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06/28/2005 11:46 FAX 770 642 0257 RMT INC. ATLANTA IM002/002 <br /> fn-. .066/.2E 2244/((220{p055 07:50 46401390 ENVIRONMENTAL FA PAGE 01 <br /> 1r1115�✓ v © . ENItONMNT-AL H"x.=DXPMrMW <br /> \ IN East Weber Avenue,3'd Floor, Stockto%CA 95202-2708 <br /> � V J0 2 ii 2005 Telephone:(209)468-3420 Fox(209)464-0138 Web:www;jgov.org/ehd 'l <br /> ENT HEALTH <br /> EIiVIRONh€ PUBLIC RECORDS RELEASE AP'PLICAT'ION recaimp <br /> APPLJCAJ4T: S Of t1USINFSSrAGENCY: T I vi <br /> ADDRR85: 8(x01 ROLQ±fi -Dilye. Site IDo kajj a GA 3035o <br /> i.�PHONE(1rX149 PHOmm: -11b-142-0251 <br /> A t �%° TENTATIVE`APPOWMENT DATE: -1112 I D 5 Tune: 910g AM <br /> (Please allow 10 bitainass days from date of application cubmlttal-•Tentav"only.must ba confirmed) <br /> CHECK aOx TO EXPEDITE REQUEST• 99A0 FEE H OR CHECK Ota.. <br /> 00` S ( Y)-REQUEST PROCESSEOtN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /, DATE 10/2,�O 5 <br /> 011M oe <br /> t to olSTPj;;;G71 13 Un1t 1 0 Wit 2 OgjoPt a qCnk 4 13 L dt 6 O Unit e ❑ Other(M1&=* 1Wmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Strutt street Kam city <br /> 1. � est tis r w <br /> 2. e o r <br /> 3. 2Iv$u, s. mAC WR_V4r42 Pr. 11 N F <br /> 4. <br /> 6. - <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested:From 1918 tD !�5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> k�UADERGROIAM TANK(UST)CLEINur&TI(LOP) ❑Housarc ABATEaert ❑6ouo WASTE FA*Urt1V 400E <br /> Ai Or"CLEAKM SITE(NoN1AP) a FOOD FAcarrY ❑WASTE TRE <br /> ..RyUHDEROROUNDTANK(MOH="GMZMDVAI) ❑DDG Kali I Cl DAIRY <br /> ja HAzn)WotiS WASTE GeMIATOR O CNM#-N RANCH 17 WAsTEWATERTREATUDO PUNT <br /> TotEo Patna m FAMM 0 M6,ram TEL O PLMrERT9U0rN(AR5/CHEMT01LVM <br /> 0 TATT00000YPaxtmio '17PootISPA f]LAM USE AMXAMNSrrts <br /> MOMr-L WAVE FACRItY O Otnmt W Asp$PC{F1') <br /> . . WELL AND 801M PEK*T RPOOP=AM AVA&AB EMR RMEW- M0NOAY*N0AY 6:00 AMS:00M. . EDC:LIWM3 HOLM= <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking the <br /> appropriate box(#$). At(east one file type MUST be selected. Fax to(209)464.0135 or mail to ite address <br /> Indicated above.i Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Appncattons-received after 3:00 pm will be processed the next business day. <br /> 2. The EHD win 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 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 evaitab(e 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 Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> k-1r <br /> iv NAILO! <br /> 112TN4 <br />