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06/28/2005 11:46 FAX 770 642 0257 RMT INC. ATLANTA <br />06/24/2005 07:50 4640138 ENVIRONMENTAL HE* <br />SAN <br />RD <br />oAQUW CoulvrY DEPARTMENT <br />ENVIRONMENTAL HETH <br />/ 304 East Weber Avenue, 3 Floor, Stockton, CA. 95202-2708 <br />(� 1U d ?�05 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wwwssgov.orglobd <br />10 p P ANT HEALTH PU13LIC RECORDS RELEASE APPLICATION <br />IA 002/002 <br />PA5E 01 <br />APPLICANT: FYI r 15i I,rl C IVIUruI h HUSINFSSIAGENCY: K NL Iyl C • , I llj�!� <br />ADDRESS: SW ULeti-s -piye., S�kife- loo A+looW, GA 3035o <br />l PHONE (1): D' Lp4l ' 9 1 5�o <br />Y149 PRONE(2)- + <br />�Q TF,NTATIWE' APPOINTMENT DATE: _ —7 1 12 I D 5 Tune: 9, coo AM <br />(Pleas@ ELllow 10 bilzinasa days from date of epplieadon submittal - •TentRMm only - must he confirmed) <br />13 cHEcK BOX To ExpmrrE REGURST 493.00 FEE ( N OR CHECK ONLY) — REQUEST PROCESSED 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE �2.0I05 <br />UNIT OISTR18LMON O Unit 1 0 UrIIt 2 5k 3 affnk4 ❑ Unit 6 ❑ Unit 6 13 ower (A CMsftftaPS) <br />FILE ADDRESS EHD USE ONLY <br />street i street Name COY <br />1. "15 est I \As -r Hw <br />14 <br />2. e fi o LOadr <br />3- 2i a s. 1n_ R9 -r)4-;2 Dr NIF- I -- <br />Specific Date Range of lnfomtation Requested: From �`�� 8 to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />URDERM (M TANK (WT) CLEANUP"(LM O HOUSM ARAWMENT fl SOLID WASTE FAAIL 1TYfV9Ht LE <br />JM OMEA CLEAr+aa StM (NON -I -OP) 0 Faoo FAMM ❑ WASTE TIRE <br />X utoaRom.xjw TANK (MMT0WWJPZM0VAL) 0 DOG IQ344M p DAIRY <br />Is N ARD" WASTE GENERATOR ❑ COCKEN RANCH ❑ WASTEWATELRTRaATUMT PLANT <br />0 TtSAW-a P FAMM ❑ IA6Ta*OTEL C1 PLMr0k 'RtICK/j "Wr-f" Tc1L= <br />TATTOOMIODY P1ERMO -❑ POCUSPA O LAND USE APPMAMN SaO <br />❑ F 0MCAL WASTE FACILtrY 0 Orem (PLUMP $Pct <br />WELL AND Sff M PEKW PXCORAS ARE AVAILABLE FOR REVIEW - M0WAY-FE=Y 8:00 AM-&;WPIa - DcC MMM HOLto M <br />1. List up to ton addresses In the space above. Select the types) of files from the list above by checking Che <br />appropriate box(Os)- At least one file type MUST be selected. Fax to (209) 464;010 Or mail LO - -e address <br />indicated above. i Address ranges will not be accepted — for addi4ienal assistanco with Tile addresses, contact <br />ol <br />the EHD. Appficattons-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 recelpt of application. The files will be held for a Maximum 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 stats at the expense of the <br />___r_�-_♦ r..a...a,. saw .....1— 1— Ihn eft . & annlinnnt m9V ran Uira a 593.00 deposit prior to review. <br />rAO 40 -02 -CM <br />1IMM <br />