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I�!-b2egu t oft � 201 3-tt-t2 112:96:92(OMT) 67 From: Pnwul Wplociyn <br /> �■ : RMI - SAN ,JOAQUIN COUNTY <br /> .. EH <br /> UG'NUMBER <br /> ■ <br /> ENVIRONMENTAL HEALTH DEPARTMENT ` <br /> NO"x•12 ZD13 `. 1808 East Hazelton Avenue, Siockton, "Ck95"205-.e?U <br /> Tetephone {2J):9jA68-3420,Fax:::(209):4.64=0138:We.6:.UnvwsjgoV:org/ehd <br /> E1WIR0NMENTALHEALT(1 <br /> PEFIMITMENICES- PUBLIC RECORDS. RELEASE APPLICATION <br /> Pawc.1 Wo�As Paci�T Eli ir�m maJ ,..anagement, Znc, <br /> APPLICANT. � .. BUST • SSIA E CY; <br /> ADDRES..S:. 1500. E1.CanlznQ ,�veaV .2 CITY(SiATE(ZIP: �2CT 3CptQy <br /> .. <br /> PHONE(1): 9-1G,4444654 PHONE(2): FACSIMILE, 9-444 3'O9O. <br /> f�NTATIV/E`APPOINTMENTAAT... 71 / Tlms" s <br /> (Please allow 10 business.daysfrom'"=.r�.pti ation,'submittal-*Tentative only'-must be confirmed) <br /> . ❑:CHEM(:@OXTCIE%P.EOITE" ". ,( BECK QN4Y.)-i3EQUESTPROCES$ED'1N3yBlIStNESS DAYS - .. <br /> EleCttonio.tllfotal:ationi List❑Map-besCription: <br /> .. .., . <br /> F1LE.ADDRE <br /> SS ... ' . .. EHP.:tlSE ONLY..- <br /> �. ,Stregfg '... Street N..alne •''..:City. . <br /> 1 620 West Charter Way 5t ., D. <br /> 3 . Dr. VaLcr' .... .. . . ' SMP... :. . pudtzJrB v . <br /> -1465 `S:Lincgln Stxeet . .. <br /> q I5:9.7. TA ixn nP .EIUnfE <br /> s, 775 NtJ,(n <br /> :6• <br /> 160I co : Uniti4 f•1..� <br /> 10. yt,z1:J ,t6 <br /> ,S.Reg•Lflc,pato.Rangeofanfopnatign_RegtIested: From to: : <br /> ENVJRQNMENTAL HEALTH DEPARTMENT <br /> ®UNDERGRDIIND TANK(U4T.)4LEANUP:STTE{LOR) ". " ❑(�MEDICAI,WASTE:FACILITY SOLIDWA&TE FACJLgYN):HICLE� i(I' 7 <br /> ®OTyERELEANDP$ITE(NON IOP) '�IHOUSWq AEATEMEM gWASTE TIRE <br /> ' . :®UNDERGROUND TANK{MONRORING(REgIQVAL) [j'FOQD66irY ❑DAIRY (/ <br /> ®ABOVEGROUND TANK -❑.CHICKEN kMCH(D.0,BMNNEL :❑WASTPRA.TER TREATMENT PLANT i I <br /> 1� <br /> 'EO HAZARW.J.S.A';ii IHAZARD.Ql1S TdATERi4L5 ❑MOTELIHOI�L '.❑PUMPERTk6CKIYARD/CHEMICAL T,OILEJS. <br /> ®TIERER PE$MnTED FACIvrY' �„ ❑})QQIJSpA �-1 LANG US(:APPLIDATIQt{SIZES, <br /> ❑TATTOOIBODYPIERCJNG ®CQMPLAWTIRF$P,QN6E RECORDS: ❑OTHER(PLF1(SE SPECIfa'). ,• <br /> INW.ELLANDSEPTIC;PERMITTRECDRDS:ARE:AVALPBLEFCRREVJEw: MONDAY-tRIAAY';H:OD AM-5:pQPM(E?GLWDINGHOL14AYs) <br /> %1,. List uo-to ten addresses in the space above. Select the.type(s)of files from the.listabove bychecking the appropriate <br /> :box(es), At least Rne:file type:MUST be:sefected.;Fax to(209)464.0136 or mail tothe addressfndicated above. "Addregs .. <br /> `,.ranges.willnotbe.accented-for additional assistance with fileaddresses,contact the.EHD. Applications'[@ceiyedAfter ... " <br /> :3:0.0 pm will t "" . <br /> The.EHD will approximately ten(1.0) <br /> days after ret w,,Appointments <br /> hotald.be scl <br /> Pl-(p-dejaoDl; �� bu5)y�ss o(NnP„-� r <br /> Tile that is i Z Oar , (; 5,f �'M rM O;thh (&I r a-- ew appiication may be " <br /> lmiftedwt 77s W 2-& 51-. I:(3 —.--- 9 - 1. . <br /> file-not trl se of theapphcant ,,.�I�iU' <br /> efile reviewsmy mesame applicant may'require'a$72 0 (t prior to review: �l ;ASAA-EHD USE ONLY ,pts"_„4, <br /> F <br /> An F ! ✓� <br /> - 10/ <br /> )rovideel 6 ,Staff-PPRCQmn Ie <br /> Y P it 0 i� <br /> ov, l lvl 2013 6:47PM No. 4497 3 ` 00.0 <br /> 13 YN���uX acv LICAPrta c.0�u( (0 7,0 �_. <br />