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San Joaquin EHO Fuge 1 of '7 2013-Q3-'12 19.12:34 (GMT) <br />DATE R1ECEIVF-Pk,s4' <br />SANJOAQUIN COUNTY <br />DV <br />1415770:31oo F=-- Bunt FRot- <br />0 ENViRONMENTAL HEALTH DEPARTMENT <br />186a East Hazelton Avenue, 8tuckton, CA 952.05-6232 <br />0011 Tel41., 0lit'Oe: (209) 468-3420 Fax. (209)464-01,38 Web: www.-Sigov.orglehd <br />N <br />PUBLICIRECORDSRELEASE APPLICATION <br />EHD LOG NUMBER <br />9 6o"-7 <br />BUSINESSIAGENCY., /:ILE.(, C=t VU <br />APPLICANT: &Z 2'ffr&Zk� CITY/STATEIZIP: .%6. <br />ADDRESS:- PV -al <br />-'L-) <br />PHONE {1): q� -2-72,.T5 PHONE (2): �ACSIMII_E. i 7�. ° <br />TENTA Tl V,E" APPOi NTMENT <br />2)-TENTATIVE-L-APPOINTMENT DATE, Timo- <br />00 -p.plitatiorisLi6ill��ttal--.TLntative. <br />(ploaseal[owl0buglnoss.d2Yr-fTOrc iFcii��.:a <br />F] <br />CHECK -ROY TO EXPEDITE REQUEST -,$125 FEE '(CASH OR CHECK ONLY) - REQUESTPROCESSED IN.3 BUI $1NE*5 DAYS <br />SIGNATURE OF APPLICANT 2� DATE <br />r--7 ---l- r--1 I [,at r-1 marl — nescrintion, <br />I <br />specific Rate Range Of InlOrmatiOn Ke449b1'u!P-- - Fxwlll fENT -FILES' <br />EWjRQ.NMENTAC-HEALTH DEPARTPJ. <br />K.(US.T) CLEANUP SITE (LOM ❑EJH0USIW.UATFMENT ❑ S()LID WASTE FACILITYNEHICLE <br />UNDERGROUNDTAN n WASTE TIRE 05; 6�1^ <br />OTHF11 CLEANUP SITE (MON-LOP) Dor, KENNEL El DAIRY / <br />UNDERGROUND TANK (M0Nff0RING1REfA0VAV CHICKEN R mc -H E] WASTEWATER TREATkENT PLANT. <br />-RHAzARE)OUSWASTEGENERATO fD pUMpF <br />�A0TELJH0TFJ- _R.TpUCKIYARI)ICHENUCAL'fOILETS <br />TIERED P411MITTED IFACILITY P0011SPA LAND USE APPLIcAnoN SITES <br />tATT001BODY-PIERCING E] Compi-AtNT RECORDS OTHER (PLEASE SPECIFY) <br />E] MEDICAL WASTE FAr-.Ikrf Y �F U:00 AIIK-5�0()pM (EXCLU040 HOLIDAYS) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY M13AY ..= 1-1 thea rd riatO <br />11. Li t u3 to tel; addresses thQ spao abpve. Select the typU(51 of file$ frOm theMst abQV0 by cliec; "R rr- r' <br />ty pe MUST be selected. Fax to ,209 -4s4.ul 38 or mail t the address i ndi cated above. Address <br />box(es). �qjea!�t one 'ct'thp EE 1A.+ r0ccIvOct aywr- <br />ranges,will not be accepted _ for additional assistance with file addresses, c.9 <br />3:0.0 pm will be processed -ihe.riexfbU5lness day. ba-cGrifirmed appro)(1matelY ten 110) <br />,f <br />2. The. EHD-wilf notify -tbe applicant if any..EHD- glen exist,. An appointment for review will nts <br />days after receipt of apPlIeRtIon. The files will beheld for a max! mum of five business -days for row.w. App ointme <br />Should be. scheduled accordingly. be immediately avaliam-p To.r review. A new application may he <br />'3- A file -'that is actively -being worRed.on by ERD staff-may.not <br />.. 'submltted whert the file is available. i as released will be reorgapized by.EHD staff at the expense Of the applicant. <br />-,4. Any file not returned In the.same coinditiot <br />Future file review!; by the.same applicant may require a 025 deposit prior to roview. <br />�.�iD U6C ONLY <br />EHD <br />Received Time Mar. 12. 2013 12:12PM No, 2544 <br />a/1111 <br />