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Jun 02 t]S C.I1: 17p 51eE--ra Delta Corp 1-553-•P-29-1452 p. 1 <br /> DATE REQEMM EKD LOG NUMBER <br /> SAN JOAQUtN COUNTY <br /> ENVIRONMENTAL HEALTH.D�IPARTib1EEN'A' <br /> 304 East Weber AvenK 3rd Floor,Stockton,CA 95202-.2703 <br /> JUN 2 2006 Tckfthone:(209)4G8-3420 Fax:(249)464-0138 Welt:www.sjgnv-org/ehd <br /> ENVIR PUBLIC RECORDS RELEASE APPLICATION <br /> PERK I'l L fir' BUSINESSAAGENCY. <br /> APDRESS: Star Z. <br /> PRONE(1):,E - PH(m(2): FAC:SIMIL.E: <br /> TENTATIVE*APPpIMMEFIT DATE: re (�" G . TIIne: , — T <br /> (Please aflaw 10 business days fs m date of Vplfoatlon submittal-"Tera dye only•must be confirmed) <br /> 13 CHECIC BOX TO ExPEDrre REQUEST-$23-00 Ftp(CAslr CHECK ONLY)-REQUEST PROCESSED IN$BUSINESS DAYS <br /> SIGNATURE C)PAPPLIGANi DATE <br /> ZZ <br /> -M-IT t] YRSVIRON 0 Unit 1 B unit 2 DUW3 D unit 4 0 Um't 5 O Unft a G1 ogher(eleotroniCflistSlRtaps) <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Bisset fR Stnaa� Irse c <br /> 3. <br /> 2. <br /> .4. , 1� <br /> 6. <br /> Y „ <br /> SPOOf1C Ontb flange of Into mmfto Rayuested:Froin j to <br /> ENYRON(NEWAL HEALTH DEPARTMENT FIFES F <br /> UNRBft8RCVKD TANK(LIST)CLf-ANUP'SITE(LOP) CI HOUSM ABATEMENT SOUR WASTE FACILR VEXICdE <br /> L�THERCLiAN'JF S[fE(NOtN.QP) f]F400 FAORM WAM TIRE <br /> NowwRomif TANK(fNCMRORIIifda7jwoYAL) O ow KEYMEL DAIRY <br /> HAZWOUSNIASSTE GDMAATCR G CHK*M RmCH 13 wASTEwATEt TREATxaFr PLANT <br /> 0 TtiffiW PEGM MM FACIM 13 VWTEi1146TEL Q PUMPER TnucKIYARa(CHum TbLm r <br /> t7TA-1YOUIBEWTP16rt[gMa 01 COL/$rA . 0 LAW UftAPPLIgATPON si7bH J <br /> MED=L WAm FACUTY 13 OT14ER(PLEASE SPMF". <br /> WELL AM Swnc PsRmm Rl.-gmw Ars AYAILAm Fox Rmaw• FdWWAY*RIGAY 8:04 Ara-6:00pm -E=6u31d m HwPAYC <br /> 1. List up to ten addresses in the space above. Select the type(s)'of dies from the list above by-chedc(mg the <br /> appropriate box(es). At[e=t otm file type MUST be selected. Fax to(Zoh 464-0'i38 ar mail to the address <br /> indiaabsd a ve. AddrOgs ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHI).Applications received after 3:00 pm will be proocsaed the next bu$inesu day. <br /> 2. The EHD wtil notify the applicant M any EHD Mlles exist An appointment for review will be runfirlTrled <br /> approximately ten(10)days atter receipt of application. The fBes will be held for a maximum of five business <br /> days for review. Appointmetifs should be scheduled accordingly. <br /> 3. A file that Lg actively being worked on by EHD staff may not be lmn*dlafely aysll:able for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as relaa6ed will be reorganized by EHD staff at the expense of lice <br /> applicant f=uture file reviews by the same applicant may require a$93.00 depo$it prior to review. f <br /> I <br /> nam <br /> } <br /> f <br />