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07-21409 )10 11 33 AM 0 ' IERS INTERNATIONAL FAX NO. 20755102 P. 01/01 <br /> ``10/20/.,2009 15:Q4 2Q94 8 ENVIRONMENTAL HEAW PAGE 01/03. <br /> SAN JOAQUIN COUNTY EHD LOO NUMRER <br /> ENVIRONMENTAL WEALTH DEPARTMENT <br /> OCT 2 2009 500 Past Main St. Stockton, CA 95202-2708 <br /> Telephone; (209)458,3420 Fax: (208)464-0138 Web; www,algov.org/eh <br /> ENVIRONtvIEN f HEALTH <br /> 4l <br /> PERMPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: •--fO�Laa(\ w�[i I BU91NE8SIAGENCY: GOI <br /> ADDRE99; P131 '3ro ekslote lCe, N,.Fti 109 CITY/STATF/ZIP: <br /> PHONE(1): 709- `•l7$ -$'11 ( PHONE (2): FACSIMILE: a01- A/75�- 51DR <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Picaoo allow 10 buslneaa data/rem dadr o app GUOn room tU •" enfq(iw only-must be con rmn ) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-Silt 00 FEE_Lq�SN OR CHECK ONLY)-REQUEST PROCESSED IN 3 DUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /o IV d f <br /> Electronic Information: 0 List❑htelp-Description: <br /> FILE ADDRESS EHD use ONLY <br /> Blraot 4 Btnat lepers City ❑unit I. <br /> 2• l8 SG �YsldO .���.`7^i 'r 5-fnak�w� nnz <br /> 3. <br /> 4. <br /> unit s <br /> 5. <br /> e. <br /> Unit IF, <br /> 10. <br /> Unit I <br /> Spocifio Date Range of Information Reques rod: From to <br /> ENYIRI)NMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK III CLEANUP PATE(LOP) HownNG AOATww El som WAsm FAc4Ry/VEKIcL! <br /> OTHER CLEANUP SITE(NON-LOP) FOOD PACIUIY ❑WASTE TIRE <br /> UNDEROROUNoTANK(MONRORRIOIREMOVAI.) 000HENNFL DAIRY <br /> HAIARnous WASTE GENERATOR CHICKEN RANCN WASTEWATER TREATMENT PLANT <br /> ©TIERSD PERNIDTIm FACILRY MOTELIHOTEL PUMPER TRUCK/YARDICHOwAL TOILETS <br /> 8 TATTOOIBODY PIERCING POOLISPA LAND USE APPLICATION$(TES <br /> MEDICAL WASTE PACILITY OTHER(PLMR SPECIFY) <br /> WELL AND SBPTIC PNRMIT RECORDS ARE ANAILAALI°FOR ROMFW MONDAY-FRIDAY b:OD AM-5:11OPM(ExcLUDINO HOLIDAYS) <br /> 1. Lilt to ten sddreses In the space above. Select the type(s)of files from the fist above by checking the eppropdate <br /> box(de). At least one file type MUST be ueloetsd. Fax10 @0914R4•D13S O 211 to the A,ddroQB Indlcatia•how Address <br /> ranges will not be accepted—for addltional aaafatance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will bo processed the next bushless day. <br /> 2. The BHO will notify the applicant if any E ND file®exist. An spp0lntment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The filen will behold for a maximum of five business days for review. Appointments <br /> should be sahoduled accordingly. <br /> 3. A file that is actively boing worked on by BHD staff may net be immedixtaly avallabie for revlew. A new application may be <br /> submitted when the He Is available. <br /> 4. Any file not returned In the same eenditien as released will ba reorganized by EHD staff atthe expense of the applicant. <br /> Future file roviewo by the soma applicant may require a s11�.DD deposit prior to review. <br /> 'If ax u nead fNrther osaistance piteaa wnMet Diane MOrrfnax direct) � (2o9 68••3426. Thank You**, <br />