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FR":ETICENGINEERING \.r FAX NO. :19256024718 ^. 23 2006 12:55PM P2 <br /> 03/22/2006 16:52 4640138 ENVIRONMENTAL WEALTH P.AQE 02 <br /> UAtt:}trl,,'klVtU e\ cniJ t.vw nvmoel`i"�c�,-�' SANJO,�,Quz�r COMM <br /> ENYlRONWNTAL HEALTH DEPARTMENt Qg MAR 23 <br /> 304 East Weiser Avenue,3 Floor,i tookton,CA,95202-2708 Pfd 12. S <br /> Telephone:(209 468,3420ra (209)464-0i38 Wcb.wWaga�apTgJ S <br /> /i5f1';'. CCU j. <br /> PUBLIC RECORDS nUASF,A►PPLICA' M TH 0 P�E2 Q <br /> - - ...- --�MQI�r�lai�nrn —_... <br /> Y,APPLIQJWT; )_(SUSMESS/AGENCY; 5' G rl el°!� <br /> )L ADDFILSS: Z Z (�( _ tnr SantHfn <br /> 4 PHONE(1):�6Q7,4 q_1 I J.13 PHONE(4 qM 6O3�Q FAGSiFAILL�• — 6Q Z,-q2 <br /> ?O <br /> TENTATIM APPOEM'MENT DATE: GL Pima: !211411 . <br /> Y <br /> (Plsase allow 40 buatrw*v daysfrom cW et apptleatttsn p iiia -•Tenlobw only.must be ewMrmed) <br /> tlia CHECK Box TO EXPEWE M sT•>� .00t_(CASH o C"LIQ c ONLY)-MQUEST PROCESSED 1N* UStNESS BAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Eh ftnlc p list tj Ma on - <br /> IldonnaQon P-Desodpd <br /> FILE ADDRESS EHD USE ONLY <br /> 8troot s s Name + <br /> c: <br /> C7 Unit 1 <br /> Cl Unit 2 <br /> s. - <br /> 7. <br /> 8. ❑ Unit 5 <br /> 9. <br /> ib. ❑ Unit 6 <br /> specific Date Mange of infotmation Requested:Prom 1k4ti to <br /> ENVIRONMENTAL HEALTH DMARTMENT FILES <br /> ILMMO t MOTAM(UST)CLMWP SITE(LOP) C Mmin AsAT1: HT 0 Souovvmiz FAMirfNil vols <br /> ERCt ttlPstTE(NON-I.Qf� O 1`00FACUTY Q WAMTM <br /> f3 UNDERGROUND TANK(MONIMMMOMEMOVAt,) a()oG K>: "M 0 VAMY <br /> *KV APMUS WAaTe OM PATM 0 ctPW4tq RANCH 171AIAVEWATE117WIMM4NT PCART <br /> O TWR6'DPERETTEDFACILITV f01t4ONLIHOWL 0 PUIttPER'rM0UYAFc(CHEWCAL1'011ETs <br /> E3 TATTOOMO iY P IRIM" CI Po"PA 0 LAND V4;APPUCAT"31T14 <br /> 0 MEw-ALWASTEFACIt.nY 0 07HM(PI.EASASPRO1rV)� <br /> WFtX MD 69rVic MOM RECOR06 ME AVAriA LA POR M MEW-iAONDAY+FRMAY 0100 AMS:00PY - E1(OI.Yf?INC Ho'"A". <br /> I. List up to teen addresses in the space Awve., Select the type(s)M Ines from the list above by checidna the <br /> Appropriate box(es). At least one Elle type MUST be selected. Fax to(202j 4$4M_313 or moll to the address <br /> lndleated eboYQ} Address ranges vAll not be accepted-for additional assistance with file addresses,contact <br /> the 1'Hp,Applications received after 3,00 pm will be processed the next buslneSS day. <br /> 2, The EHD vvill notify the applicant if Jany EHD files exist. An&ppointment for review will be confirmed <br /> approximately ton(10)days after receipt of apptiWlon. The files will be held for a maXlmun'1 of RYS kN, mess <br /> days for review. Appointments should be scheduled ateardingly. <br /> 3, A file that is actively being Mored on by EHD staff may not be Immediately available for review. A now <br /> apptic:ation mcy be submilted when the fit*is available. <br /> 4. Any fila not returned in the same condition as released will bo reorganized by ERD staff at the expense of the <br /> applicant. f=uture file reviews by the same applicant tray require a$93.00 deposit prior.to Mvi0w. <br /> EK9 4949 <br /> �0/711�6 <br />