON R>nnanr^ MQriUAY FNGIAY 4-0A"_-00MEXGItJ[xNG HOLR�AYs <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking tha <br /> appropriate box(ea), At least Ong fie type MUST he selected. <br /> 64-0138 or mail to the address <br /> indicate above. Address ranges will not be acceptedo �� e tniext bus al Haas day. fila addresses,contact <br /> tnQ�Hl).Applications received aver 3:00 Pm will be p ointment for review will be confirmed <br /> 2. The EHD will notify the applicant if any EHD files exist_ An app <br /> approximately ten(10)days after receipt of application. Tho files will be held for>a maximum of five bugine$s <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on b fi HD Staavaff <br /> lab ey not be immediately avallabla for review. A naw <br /> application may be submitted when th <br /> 4. Any file not returned in the some condition At raloatod will be rep s 3,()0 by AHD staff at the expense of the <br /> applicant. f=uture Elie reviews by <br /> the same AppfioOnt may require a9 • dapoelt prior to rovlew. <br /> Elio�e-02•aas _ <br /> lit". <br />