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05/23/2005 14:63 916-371-1869 RANEY GEOTECHNICAL PAGE 61/6 M <br /> EHD LOG NUMBER <br /> OATS RECEIVED SAN JO.AQUllN COUNTY [[ <br /> ENVIRONMENTAL HEALTH DEPARTMENT i <br /> 3o4 FAst Weber Avenue„3"d Floor, Stookton,CA 95202-2708 JUN 23. <br /> Telephone:(209)468-3420 Fax: (209) 454-0138 Web:www.sjgov.ar91ehd <br /> SAN J0A(jtjjjf,GOtIAd <br /> PUBLIC RECORDS RELEASE APPLICATION ��v1R T' <br /> BUSINEASIAGENCY: <br /> APPLICANT: <br /> G ``�.rFf <br /> ApPRESS:k0l <br /> V'Ka <br /> PHONE(1)- 7 OPHONE(2): FACSIMI f( <br /> TENTATIVE"°APPOINTMENT DATE: Time: <br /> (plea9e allow 40 buslness days*M date of appltcailan submUtal•"Tentative onlY^must b9 COltfimyad} <br /> CHECK BOX TO E7 F-04TE REQUEST- HECK ONLY)-RF_QUEST PROCESSED IN 31 USIN S IP3 <br /> SIGNATURE OF APPLICANT DATE (� <br /> UNn DISTRlt3U710N C7 Uni!# nft 2 Uni nR units <br /> maw <br /> ❑ Unit a 0 Other I(electrarllcAistslmaps) 1 <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Stmt Name CRY <br /> oar �• „ <br /> ,C7 rv=��o•o..-. 01 <br /> _.. -.... <br /> Is Arm <br /> spectric Date Range of Information Requested:From to p <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES LP ZP <br /> ❑tiousING A hTEMExf ©SOLID WAwm FA6ILrrY1VF"ICLE <br /> UNOERaROiIND TA71K(I"CLEANIiP SiiE(LOP) 0 FOOD FAGM1.ITY 17 WASTE THE <br /> OrmutCLEAxua Stm(NOH-LAP} <br /> ❑UIMMOROUMD TAW(ryAOHITORWWRENOVAL) C]Do*KEMNEC ❑DAIRY <br /> X HA7JI wws WAVTE C.PNERATOR C1 C+UCxm RANCH' )KWASTEWATER TREATMENT PLANT <br /> in TmRED PERMMO FACILITY 13 MOTVJIiOTPL C]pUMPHR TRUCrJYARa1CHEM TOILETS <br /> C3 TATTGOMODY PIERCING C7 POOLISPA El LAND USE APPOCAMON STIES <br /> 13 MEDICAL VEA9tc FACB TY 13 OrNea(PLEAse SPECIFY) <br /> WELL AND SEP't'Ic PERMrT RECORDS ARE AvPALABLE FOR REWIM- MowmY-RRIOAY 8:00 AM-5:00PY - EXCLUDING HOLIDAY$. <br /> 4. List up to tett addresses in the space above. Select the typo(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be sslected. Elx to(209)464-0138 or mail to the address <br /> Indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Applications receivad after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review wlll be confirmed <br /> approximately ton(10)days after receipt of application. The files will be held fdr a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the sane condition as released will be reorganized by RHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> rNn<e�-0ari . <br /> 1114os <br />