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06/28/2005 11:46 FAX 770 642 0257 RMT INC. ATLANTA 16002/002 <br /> 06/24/2005 07:50 4640138 ENVIRONMENTAL HEI PAGE 01 <br /> (-.:ff�� � ® SAN JOAQUIN COUNTY <br /> W lS�� F,NVIRONNENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, Yd Floor, Stockton,CA 95202-2708 <br /> /rte :Telephone:(209)468-3420 Fax: (209)4644138 Web:vvwws,{gov.org/ehd <br /> E«VRp } ENT HEWH PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAW, S Or h 6USINESSIAGENCY: T I v1 , <br /> ADDFX-SS: SW ULats DYiye-1 Suite- loo A 1oofia, GA 30350 <br /> 4 PHoNE(1): `I10-( 4I'-2-75G x 14g wtoNl=(:*: F/lCStIIJIILE �1�0-fo42-02 51 <br /> rL' ° TENTATIVE`APMNTM04T DATE: -11121D5 rune: 9 og AM <br /> (Please allow 10 brines days from date of application cubmltUl-"TeatpMm only-must be confirmed) <br /> CHECK BOX Ta EXPEDITE REQu T•.$93.0(3 FFE( NOR CHECK ONLY)-IWQUEST PROCESSED IN 3 eUStMESS DAYS <br /> SIGNATURE OF APPLICANT — DATE (0�2 a -o 5 <br /> UNIT OISTWSUTION 0 Unit 1 0 Unit 2 EPenft 4 E Unit 6 O Unit 6 p Other(elaatr'o 9CA(strlmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street II stt"t Name Cttyr <br /> 1. �5 est �s r Hw <br /> 2. e o r <br /> 3. 2l>SSu, s. Ani, Al~r�+�� D.. i Fmade <br /> 4. <br /> 5. - <br /> 6. <br /> 7. '8. <br /> 9. <br /> 10. <br /> 'Specific Date Range of Information kequested:From - I�`l 8_- to �5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> URDOMOUND TANK(UST)MXAMP O HOUSM ABATEMENT ❑souD WASTE FAc1tmr1Vta*MZ <br /> On rA CLaANUP SrTE(NoN-LOP) 0 FOOD FArgllfY M WASTE TIRE <br /> UtOERORMW TANK(MOWTOWNGIRMOVAL) 0 DOLL KE3ttCL 0 DAIRY <br /> J11 NAZAR000S WASTE GENERATOR 0 CNM#y RANCH ❑WAsTEwATERTREATUMT PLANT <br /> O TiumD PoumTm FAME 13 MOTamoTEL O PLNPERTRUcrJyAR0lCt"T01LUM <br /> t TATTOOMODY PIAMO ❑POOLISPA C7 LAM UM APPLrCATION SITES <br /> 0 MONCAL WASTe FACILM 0 OYt�R IPLEASE$� ) -- <br /> WcLL AtND Som=PEmAiT RJ:CORDfi AFW-AYA&AoLE rOR REVIEW- MatMAY-FR=Y B:OO AMS:ooPK - EccLUot O H-04"YIL <br /> 1. List up to ten addresses In the space above. Select theL type(s)of files from the list above by checking the <br /> appropriate box(bs). At least one file type MUST be selected. Eax to(209)464-2138'or mail to ftadOems <br /> Indicated ab . Address ranges w171 not ba accepted—for additional ssststance with file addresses,contact <br /> ove <br /> the EHD.Applications received after 3:00 pm will be processed the next business day, <br /> 2. The EHD will notify the applicant If any EHD files exist, An appointment for review Will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a makimum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available 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 released will be reorganized by EHD staff at the expense of the <br /> applicant. Futum file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> l4, i <br /> tAD 40-02.808 <br />