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12/15/2005 16:57 209825' 1 KPNIJJAR PAGE 01 !/ <br />1 464013„ ENVIRONMENTAL HEA' PAGE 02 <br />RHQ LVJ NVNIO S <br />l <br />SAN JOAQUIN COUNTY <br />u L �, f 5 1-1,005 ENVIRONMENTAL HEALTH DEPART1VIEl`I'i' <br />304 East Weber Avcmic, P Floor, Stockton, CA 95202-2708 13 q <br />HNIhC);MMENl I-1EAL-�t�lephofac: (209)468.342DFax: (209) 464-0138 web: www.sjgvv.org1ehd <br />FERN! 1 ;!SErRVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: _ klRAN N/,7 -74A� _ SWIN689lOF-NOY•I e•f/ 4AO *4 4CJ.}T6-S <br />ADDRESS: G// 'K)' AJt4- (-) M CITY 41 <br />®r ST <br />ATE—G <br />_ <br />pHONF Dd33!—PHOE (s): FACSIMLE d 9 ��•2 <br />TENTATIVE* APPOINTMENT KATE: Time: a:00 PA4 <br />---- <br />(PteAsa allow 10 bUSinq= days from data of plicaHoa a bmr-•FAItt V4 Qety • MURt bo QwfOnOO) <br />CHECK BOX TO EXPEDITE REQUB$ - $02M77= <br />OCESSED IN & BUS' ESS DAYS <br />SIGNATURE OF APPLICANT DATE �S � <br />LM%MFIIW p USt O Map - Descr(pU <br />I�vnYlAbOn <br />FILE ADDRESS City <br />SHD USE ONLY <br />st,�t streac Nome pc <br />1. A.2 I C3Unit 1 <br />p <br />2. a Unit z <br />4. =;Unit 3 <br />S. reit 4 <br />7• ❑ Unit 5 <br />Specific Date Range of Information Raquactad: From �Lfoeu to W Sea <br />ENVIRONMENTAL HEALTH DIEPARTMENT FILES <br />/1�[���}� O SOLID WASTE FActi rMVEFURe: <br />UNDERGROUND TANK (UST) CLEANUP .yP SITE (LOP) D HOUSIMG ABATESIENT El WASTE TOT <br />❑ OTHER C"ANVP 34ft (LION -LOP) d FQOa pgciuTr <br />DOG KENNEL DAIRY <br />;K TAM (MONrtl7xtttolRFna�1vAL) p CNTCTCEN RANCH C3 WAYTMATS11 Rir;ATM FKT PLANT <br />D HAZARDOUS WAW- 0gpMATOR 0 MOTMIHOM C1 PummR TRucKNARm04E A1CAL Tolla'ts <br />0 TIERED PERMITTED FACILITY M FOOL/SPA In Lin Use APPLIGArON SITES <br />* TArrooM0DYPIERC4NO ❑ OTHER LEASE SPECIFY) <br />i7 MEbIcALWAsTEFAc1LTY <br />WELL AMSrl'M PMMIT Keat*D7 ARE AVAt AeLs !OR RI'v" r ki0N0AY-FEtlRAY 6:00 Alw<-6:OOPIM F. xct.Uartc6 HoLIDAYs. <br />1. List up to ton addrwmes in the apace above. Select the types) of files from the list above he a the <br />appropriate box(es). At least one file type MUST be selected. Faxto 209 4-0 <br />46138 or maltl t to the addthe <br />Ind b Address ranges will not be accepted — for additipnal gsgistanca with file addresses, contact <br />the EHD. Applications received after 3:00 prn will be processed the next business day. <br />2, The EHD will notify the applicant if am EMD file@ exist An Appointment for review vI►ill be confirmed <br />approximately ten (10) days after recelpt of application. The files will be held for a maxIMUM of five bw!inew <br />days for rvview, Appointment$ should be scheduled accordingly, <br />3. A file that 10 elctively being worked on by EHL) staff may not be immediately available for review. A new <br />application rnAy bs+ alubmntad when the fila ie available. <br />4. reorga <br />anyrrlica to Futura filale ht returnedlrovlewg by the eamn applicant mae Same Condition as released yilrequirc $93 p0 d"a tt prior tO review. n [zed by EHD Staff At the ens of the <br />BID 49.09 <br />laratnoes <br />