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PUBLIC RECORki �..ASS APPLICATION <br /> APPLICANT: "T"AZ1.9GENc7: �th,eRtA B,L, W.G. <br /> ADDRESS: cv9�-O`. �II CLW'FZ1 �I —I SUS a-/6 <br /> PHONE(1): (9z5 ) 7;-(-_ 7 PHONE-(Z)i ��2s'�, �— FACSIMILE: (�Y+^. <br /> TENTATIVE'APPOINTMENT DATE: JEvr.R- 'IS 2QO7 Time:- 10:30 a.Al. <br /> (Please allow 10 business days from date of application submittal-`Tentairva only-must be confined) <br /> .-JK BOX TO EXPEDITE REQUEST-$43.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE S / G7 <br /> f UNIT OISTR18UT10N 173 Unit 1 ❑ UnItZ M Unit 3 ❑ UnIt4 ❑ Unit 5 O Unita 0 Other(electronldlistshnaps) <br /> !\ FILE ADDRESS EHD USE ONLY <br /> v' Streeter Street Name city <br /> 1. ZCO sou'YtI ; gm, WYwy ' �;- s c -hrn DB <br /> 7� 2- 1250 $ou i 5511 fJz 5 c {vN 140 : <br /> v ^ 3. /zto 1 Sow fh W;I :rn Wk'v Si»c tort <br /> 4. Z D So.. 4-A W"1j;0" 5la e <br /> 5. 1i Sui Nl%!sa» Gua S c�Fof+ D6 <br /> 6. \� <br /> T. * P 1250 r1rsY rs \ <br /> 9. FY(5o P) SewtA ow ase —YulnA 91 <br /> �rl 11 <br /> 10. �e+.v ezej 12oo o-t2 So (644+cr-iGI.Ai —�.. <br /> SpeclOc Date Range of Information Requested:From Rkp5ell1to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> P4 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOU51N0 AnATEMmT 0 SOLID WASTE FALIUTYIVEHICLE lv� <br /> M OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TYRE <br /> M UNDERGROUND TANK(MONITOMNG/REMOVAL) ❑DOG KERNEL ❑DAIRY <br /> P3 HAZARDOUS WASTE GENERATOR 11 CKICKEN RANCH E3 WASTEWATER TREATMENT PLANT 44 <br /> la TERED PERMITTED FACILITY 11 MOTEL/HOTEL 173 PUMPER TRUCKIYARDICHEM TOILETS <br /> •TATTOdBODY PIERCING 12 POOL/SPA 0 LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) , <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAY 5.:00 AM-5:00PM - EXCLuDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by check)ng the <br /> appropriate box(es). At least one file type MUST he selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> k the EHO.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> J <br /> t 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 he scheduled accordingly. � <br /> J 3. A file that Is actively being worked on by EHD staff may not be immediately available 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 61 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> w:e,.:.': ..........:....-.�.......<sr-....«.e-.�.e✓..-.+.,wwnn.J...-+.rwi-:r...xr..,w^....+.......1...+^'^^.Y r.>y:.:..+.+++.n".w.....r4ufiMWw'aea.LwA.dru:.+la..s.>.—.. .+-nr+.�.-.�.+,wws+...:.W. Mil .w.f vyi�..:rYe.:k <br /> ." ._ ..;.....,.a�w...... ..-:..,+:.«n..-.w.w-.:...re.«....r.r...our..w..rnw...,..araw..r.w:.wrw...ti+a::r.+.wa.w.arowuw«.,+..asu:.a:,aa-.vr:..r..w..rw«sru..:.::+: u,rx:K'al5i.•y'e_r.;::. <br /> 5 <br />