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W-05 Ph( LIERS INTERNATIONAL FAX NO. #4755102 P. 01/01 <br /> A IL)P, ?, 7 ?_01? <br /> F4�G11 Qw- El.'41E,f T LHD I-OG NUMBER <br /> SAN JOAQUIN COUNTY f".* 1k11 <br /> ENVIRONMENTAL HEALTvi DEPARTMENT <br /> 600 East Main St. Stockion,CA 95202-3029 <br /> Tqlaphcne: (209)4.68-3420 Fax, (209)464-01313 Web.www,sjgnv.org/nhd <br /> ENVIRONMENTAL HEALTIH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINEMSIAGENCY; <br /> ADDRESS, <br /> CITYISTATEMP. <br /> PHONE(11): 1�7 PHONE.L2: FACSIMILE: <br /> T1 *APPOINTMENT 5ATE, Time: <br /> (Plass allow 10 business dnp M date of alyfication du 1-91"tarNeenly sixt be C�gRr-mad) <br /> CHECK 13OXTO EXRiDITEREQ y93T-S �SAE SH R CHECK ONLY)-REQUEST PROCESSCI)IN 3 7BU I WDMl <br /> SIGNATURE OFAPPLICANTSDATE '4 <br /> r <br /> iie�ctronlc information: F1 List[I Njap—06ic�Jjon; <br /> FILE AIX1158S EHO USE ONLY <br /> 7CS1MILE- <br /> btraut 4 Strout Nume C4ty unit I <br /> T A <br /> 2. /�O b <br /> unit 2 <br /> rllnit <br /> 17 <br /> 6. 'Please respond as soon as possible. <br /> 6. 1 need to notify applicant during week of 5/14/12 if Z'6nit 4 <br /> 7. EHD has files for listed addresses or not. <br /> L 10. Units,'. <br /> $p*cIfIc Date Range of Information RsquestW: From <br /> ENVIRONMENTAL HEALTH OEPARTMENf FILE$ <br /> tU UNDERGRouNo TANK(UST)CLrAmiip SITE(1.011) 71 HOUSING AAATEMM El Som)WASTE FActLaYNEHIC <br /> ERCLEANUP SiTE(NDN-L0l`) FaDo FACILITY ❑WASTE Thir <br /> UNDERGROUND TANK 0ftFrORINrdREU0VAL),, Ej DOG KENNEL DAIRY <br /> W ::� 17-1 <br /> HAMMUS WASTE GENERATOR-4. CHICKEN RANCH WAsTEwATER TREATMENT PLANT <br /> TIERED <br /> IERED PERMIMD FACILITY MOTELIHOTEL Pwvert TRucKiYARDICHEMICAL To". <br /> 0 TATTOOIBODY PIERCING POGUSPA LAND USE APPLICATION SITES <br /> El MEDICAL WASTE FACIL17Y COWLANT RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS Am AVAILABLE FOR REVIEW. MONoAy+8o3Ay 8:00 Am-5.00pm(Excwpma HowpAys) <br /> .-AddMsses In the Space gibove. Select the type(s)of files frons the list above by checking the appropriate <br /> hox(va). At least one file type MUBT b)solatted, En Ig(2QO)olfikQ136 or mail to the y .— Addms!s <br /> ranges Will not 118 accepted-for additional assistance with file addresses,contact the EHL). Applications received after <br /> 3:00 pm will be processed the next bussinass day. <br /> 2. The EliD will notify the applicant If any L-ND MOS exist. An appointment for review will N confirmed approximately tan(f 0) <br /> Onys after receipt of application. The files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <br /> 3, A file that 18 actively being woad ort!ay EHD staff may not be Immediately available for review. A now applIceJaF1 may be <br /> submitted Mien the Me Is available, <br /> 4. Any file not returned In the sarna condition as released will he reorganized by EHD staff at the expense of the appjlcajjt. <br /> yuluiry Me reviews by the same applicant may roquIre a$126 deposit prior to rovlow. <br /> II 1 TVF <br /> ,9 2 7 <br /> iH <br /> U <br /> L L18,I I'l I <br /> EHO 40-05 Willi <br /> tV <br />