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{ I <br /> DEC, 27. 2006 3:21 PM . .,C( OR EARTH TECH _ r i N0. 0666411„P'_ 2;;„ <br /> .. :.�•�. .�.. SAN JOAQ'UI34 CO <br /> ENmoi--MmNT'AL MALTA DbPART?4uNT <br /> 304 Fast:Wcber Avenue,3rd Moor,Stc ckton,CA 95202-2708 <br /> Telephone:(209)4683424 F=(209)464-0158 Web:www.s gov_org/ehd <br /> ]?UBLIC�(RECORDS RELEASE APPLICATION <br /> APPUCANT: 5 l��d tf�INGSsrAG� �Y: <br /> ADDRESS: <br /> PHONE(1)- 7.� ZZ vob t� PHONE(2): O I <br /> TENTATIVE'APPOINTIIIhNT DAMl+l t Ime: <br /> (Please allow 10 business days from date of I tI n su itL11••7Er1taflVB only-must he confirmed) <br /> d Ct 901(BOX TO EXPEDITE IiE -595.00 Fe OR ONLY)\REQUEST PROCESSk�IN 3 USlN $VATS <br /> SIGNATURE OF APPLIO ---"-`� DATE <br /> Efectronla information: ❑List❑Map—descriptio , <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street NameC Cit ❑ Unit 1 <br /> 2. fi¢}r� �(1 17.0 ❑•Un:t a <br /> 3► 4�y!y�01,1 U. t i-V1 t" ► Unit,3 <br /> LoM <br /> l �} : <br /> a yk �y <br /> l.7j� J/ ` •�+�y//�,`/'JI-� 1l �J ',��sy; y�`y € <br /> .+\ • I�V4.r4 �V ' ^^5\� 1���✓ J.S r^Vk� �,./f} - +YFv ¢, R <br /> •S pecifc Date Ravage of Infon=tlon,Requested.FMM to � <br /> ENVIRONMENTAL Hl~Ai..TH DEPARTMENT FL.I,/54S <br /> ,�.11WPA%RMM TANK Mn CLrAWP Srre(IAP) *Mouse=r AsATWX SCUo Waam Fara�.rrdvt00cta <br /> ©F000 FACILITY Q WASTS Tlr " <br /> ' 1rcA '�AttUP SITE(IVON-lAP) �DAIR'r <br /> NDMUM W TANK(IIIIONnUMVROWAL) CI DOG KENM <br /> 13 Wz=0602 WPSM GENERATOR 0 CSN RANCH G WA5"rEWAIMTMATMENT PLANT <br /> 0 71 MDPEWIITEDFAQM D MuruAoTm 13 PumPERTRuWYArD1GMFMToaE:75 <br /> E3 TAnvomovy PmR=u 13 POOLrSOA E3 LAND USE A"UQAIVN SITES <br /> O NIEmmm WASTE FACILnT to OMR"MARS <br /> Wau,aNb SEPilC PE.Fsheir RecaRns awe Avwuist s TOR Rsvlaw. MnOMWX�J�WAY�800M-S:GOPM - EXCMING HoubAY9. <br /> 1. List up to tan addresses lrl the space above. Select the types)of fes from the i!s!above by Checking t11Q appropr€ate <br /> box(es). At least ane file type muST the Selected. to 209 4 35 or ail to the dress In 0cated aborre. Address <br /> ranges will not be acceptod—fax additional assistance <br /> lila ad sses,contact the EF1D.Applications recAivEKI after <br /> 3;00 prn Will be processed the next business day. <br /> 2. The MiD will no6fythe applicant If any EIAD Hles eXiati An.appoln entfor review will be cvnfrmed approxlmatelyten(10) <br /> dq$after MCGIpt of appilratlon. The flag will be held for a mmdmilm of five business days for reylow. Appolntments <br /> should be scheduled accordingly. <br /> 3. Afile that is actively being worked an by EHD staff may not be irnfT iodiately available for revieW. A flew SPPI[Gatiarl maybe <br /> submlttad when the file Is,available. <br /> 4. Anyills hot returned Re the same condition as released vAll be reb anized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may requlro a$95.00 deposit prior to review., . <br /> EiHD USE ONLY <br /> I, <br /> H . <br /> iE 1 <br />