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05/13/2010 13:12 . 9254687 ,13 BV-BUILDING/5AFETY PAGE 91/01 <br /> �ATRECEJICB_ _ <br /> JTR <br /> SAN JOAQMN COUNTY <br /> ENVIRON'MENT,A.L MA.LTu DEPA.z2TMF-NT <br /> ,; ...f 304 Ease Weber Avenue,3`d Floor,Stockton,CA 45202-2703 <br /> Telephone:(209)458-3420 Fax: (209}454-0138 Web:www.sjgov,org1ehd <br /> ivV1` 1 F=`s PUBLIC RECORDS RELEASE APPLTCA T10N <br /> Pr _ <br /> i- 4' i ill �_ <br /> Ai�PLECANi /tee, $uslw>:ssrAl3�N[CY. <br /> AD <br /> ORE <br /> SS: LC�iWTIYi /y— <br /> P <br /> HONE{i): ` 0N0NE(2): FAC5EMiLi;: %d� Zr►p <br /> TENTATIVE*APPOINTMENT DATE; Tams: <br /> (PI04311 allow 10 13USIMS daps from data Ofapplica[lon submittal-`TRP at Only-must be Canlirrned) <br /> CHECK BOX TO F-XPEOITE REQUEST- 93.00 FEE(CASH OR rMr=CK ONLY)-REDDEST PROCI=SSED(N S 9USINESS DAYS <br /> SIGNATURE OF API�LIOANT DATE 5/(.31O . <br /> UNIT D[STRIBUTiON Unit 1 0 U 0 unit 3 In Unrt 4 D [Unit S 0 Unit 8 M Other(electrunicAiBtslmaps) <br /> FILE ADDRESS EHO USE ONLY <br /> Straat 1! 8trevt Name city <br /> 1: lKdsvLD t <br /> 3 <br /> 4. I 0 vvt l✓ <br /> s. V <br /> 7, <br /> 8. <br /> 9. <br /> 10. <br /> $pacific Oate Range of Information Raquasted:.rram _OIL! vcl A. -C to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIDES I <br /> I <br /> ffERGRDUNO TANK(USTI CLEANUP SME(LOP) t3 HOU91I r,ABATEmcm ALID WAST'I•FACILITWFMCLE <br /> ENMER <br /> C18ANUP SITE(N CSN-LOP) CI Foop FACtUrY arWASTP TIM <br /> pyuNgERGR0UN6TANK(MomrroMNOfMMCVAi_) C3 Dym KENNEL '0 DAIRY <br /> AZARDOUS WASt GENI;RATDR CJ CHICKEN RANCH ❑WAWMWA-Mn TPXATMENT PLANT <br /> ENED PERMITTPO FACILITY D MOTEt./HoTLL 0 P1U.MI ETS <br /> M TRUCKNARDlCHFM TOIL <br /> t3 TA rTinc/Bouy Pigmima [7 PDDLI$PA d LANs?U5r APPUCATION 51'rer <br /> iV C0jC;nL WASTE FACIL'ITV 13 OTHEt(PLrAS.0 SPPCIF V J <br /> WELL AND SF"C Pr=RMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FP MAV 8011 AM-SXUPISI - EXCLUDING HOLIDAYS. <br /> t. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate boxies). At least one fife type MUST be selected. Fax o(2MAM7,Q15Aor mail to the ad ess' <br /> ind7Gatffd above. Address ranges will not be accepted—for additional assist.-otce with file addresses,contact <br /> the EHD.Applications received after 3:06 pm will be processed the next business day. <br /> 2, The EHD will notify the applicant if any EHD files exist. An appointment for irevlew will be Confirmed <br /> approximately ten 110)days after receipt of application. The files will be held for 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 EFHO staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any flie not returned in the same c❑nditlor3 as released will be reorganized by EHD staff at tha expense of the <br /> applicant. Future file reviews by the same applicant may require a$93,00 deposit prior to review. <br /> RKA aMrt7-0e6 _ <br /> Tl7A+ns <br />