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0�/18/2006 14:53 FAX 916290542" WKA*ENVIRONMENTAL 12002/002 <br /> RECEN�D <br /> �`�'TE FF.E^F",'FO SAN JOAQUIN COUNTY �=f�'r'''_OC NlIP�:(d€f:E?WIRONWN'TAL IUALTH DEPARTMENT <br /> 304 East Weber:Averue, 3'd Floor, Stockton, CA 95202-2708 <br /> SEP 1 8 2006 T:fepbone;(209)46S-3420 Fax:(209)464-0138 Web. w'v;waj2ay.vr�/cfir --6 <br /> 13 <br /> EMARONMENT HEALTH pL,-,- RIF CORDS RELEASE �,PPUCA,TION <br /> /APPLICANd �f �� � '�` BU.5INESSIAGENCY4V-1,r- "' JN:cx�t- / SaC,ss.-i' , <br /> ADDR S: 11-4V NAZ-T, 5.1 re i+0 SA+' ?5;!r?t <br /> PHONE(l); 9/6' 37Z -f'`F'3`—FHoNE(2;: 716-475-03-35" FAGSIMILF_: `174- z�0 e 3+ZI; <br /> TE1'J I"ffaT1VE*AppoitrrmEx-r DATE:: Tlma: <br /> (Flews alio III tiasinass days from dail<of appllcati "I ' o sf be cunfdrmad. . ..= <br /> !qi <br /> V-�CHFECK BOX,TO EXPEDITE REQ'JgE $gS.0q E(C H ORr4ECQNLI F EWED IN 3 UIi INESS DAYS �s�r�rr <br /> QOTt!f�E OF APPLICANT <br /> % DATE 0711 O4 <br /> lnfaTntation: ❑ Lis2❑Plep e Duacriptiorn: <br /> FILE ADDRESS <br /> E H€? USE}'^1 LY <br /> $met Kante � City ---- - Cl tlnit f <br /> f J � 5, ❑ unit 2 <br /> 4. <br /> j q-17 <br /> tA' ye- 0"r <br /> 5•pzicifvv Date r A9Ge of intuit-atlon Requested:From A`` to cE <br /> ENVIRON MEHTAL HEALTH DEPARTMENT FILES <br /> t(UNnrmr.r imD TAMS(1.137)CLEANUP~SnE(LO ) 40USiNG AaATErtrw 0 Soun WASTe FAC0.nl' _:aUE,, <br /> 0OT4E4 CLEANUP SITE(NON-LOP) ❑ =voo FAciLn-y ❑W0.1T,TIRE <br /> ' U�osRcaoU^sD T:ANttS(hloMrPORIMCNIR�MeY2_j has KENNEL ❑DAFi`- y� <br /> HAF.ARDOV9 W GENERATOR �THICKEN RANCH 0 WASTE-WATFR TRE4TUENT PLANT <br /> E3 TILREo PEFmrrnio FACiLnY M VaTE11HoTEL 0 Put4pvt TRUCKlYARDiCHEM 70ILET6 <br /> 0 TATTOOIBODY PIERCING 0 FOOUSPA M LANG USEAppurAnoN Ernis <br /> 0 MEt AL 1VA3TE FAcic.rry 0 OTM-ER(FLEASE SPECIFY) <br /> WELL AND SEPTIC PERkrrr RECORDS ARE A'JAL-AALn FOR R-,�9EW . MoNUAY-FRIDAY O:OQ Am-j;LIQPm - EXCLUDING 40LIMAYs- <br /> 1. List up to ten addresses in the space abwm. Salem the typa(s)of files from the list above by chec,ing the appropriate <br /> bzx;as). At least one file t1pe MUST Le selacte4- Fax to(2091464-0138 or mail to tho address Indiceed abov3. tkdd-r6 F <br /> Magee waii 11ot.4a ae;oepted.-fc•r addl'tdonal asslstance with file addressee,,conta-t the EHI).Applications received after <br /> 3:40 pm will k e processed the next businme day. <br /> 2, The FMD will notify the applicant if any EHE!files exist_ An appointment for review will be conFrmad approximately ton(10) <br /> days after receipt of application. The files?;will be held for a maximum of five busln ass days for rmle - Appointments <br /> should be scheduled aGcordingly- <br /> -4- A`iil€p that is act$eely being work6d on by EI-ID staff may not be immedfatefy avalivble for revieV, A rirw appiictlion ms,y be <br /> n b t c'wh3r Rhe aYH?Isitrle. <br /> 4, Any ftiR not returned in 4w same ccric ttion as released will be reorganized by EHD ifWff eM'the exp 9nse of applicant. <br /> Future file r'eViervs by the sante applicant iT,ay req fire a$95.00 deposit prior to rfa-rlaw- <br /> _ EHD 118E ONLY <br /> 1 <br /> I <br /> !NQ 4548 ip13gM <br />