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04/19/2006 19:18 13107992841 PAGE 01 <br /> -• it,4'J <br /> 4b4 a ENVIRONMENTAL <br /> tTATE RECEIVEp V � LTH PAGE 01 <br /> ( <br /> n� SAN JOA,QUIN COUNTX CHO LQU NUMdtN <br /> W ECE�V�n ED FmmoNmNTAL ftALTs DEP,%TMENF <br /> 304 East Wcbcr Avenue,3r4 Floor,Stockton,CA 95202-2708 ' <br /> APR'2 0 2006 Tetephune:(209)468-3420 Fsx:(209)464-0138 Web;www,s,�gov.oWeh <br /> ENVIRONME PUBLIC RECORDS RELEASE Ap#LICATION <br /> PE �s�_rf( �S �..t�1 euslra=sarACENpvI <br /> AtlORE99(:�..�,_Zmy�pQ•= CA CITY y� „� <br /> TATE � <br /> PHONE(1j'��4.�J.s-p.•y^- �1: FACSIiAIL6��� <br /> TENTATIVE"APPOINTMENT DATE: Time= �J' � <br /> (Pisses allow 10 busin day%tram data of appaoenon mdbmleal.-TwtW a Only-mutt lro DSelirmed) <br /> t� <br /> CHECK BOX TO eXPE - 3.00 FEE(CASH OR CHECK ONLY)•REQUEST PROCC$S(x1 IN 3 6U81NE� DAY'S <br /> SIGNATURE OF APPLICANT DATE O� <br /> Electronic <br /> Infarma}ton r, Ilgt m akrp_ enpuon . <br /> FILE ADDRESS <br /> atrrb,ti streettiWma pity EHD USE ONLY <br /> 1. — <br /> 2. C] Unit 1 <br /> 3. <br /> 4, Li Unit 2 <br /> 5' 7 Unit 3 <br /> B, <br /> �• � Unit � <br /> s. <br /> 9. — C Unit 5 <br /> 10. <br /> Unft b <br /> Specific Date Ranv Of InfOnmatlOn Requested;From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> XUNOEROROUND TANK(UST)CLEANUP Smd(LDP) 10 NouslKa AsATEmmT Aptiu WAM F.01WTY1V9wCe.E <br /> ,.w OTHER CLEANUP$rM(NOH-LOP) ❑POOR FACRM MWAM Tat'ie ' <br /> ,T$UNMRCROUND TANK(MONITOM%n'ENK7vXq G boo Kmma. 17 t)AIRT <br /> ;WHA7ARO0U5 WAMT OENEMMft 4 CIgCKEH AN" ,WA81EWAIER TReATkSN7 PLatlt <br /> El TATrOO/appy pKgCIF NA m ❑Murau OTEL C1 IW <br /> PUNIORTRUCKYARDION rAL To _t <br /> ❑POWSPA M LAND UM AMMAMN EMS <br /> Id MALWASTE FAMury 10 OTHER(PLEA59 SF CVY1 <br /> Welt•NO SEPSC Nft4T RSCORbs ARA AVArLAFU FOR RroWw .MONCAY.FFuOAY e:00 AAI-5:0" - pICU low.HOLNAYa. <br /> 7. List up to ton addresses in the space above. Select the type(s)of files tram the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. FM tD(2091464-0138 or m I to aad ress <br /> Indicated above Address ranges will not be accepted-for additional assistance with file addras ses,contact <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 filas exist. An appointment for review will be eoiYlrmed <br /> apprvxlmata(y ten (10)days after receipt of application. The files will be held for a maximum of"business <br /> days for Teview. Appointments should be scheduled accordingly. <br /> 3. A flie that in 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 /> G. Any file not returned in the same condition as released will be reorganized by EHD Oaf'at the expense of the <br /> applicant Future file reviews by the same applicant may requlrc a$93.OD deposit priortc rmview. <br /> aw As.cm . <br /> 1aa11T906 <br />