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_FEB. 13. 2007 3:11PM TERRASEARCH INC N0. 8578 P. 1/2 <br /> SAN JOAQUIN COUN'['Y EHD LAG NUMBER <br /> IL'��1Uf11T/1/IL�� o <br /> ENviRONMENTa HuALTH DEPARTMENT <br /> FEB 13 2007 304 East Weber Avenue,3d Floor,Stocldon,CA 95202.2708 <br /> vvVVVV <br /> 7 S57 <br /> ENVIRONMENT HEALTH Telephone:(209)468-3420 Fax-(209)464-0138 web:www.ejgov.crg/ehd� <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ! ► `0 BUSINESSIAGENCY: <br /> ADDRESS: 1 'ro Cd" <br /> PHONE(I):a LS /r13�W 6 L—WiONE(2): 9I 4— FACSIMLL' <br /> Ixj•/, TENTAINE`APPOINTMENT DATE: a lY) Tune: 0 /7 <br /> (Pleaso Russ 10 buslneae days frau datr of appLcaOon submi0al-•Terdadve only-mustbe wnfl <br /> I/ I ❑ CHECK BOX TO EXPEDITE REQ EST.$95.00 FEE SH OR CHECK ONLY).REQUEST PROCESSED W B 9 I, <br /> SIGNATURE OF APPLICAN DATE I <br /> Efoamnic Information: ❑List Q Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> SVeeta Name qty ❑ unkl <br /> L <br /> r <br /> 2 1 C,\� .. <br /> 3. <br /> a, <br /> unk3 <br /> b. <br /> B , �nk4 <br /> 7. <br /> S ❑ units <br /> 9. <br /> Unk 8 <br /> 10. <br /> specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> rNDERGkOUND TANK(USI)CLEANUP Sim(LOP) O Housm A9ATEum t3$aa��0 7roO WASTE FACnIT 1VDQCjX <br /> ynlEn CLFiMP SrrE(NpN{.OP) C1 Foao F•quir �y�/r Ta>E <br /> UNDERORouND TANK(MONrropaW/REMOVAL) 0 Dob KEw1EL aRY <br /> USWASTEGENCRATOR 0CIwCKEN Rmcm O WASTEWATER TRrATmWT PLAN( <br /> DITIFREO PERnnTED rA urn O MOTuJHOTEL 0 PuuPER TRUDWYAnD/CNEM TOILETS <br /> ❑TArT0QM0VY Plsacwo E3PoouSPA In LAW USE AaPucAnou EnEs <br /> LB'MCDCAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY <br /> WELL Me SGMC PERMIT RECORDS ARE AVAILABLE FoR REVIEW• MONDAYFRIbAY 8:00 M4-5;00PM . ExCWDaiO HOLDAY6. <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking the appropriate <br /> bo4es). At least one file type MUST be selected. Fax to(2091494 V <br /> 2091404-0138 or mail to the address indicated above Address <br /> ranges will not be accepted�-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2- The CHD will nohiythe applicant if any EHD files exist-An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <br /> 3. A fie that is advely being worked on by EHD staff may not'be Immediately available for review. A newapplication may be <br /> submitted when the file is available. <br /> a. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> �r aY3C00e <br />