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�A <br />02/24/2006 12:31 1510521" '5 OLSON: PAGE 01 <br />0 <br />DATE RE oERC LOO N1IMBER <br />2 4 M6 SAN 3OAQUIN COUNTY <br />ENVIRONMENT HEALTH )ENVCRONNIENCIAL JUATH DEPARTMENT <br />PERMIT/SERVICES 304 East Weber Avenue, P Floor, Stockton, CA 95202-2708 <br />Tdapboae: (209) 468-3420 Fax: (209) 464-0138 Web: www.$j&0V-0f9f bd ZIaa,'37L/ <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT. M- -CIM-L, gUSVMSIAG/�Yi 0 <br />4 <br />AODRE55: '(� C�-6 Y. "i--2 -- 9 CRTY b'Tta Ww_� <br />PHONE (1): 510—Egl-'ZnYZ:) PKDNE (2): s"(t7_SZ(-I FACSIMILE: <br />TENTATIVE" APPoINTMRWr barn: Time. <br />(Pleae 04.w 10 businear dere fr dale Dt appr",)n eui mitw • `Tentative only - muse bs confirmed) <br />173 CHECK BOX TO EXIPMTE REQUEST i00�ME (CAS'" OjRR CHECK ONLY) - REQUEST PROCE53ED M 3 SUSINIM GAYS <br />SipNATURE OF APPLICANT a=i ;a.� DATE -2 ` -7-q -0 C <br />ChetroNe <br />Information <br />p Lint O Map • DeCenpaDn <br />str9qt0 <br />FILE ADDRESS <br />Skeet Name <br />EHD USE ONLY <br />ckl <br />,. I <br />a 121; <br />�� / <br />❑ Unit 1 <br />❑ Unit 2 <br />a. <br />4: <br />Unit 3 <br />B. <br />T <br />Unit 4 <br />B. <br />❑ Unit 6 <br />9. <br />14• <br />❑ Unit 6 <br />Specific Date Range of Informatlotl Requaated: From Lcep -to• <br />ENVIRONNENTAL HEALTH DEPARTMENT FILE$ <br />,,Ci'UNDEROROUNO TANK (UST) CLUMP VII (LOP) 0 HOLISM AAATVKNT Q SOM WAST$ FACIWrdV5KXLE <br />%e OtWR CUMUP &TE (NDN -LOP) m row rAcAxrr 0 WASTT TIAs <br />A9-1.11easaoUNn TANK (MOKFTO"O ReaOVAL) 01 1100 KPINGL 0 DARy <br />J'HAZAa $ W"U 06MP. 0A (3 0roonas RANCH O W"T2WA7ER Taz.ATaaaT PLANT <br />C3 TszR Pe+rmap FACuv 0 M�,�OTIUy140M Q PVWN' A TXI)CrJYAPn#CKXPAL TOU re <br />to TATrOQnR 1DY P"cD D PVMMPA O LAND LME APKJCATm SIM <br />(71 MWW-n WA. -TC FACIUTY O QnWA t MM6 $Fa0PY1 <br />WELL AND Sur; PEWO Pfaofu; A AYARADLE FOR Pmy-1w •MONDAY-FRfw 9:00 Au111:000a - EXCUIOWd HOMAYS. <br />1 _ Liat up to ton addresses in the apace above. Select the typete) of filer. from the [kit above by checking the <br />appropriate bOX(es). Al least one file type MUST be selected. Fax to (20814"44138 or man to the addrej{ -3 <br />indicated above. Address ranges will not be accepted --tor additional aos*ance with file addresses, contact <br />the EHD. Applications received after 3:00 pm will W prOC4S$id the next business day, <br />2. The EHD will notify the applicant if any EHD flies 6xiat. An appointment for review will be confirmed <br />approximately ten (10) days after receipt of application. The At" will be held for a maximun of five business <br />days for review. Appointment$ should be scheduled accordingly. <br />3. A file that is acttvoly Doing worked on by PHU staff may not be Immediately avaliable for review. A new <br />Application may be submitted when the file Is available. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff a: the expense of the <br />applicant. Futuna file rwiews by the same applicant may require a $93.00 deposit Prior to review. <br />;�,=01 <br />TO 2 j <br />urterra � ii.rx,minuTNKM <br />a <br />artocol c>:T-T oca; 1,7 '7a <br />