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ATE RECEIVED EHD LOU NUMBER <br /> SANJoAQUtN-COUNTY <br /> ) ENMONMENTAL HEALTH DEPARTW-NT <br /> 600 East Main St. Stockton, CA 8620x-3029 <br /> J` Zl l`2 Telephone: (M)4WU20 Fax, (209)464-013aWaly.www:sjgatofWeN n <br /> smv a°n�i sF \10-SLl}► PUSUG RECORDS RELEASE APPLICATION _ \ <br /> APPLICANT: paUc oY BU$tA[E8S/AGEHCY: I Qak �s4o <br /> ADDRESS: e+o'j- I Q_ -(9 a te- S+ • WYMATEMP: �,oa(; GPr a S y'f O <br /> PHONE(1): 3" PHONE(2): FACSWILE: 13 Lacl-03-T+ <br /> TENTATIVE"APPOINTLENT DATE: 8--2�lf- (z Tana: to S C <br /> ' ( mexVawlahumftem taptaIII dIi afav kaff"a0"w*- T*mmwh nN-wobe edl. <br /> ❑ <br /> CHECK BOX TO EXPEDITE REQUEST-3125� FL�EE""(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /�C DATE <br /> Electronic Informadon: ❑Lfat 0 elup—Description; <br /> FILE AtffXkM E40 USEONLY <br /> Street A _ S4net Name Cq - Uaw 1 <br /> [2- $(2 0 1 tn) Er w- 'Vn'q L .f Uric 2 <br /> IN-* <br /> A/ <br /> x. <br /> 10_ tAat a <br /> SpeaNBe,DafD Range ortaTmtaeEortRegttea>ed: From. ae <br /> Egy NTAIL HEALTH DEPARTI IiIT FILES <br /> Z1 R0UWTANK03f)0.fAaP&ia(46l L]HOLONcAeATaleeT © 1F Fn�LrttNenCLE <br /> 07HER LZEAwp SITE(NWL0P) Q FOOD FACa.P1YWAI <br /> [❑] <br /> IMoeRaRotxtoTnwr(I�rara N_) (]]DOG KEWEL DAIRY <br /> HAZARDWS WASTE Gt1tsIATnR CHKXEN Am" [ WASTENATMTREATHENT PLANT <br /> TIERED PERMITTED FACILITY ❑'mo LHWEL ❑PuvpER TRumdYARD)CHtirI Tw-M <br /> TATT00lG Y PIERCMIc El PWJSPA ❑LAND UW APPliCATTDd S[IE6 <br /> ❑ YIEDCAL.WASTE FACRmr pCosv4 w Famms 0 w"ER(PLmE std <br /> VIIEu_ANA SEPTIC PERW RECORDS ARE AVARABIE FOR R EVEW: MONDRr-RVM'f 9.00 A*.4:Wm(EKOLuDmo HOLWAYS) <br /> T. tuo to tion addresas;E In the apace above. Sheet die typa(s)of fIIw from the dot above by ctwofdn9 the appropriate <br /> boac{eeti Attest One ttta type tiMl4tes eabacted. {x �164 41�ar rltt'ta Rte ItdH0_ 4f AdW�a <br /> ranges vM not be aemptad darald-for addttLaststartce wtdt Elle addleasas,t�ctRte� recehad atTer . <br /> 3:oo pm vAH La prod the alb of aaaa daY, <br /> Z. The F.HR wm cath the,app"�tt H airy MM fdas eutat. An appohd PwA for review wfif ba cotsENtned approxltttataty ten(f a) <br /> days aRsr receW of spPRcatlom The flies"M he hald.for a rLLotdetaa+oRfhte bei days for r O&I AppotnUnI <br /> shateld be sahedukd accordingly: <br /> 3. A Ido that Is actively being wcAod on by EMD staff may not be hmn fY atrallable for tewlerr. A new apph9r Ott tnay be <br /> submdted when"III Is avOgable- <br /> C Any file not returned In the same contfrion sae mmazed'ww be mor9anbma 1y Em sfaff at the eAperLae Of Vw aPPf&nt <br /> Futuro fda reviews by tho name sp13111"wY regtdma$125 deposK Prfar to rtevlaw- <br /> ENO USE ONLY <br /> AryH1 <br /> Received Time-Aug. 11 -2012" 1 : 50PTNo, 0821 <br />