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04/25/2008 09:40 FAX <br /> (4PAGE <br /> --04/25/2006 09:43 20946404 ENVIRI)NMENTAL HR H EHO LC)G NUM%5P-' <br /> DpTF- ECEIVED SAN JoALQUIN COUNTY <br /> FARTMIEl"" <br /> ,NNqRONMFNTAL HEALTH DEP <br /> 600 East Main St. Stoj;kWIA, CX 95202-2708 <br /> Telephone! (209)468-3420Fax- (209)464-0138W'411'- <br /> www,57Zov-c)rg/ehd <br /> ]pU]8jjC RECORD:S REL9ASE APpLICATION <br /> Bftt4ESSIAGENCY. <br /> A-i JI) <br /> LI(Lo. 9-Igi LpAcsimiurz: JL'P <br /> PHONE 4 0 , 7-08 PHONE J2)" 44L+5 <br /> E-----—0 T1 me: <br /> TENTATIVE*AppoiriTMENT DATE: bo pa,Tilrrtcpdi <br /> (PteaSP 211OW 10 businoss days from dale of application viubmWl 7—FI—Iflo"Illy-must <br /> 0 CHECK DOX TO EXPF-UFM REQUEST-Saa.00 FEE(CASH OR MECK ONLY)-REQUEST.PROCriSSED IN S BUSINESS DAYS <br /> SIONA DATETURE OF APPLICANT <br /> [Elect"ronfic Information: ❑ ust 0 map—Dese iption: <br /> FILE ADDRESS <br /> Information: <br /> USE ONLY <br /> Unit i <br /> Street 0 <br /> 1- LIZW3 F71ZC-MA,'1-r To('V--F0 ❑ VAN 2 <br /> 2. ±4L4 S 'r ocy_-M N.1 <br /> Fa-�—t-I T 61- <br /> 4. <br /> ItA <br /> 4 <br /> T <br /> Unit s <br /> 9. <br /> Spg-cific pate Rarl'aa of Information ReCluilr8t6d,From to <br /> KNVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 Hwmme ADA12MRWT <br /> 0 WASTI!FAVLny1VE"I= <br /> UNDERaRouwo TANK(UST�CLEANup Srm(WIN) <br /> C3 rom)P&A-ILITY M WjkRw Tista <br /> ornism CL9ANur SITE(NQK4.0F) C3 DAilty <br /> vmogRoRaumo TANK(MowroRwr-fREMOVAL) 0 Don KERKAL in WASTEWATjAj`RjeA-rm16r4T PLANT <br /> HAZAR09US WASM GENERATOR C3 CHIC EN FCANCH <br /> 0 PUMP Fk TFtUCKfYAFtD/dH6QI T&LET9 <br /> dmEm PERmrrmp FACILITY 0 MoWJM0TFL <br /> 0 LAND USE ApPUCATION StTE3 <br /> 0 TArmK)S0DyPI'1KCI"0 0 FOOLISPA <br /> 0 MEDICAL WAAT9 FACII-ITY 0 O"Ilpt(PLEASE Spracle <br /> WELL AND SEPTIC pew REcoltbo ARe AvArE-AaLE FOR RWffW.M0NoAy-Fpj9Ay1,00AM-5.0DFM <br /> 1. List up to ton addresses In th.o spwe above. Select the typ9js)of files from the list above by Checking the appropriate <br /> box(ss). At I sat one file type MUST be seledod. fAleto(209)4flj:9jjj or mail thelodroijin aj2dgbqmE-. Address <br /> ranges will not be pczaptied—for additlorial assistance with file oddMsses,cOnt&M the F-Hu.Applicationy.racolvsd after <br /> 3-DO pm Will be processed the next businazzi day. <br /> 2, The E14D will notify the applicant If any EHD files exist. An appointment for review will be tonfirynqd approximately ten(10) <br /> days after mcalptol'applIcaflom Tho files Will behold for a maximum of five busingas days for review. Appointment's <br /> should be scheduled accordingly- t be immodjate�ly available for ravlaw. A now application may be <br /> 3. A filerthO Is actively b9ing-worked*rj by EHO staff may not <br /> submitwd when the fF'[a is available. 11 he reorganize d by RHD staff at the expenso of the applicant. <br /> 4. Fugal <br /> not returnod in the sarne condition as released wi <br /> Futura file revIaWS by the same applicant may require a 595-00 dePOsit Pilor to review, <br /> EHD USE ONLY <br /> u need further C contact bione Martlnex 0 (209)468-3425 directly, Thank You <br />