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dug. 17. 20066 9:56AM 3i fernationaI A E ,L 6412 P. 2 <br /> NVIRONMENT�icALil-, <br /> SAN JoAQunvComylrr <br /> J,1"N M0NMN1CAL HEALTH DEPARTMENT <br /> AUG 't 7 ZQ�6 304 East Weber Avenue, 3'F160r,Stor tori, CA.95202-2708 <br /> ENVIRQNMENTHEWtj Talc(aboni: (209)468-3420 Fax: (209)464-0138 Web: wwwsjgovorg/ea <br /> PERMITISEIRVECE$ FU13LIC RECORDS RELEASE AEEL:(CA TION <br /> Aptn�Aetr: �Q/ '�� taustr�ssrl Erscv:r.�[_.,,' �ee2 _r,Ja� <br /> PHONE(1). B G PH(ANE(Z):N- Y^ C?_ z#I/ V' Ir l FACS MILE-: <br /> TENTATIVE"AFF'OINTWIENT DATE: CT rima:_ <br /> (PFRasa aaaTv IO b:rslnpea days ken a of �tion.eubmidAl•"Tenf2i'm CMIy-must be canfttm ) <br /> v •�o ( Ck ONLY)•R,ECi1JM7 ptrol:G-"„SER at$BUEIMESS tIA off, <br /> 10 MPIATURE OF APPLICA - DATE j/ `z <br /> 1 NWCr DiSTRtpt1'}tON ❑U:al1 tllitt9 UM It Oun"5 JFUM6 O Mer(oloobnhidlletatn:aPR) <br /> wvo <br /> _ FILE ADDRESS <br /> _ StnMitA street Name cit MD USE ONLY <br /> SpOciSic DKIR&Tango of In'bannetioa RegU3atad:from to <br /> ENVIRONMENTAL HEALTH OEPARTMvNT FILES <br /> '761urrMwnOU:a1TAW .M.'r)CLeasur'SCII(LOP) dflausmoAsATEm13TT -eSounWMErAC17U l MQLIT;; f 0 <br /> UMRCLEANWP SITE(NaN•hOP) 13 POGO FACRXrr PJ WAVE T09 \�) <br /> �e UP2oMMUMD TV9K(RW1W M:IRra CI 000 KEKWM IU bAMY <br /> OAT.HAZMOU WAM GEWMRATOR t7 Cly RANCH M WASTWWATElTUATMENT PLiNT <br /> ,1:1 Tw=Pawrr=FAmry t7 Mcrw"Ore1 M Puw%RTRtrWYARDAr1M'm TOeEra <br /> Ci TATIMBOCYPIERMa 0 POOLISPA -X APM 11M AMCBCATWI Stme <br /> 17&IMMIIAL WAArE FAecerr! O ChIM Py&e Ss•egtT'1�.. - Aft <br /> WALL AND SWyWPEW"RECORalAREAVARAULEPON PJWPN- 140MAT-FMAYSMAW-w00PNI - &CUMW,HMK;An. <br /> -��I^-.a•r..mw.�Y�"+�Y •11�•�W—�. rr�.w•@..��^a.dv_e�,�smb_+�.vn—�+d-.,. <br /> 1, Inst cap to ten addresses in ilia spats above. Select the types)of flys from the list Ubove by checking the <br /> appropriate box(ts). At least one file type MuST be selected, Fa,Nty gm)464-013¢or maU to the ad cess <br /> Indica above, Address ranges will not be accepted—for additional assiStance with Me addresses,contact <br /> the EHi:I, Applirafions received after 3:00.pm will be Otooesssd the next business dry. <br /> 2. The IEHD will-noft the applicant N any EHO files exist An appointment L r review,will be confirmed <br /> approxinnately ten(10)days after receipt of application. The flies well be held for a maximum of five busines*. <br /> days for reylerw. Appolntmema should be scheduled accordingly. <br /> 3. A file that is actively being worked on by FEW staff may not be immediately available for review. Anew <br /> appfacaUon may be submitted when the file is available, <br /> 4. Any file not returned in the Same condition as releasod will be reorSonized by EHD staff at the exp?nse of tITQ <br /> appilcarTt. Future fife reviews by the same applicant may require a MIS 00deposWtorty'gW,' F <br /> f7tDRAA9 <br /> roo Received Time Aug. 15. 11 :50AM <br />