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I <br /> . .GRECEIVSAN JOAQUIN COUNTY 'r <br /> ` Z ' 'Unr aljjJlyyP <br /> anlaaaNVIRONMNTALHEALTH 6HON•AWdtI� 9�H <br /> A s5�o5JUN 0 7 TEastzcltvcnu4cktnn,C -semete To� : (z0 ) n ( )464-0138 <br /> Wei,:www.sjgov.org/ohd <br /> UBLIC REC8RDS RELEAS5 APII'LICATION <br /> APPI'C1C-A;N'REi �. _ ,� I <br /> ' L3U51lVES.S/ACENCY: <br /> ADDRESS: CITYISTATE121P:. <br /> PHONE dal: � 1 <br /> . <br /> FAX OR 8-MAIL:-MAIL: <br /> Please allow 1fl elsiness days from dple of application submittal for the regards to be available. <br /> Staff will contac you to arrange an appoIntment date and t( e to review the requested records. R J <br /> [�Hl K 13CIX TO EXPD1 RE_�_�1E5 1301 F GASH OEC:: HCIG 45NL` .RELIES1 PRbC SSb"ftJ 3 gUs( VSs. AYS' <br /> SIGNATURE OF APPLICANT � ~� e,/�---_. I DATE � - <br /> 1. List up to ten addresses in t ace below. Select the type(s) of flies from the list below by checking the appropriate <br /> box(es), At least one file ty. UST he selected. jF'ax to 12091464-0138 or'nail to the address Indicated above. Address <br /> ranges willlnot ba accspted. pplications recelved after 3,00m will be processed the next hustness day. <br /> 2. For assistance in identifying he nature and content of EHL)records,-please contact EHD at the nurzher noted above. <br /> 3. The EHD will notify the appli ant if any EHD files�xlst. An appointment fmr review will be confirmed approximately ten (10) <br /> days after receipt of applicat on. The files Will be held for a maximum of five business days for review. Appointment$ <br /> should be scheduled accord negly. <br /> 4. Any file not returned in the s me condition as released will be reorganizal�by EHD staff at the expense of the applicant. <br /> Future file reviews by the sa a applicant may ragire a$130 daaos'st prio�C to review. <br /> WE LL A"�D v�arrC PEI'IIT RE 0-p-ARE AIVAILA4LE FOR REEV001: FRIDAY 8;04 "-5:00Pryl 'EXCd.tlDING HOLIDAYS) <br /> Electronic Information: E1 fst 0 Map—Description: <br /> Specific Date Range of Infom atiQn.Requested, From to <br /> r��lvlRa�r,�E�l��1I <br /> l r-rsj l �3 = ra IFILE ADDRESS <br /> � �� �i i EHD USE <br /> 11NnPnr,R0UNn TANIc(L IST) Street# Streit Name City <br /> CLEkHI1P SM(1-6P) _n 4 GpN'aUMER <br /> Sl OwFR CLEANUP Sim(Nor,;-Lop) <br /> aFSAW40U$WASTE V <br /> .TIERED PEFRMIi fED FhCILITY 2 <br /> 0 DAIRY <br /> ABO>rOROUND TANK <br /> I . <br /> fi�(JST (MDNITORUd10 J REP.jc\?a, ? 0 PW` <br /> SH&s.RDOua Ar�AT4RIaLa <br /> 3 <br /> [IS <br /> PILL1r2ELEA3E Mi <br /> BPQNSE <br /> 3OLIC WASTE FA <br /> pUre I VEHICLE 4 r`]Wn7Ee QUALITY <br /> i <br /> �FooDFAcIuTY <br /> []POOLISPAf f <br /> �aITE MlTlenrlox <br /> - Q DAIRY <br /> LAND USE APPLIC=14 SITES <br /> ©SEPTIC'PUMPER TRUCK I 6 Cl HOUE:ulc <br /> YARD/Ck:NJrA6TOILETE <br /> I <br /> WASTEWATER 7RdATh}ENT PLANT - ED CUPA <br /> ®f'IOUsING MATCMENT 7 <br /> MWEL71'I0TEL 1 <br /> CHICKEN RANCH I DDO KENNEL D�CUPA-HA?MAT <br /> (]MMICAL Wnara I ACI1 rTY a <br /> TATTOO/80DY PICRCINC; _ <br /> r <br /> []WASTE TIRE <br /> [ CorsfiLAINr <br /> OTl ER(PLCASr Sptc[Fy): �a [�AccouNnNG <br /> ` iuk <br /> '—EOXr-D ARRA-EH©USE ONLY— <br /> Jkj,2-jjo° ftp j&/ CIA,����� l C /� E /� vJ4�1 J�: <br /> 1f ✓ 1�t/ i 14��t � TIT <br /> 1CAO c4q f I d I�rrC� f ` <br /> s Prov e y a - _ O <br /> �i <br /> Tsd:a6ed 82TOt79t,662T :01 :wOJJ 22:2Z 9�0C- <br />