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Uct eU eUM3 &II UPr1 THE UPS STORE #2503 9167251772 p, l <br /> I <br /> � rLIP °��_ AN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRO MENTAL HEALTH DEPARTMENT <br /> U L! 2 0 2009 600 Eat Main St. StocktoTEl, CA 95202-3029 <br /> ENU€RUi�(w ElV7�ERLTAIephonc (209)468- 20 Fax: (209)464-0138 Web: v�rww-ajgov. d <br /> PERMII/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BtJSINE88fA0EIVCY: Y? .,rJ 1aa✓ <br /> ADDRESS: C. ca A CITYISTAT'EIZIP:<S•f CA— <br /> PHONE(I)- !(_` [ r HONE(2). - ;-- - - -- -- FACS IMiLE.4F"/�,$=" <br /> TENTATIVE*APPOINTMENT AA E: _! The, <br /> (PIO M alloy 10 bwineea stays data of eppi[C.0tlen submltlal-'7 0nAWre only must be aonfirrned) <br /> ❑CHECK WX TO EXPEDITIE REQUEST- 115 FEE(CASH OR Ci1EiCK ONLY)-REQUEST PROCESSED IN 3 BUSINESS AY3 <br /> SIGNATURE OF APPLICANT ` DATE 16/a <br /> Electronic Information: 0 List❑Map Description: e <br /> I=ILE ADDRE 8 ! EHD use ONLY <br /> Street 0 street Name I City U nk 1 <br /> 2. O a ( I Unit2 VL <br /> 4. I nM 8 ! <br /> S. _ 1( I r <br /> 0 Unit a <br /> 1 a. ; ❑Unit 8 i <br /> Spoelflc oslr Ramos of Information Paqueeted om ! to, <br /> ENVI NNIENTAL HEALTH DF-PARTM€IST FILES <br /> UNDERGROLIND TAW(UST)CLEANUP SITE(LOP) ❑Houswa AI3ATm�w ❑SOUD WASTE F'ACMfVEHICLE <br /> R CI mum SITE(NON-LOP) E)FOOD FACILITY I ❑WASTETIRE <br /> NDERGROUND TAM((MDNiTORiNGMEM4YAL) ❑DOG KBINEL I Q DAIRY <br /> ARDOUS WASTE OENERATOR HCHICKEN RANCH i ❑WABT WATER TREATMENT PLAitT <br /> TIERED PERMITTED FACII.iT1' MOT6U}fvrEL i ❑PUIYIPERTRUCKIYRRDICHEMiOALTOItET$ <br /> 0 TATTODIBODY PIERCING ©POOLISPA j ❑LAND USE APPUCATioH srTE$ <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL.AND SEPTiC P>=kw RECORDS AREA ILABLE FOR Review. 6NfDAY-FRtoAY8,00 AM-5;00p I(Exawowd NouDAye) <br /> 1. L.tst un Ig too geldress*s In the space abo re. Select the typo(s)of files from the list above by chackir�the appropriate <br /> box(esf. At least one file type MUST be a locoed. 013 r null 19 the a4dross In Address <br /> ranges will not be aooapt>ed-for addtd I assistance with file addresses,contact the EHO. Applications mcelved after <br /> 3:00 pm will be processed the nwd busin a day. <br /> 2. The EHO will notify the appficprit if any E D files exl4t. An appointment for revlaw will be oontirmed apprwdrnataly Eon(10) <br /> days after receipt of application, The filo will be held for a r+maxirrlum of five business days for review. Appointment* <br /> should be scheduled accordingly. f <br /> 3. A fits d W is actively being worked on by HD staff may not be Irnrnodfatsiy available for review. A now application may be <br /> submitted when the file Is svallobl*. ! <br /> i <br /> 4. Any Me not returned In the same conditi as released will be re0rgpnized by EHO atuff at the expense of the applicant. <br /> Future file reviews by the some Applicaril may require a 6118 d000sit prior t4 rev law. <br /> 5. K you need further asslatance,please coi itact Diana lyiartinez,at{209)488.3426. <br /> uaa ONL4 ! <br /> i I <br /> I <br /> I <br /> MD 0-ft <br /> MTMI <br /> . i <br />