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�n V ti-,� �s EHD LOG NUMBER <br /> 1 SAN J©AQU[N COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT' �R ,,,.c� <br /> MAR 10 2011 600 E.Main StI1 M Stockton,CA 95202-3029 /!(„1`ocl <br /> Tekllhoue;(209)46S-3420 FAx:(209)464-0138 Web:WWw.sjgov_0r9/ehd /C�/,U� <br /> ENVIRONMENTAL HEALTH <br /> PERMIT(SERVICES "BLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. Abby Racoo .'., eU81NW5/ACSENcr: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W.Oak St.,'Lo di,CA 95240 . <br /> PRONE(1): (209)369-0375 � pttow(s), FACaik1RE: (209)369-0377 <br /> TENTATIVE`APPOINTMENT DATE: 3/7`3 f i 1 11": 9:00 am <br /> (Please allow 14 busiAeas days bore dais of opplicalion aWmultal-*Ta m&**ontY.aaut be confirmed) <br /> CS 1 I BOX TO B7fPf2[M REQUEST-SM"FEE(GASH OR CHECK ONLY)-REQUEST PROCESSED IN 8 SUSMESS DAYS <br /> SIGNATURE OF APPLICANT 12-e DATE <br /> ElactroniC IMartrtatlon.. List{`1 Map-Description: <br /> FILE ADDRESS SE ONLY <br /> Sb'sat N - Street NWma CRY Unit 1 <br /> lV.t f. I�{- u3,"fv� tiar (�o(. GvaEe L <br /> 1 ❑ umR <br /> 3, <br /> 4. <br /> 5• UMts <br /> 8. <br /> 7. ❑ units <br /> 8. <br /> g, q trot s <br /> 10. <br /> Speelfic Date Rartpe of Information Requested:From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FA-M <br /> 16 nomaRoutw'rA (UST)CLKAMW W=(LAP) GKor AMTRIMIT D SOLID WAM FAVLITYMEH W <br /> D WAsTETIRE <br /> ,19 WPJt CLEANUP SITE(NON-LOP) t7 FOOO FACILITY C7 ILIRY �i <br /> EF UNt1MGROUKO TANKtMONITORINC/R�py AL)O( CI DOG RaNNEL vXtOARWmi t]VW4KtfwATER YRUTMglr PUU[Y I <br /> I)TW ADOVoarT1W ACMTYGMERTDR-- sato al 13 P�eo+t#TMOWYAlmKhRM TOR- iM 3 <br /> Ia TA"o moor f FADaarr V ❑P00USPA D L4#W UM APPLICATION sn'ea <br /> 17 TAnool9ow PIMG& ❑OTHER PLeAaES <br /> ❑McOiCAL WASTE FACILfTY ( <br /> W0U ANG St'.Anc Ptn4aT Re"Ma Aea AVAAWLC tort A" - MCNDAYFNDAr e:oo AN�:OOPM ExcLUosIb HOLlDAY9. - <br /> s of lies from ffie Nat above by cheaking the appropriate <br /> i. List UP to ten addresses In the space above- Select Phe type( ) i rad above- Address <br /> ns <br /> box(es). At It one file type MUST'be e0ected. to(2ee14s't-4f a( Con <br /> ranges will not be acoepled—for additional assistance with file addresaos, onpct the EH0.Applications received attar <br /> h <br /> 3!00 pm x411 be processed the next business day. <br /> 2. The END will notify the appiiunt tf any EMO flies exist An appoh invOl for review V4Rl be Carrflrlrled approaimaLety ben(Ta) <br /> days after receipt of appliGusen. The Nes uAil be beta for a muni n,of five business days fix m~- Appolnlmsnts <br /> should be schadUied accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be invnsdlataly available for review. A new application may bo <br /> subreAlted when the tie t2 arallabbe. <br /> 4. Any Via not rewraed(n the same COD Uri orl es released vest be reoiperrlrsd by EHD stag at the expense of the applloant <br /> Putere lie moa"by the same applloant may raqu"a"SAD depoett Prior to review. <br /> EHO USE ONLY <br /> n <br />