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em From: 2096615520 Fri Sep 12 19:17:50 2014 Page 1 of 1 <br /> 100 PATE.RECIEPVED FIiD LOG NOMPER <br /> ,ME SAN JOAQUN C- OUNITY <br /> imm RECEIVED ENVI 1% 491 <br /> M . RONMENTAL HEALTH DEPART MENT <br /> 600.East.Main St Stockton,CA 95202-3.029 <br /> WVrW.Sq-0V,.Qj,q4 'd <br /> SEP .12 201-�-,Wepha.ne: (.*OM 468-342'OFax: (2109):464-0138 Web: " - - � ,eh <br /> ENVIROMAD, Al Lit-A— PU_*BUCREC0RDS RELEASE APPLICATION.---------- --- <br /> PERMINP, <br /> APPUCA 8-.1.3SIUESS/A0tNCV. 0- <br /> ADDRESS: -CITYISTATEU P <br /> PHbNE (1): P40NE(2): FM,'S1M1LE*- <br /> TE,'VTATTVE'-.APP0lNTMF.NT DATE�. Ti <br /> {Please aflovr 4fl businass dais froat date of.appilcaii6n zubibittal­Tanfadv?only-must 116 tonfirmod) <br /> Cl,EC K B 6X-fib EX PEED I Tr_JR=_Q U ES T 5322 FEF i C.A.. 00.CMCK-ONLY)-I-R.EQUEST PROCESSED IN 3 BU&INESS DX03 <br /> QAT.E <br /> SIGNATUAE OF APPLICANT -._02 <br /> --------------------- <br /> Electronic Information-, F]List EIMakin <br /> Scri , lo - <br /> ' <br /> FILE ADDREW- 8HC�.*USF_ONLY' <br /> ..................... ....... <br /> StMe.t.Maf�tn_ -City D.Unit-' <br /> ............... <br /> ----------- <br /> ----------------- <br /> I V 7 O <br /> _L.......... <br /> 65 <br /> za;Ij,�it 3: <br /> ------------ <br /> -------- Ilt/,_ <br /> —-------------r--------------- ------------------------—----- - --------------- <br /> ........................ -------- --—------------ <br /> ------1------—---------- <br /> 0 Unit <br /> ..................... ------- <br /> -—-------- .......... ---------- <br /> ................ <br /> -t-------------- <br /> ---—-------- <br /> Spe-cific Datb F<,Mgt-of loformalibn ReCluesledl From to <br /> E-NOJIRONMENTA.L HEAILTH DEPARTMENT FILES, <br /> UNDUZ6ROUND TANV(UST)CLEANUP SITE(LOP) C.11OLfSING ABATEMENT S- OLD.WAS.T.E FACUNIV041CLE. <br /> OTHER wmi-E.TIRE <br /> CLEANJP SITE.(NoNwLclpl) QF009 FACILift'Y' <br /> UKDFRGROUND TANK(MQN1T0R1NdREM0vAL)' D.Dor,KEZ, fj DAMP <br /> HXZARwuS WAsTL-GENE'RATOR. 9ICKEN RANCH E]WOWN PLANT <br /> Ej TIERED PERFAIT"ItIJ FACIL" r MOTE-UHI)TIR E] TOILETS <br /> F <br /> TATTO�(139DY PIERCINr� E:POOLIS- M El.Liam)Uit-APPUCAtION'SITES <br /> D..MEWCAL-WASTE FACILITY- ❑GmE:R(PLEASE SPECIFY) <br /> VVELL'AND-SEPTIC PERMIT RECORDS.-ARE.AvAILAMA FOR REVIBM M.ON.E)AY-FRi-)AY$:POAM-5:OOPPI(EXCLLiDINGHOLIDAYS) <br /> 1. List via-to ten address;&s in'I.10*sPktij above., Saluct th�type(s)*of files from.the last ab.Qye by eliecking the appro rhite <br /> box(es). d. Fax tG.(20%464,0 138*ur'm�i ifte the address.lod iQatesj above, Address <br /> rafi'gOs v) Mi not be accepted-for .istagir-o with file EHM Applic.atiomi reGeived.-aftr <br /> 3:00 pin will be.Orocessed the next.business.Ojay. <br /> Z. The EHD will notifyM 13 e <br /> the applicant if any.EHD files,oxfst_An appointment for review 1-WI be.cotlf'�Md-aPPrD in t lY ten(f 0) <br /> nays aft.or.i-eceip-of.aoo�llcdtiop. The.files iVill b6fleld far*a <br /> should be scheduled accordingly. <br /> 3.. A file that 19 ar_ti.v24y being worked ort by EHDstaff may-not b.e;jnmedjaV,-iy avaifable.for rewL,-W. A new-apPlicatibn ma,,.r be <br /> su6mitferlvvhen the file ls'o Yaffahle. <br /> 4w A tty Me'not Y-efumed1n the c,,amo cond Mon rbieas;ed wi 11.be reorg a r.izGd by EHD&faffat.thaexpense of-the a p pi is-_arjt <br /> Facture fife.raviews:bYth stmt-p-applic6ni make roWlma.$122&ipp�ftprior ta revie"Ar. <br /> itlib US15 MIS <br /> --------------------- --- --------------------- <br /> -------------- <br /> ----------------_--- <br /> D7.129M <br /> Received Time Sep. 12. 2014 12: 18PM No. 7039 <br />