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, 169622678 P. 002 <br /> ' 06 PRl 17:.02 V R, 1NC. _ [,1 <br /> EB. 25 ( � PkUE <br /> ENVIR❑NMErATK- HEAL-TH <br /> F1^i^•,�/�i1fj� 1/:f76 469136 Fnuti�sa,vumpCrt <br /> { " "`l°F" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 Fast Weber Avenue, P F140r, StoGktw,CA 95702-2708 ehd <br /> Telephone; (209)468-3420 Fax.: (209)464-0138 Web:www's3gov. €� <br /> r , <br /> € vf�;JN :_M1IEPUH PERPUBLIC RECORDS RELEASE A,PPI,XCATION <br /> 13USINf SSIAGENCY: -- <br /> APPLICANT; V • �► <br /> A13PRFSS: <br />� <br /> FACSIMILE.- <br /> 3 � �[3- � GN <br /> PHONE 1): r _ <br /> �• <br /> Ti <br /> TENTATIVE"APPOINTMFNT PATIE: <br /> m�: <br /> (Pleases allow 10 business days from data of appflcatlDrt gubmittai--i'cr►tAtivC only-rnu�t 6H coniirm� I-. <br /> R> 4UsT PRnC>=S91tP IN s BUSINESS DAYS <br /> Q CHCK BOX TO xPEO(TEQUEST•$93.0o FCt`(CASH OR GMy) <br /> YM— <br /> Ef E R <br /> f <br /> QATE <br /> SIGNATURE OF APPLICANT <br /> Tele 5 Unit 6 p Dthnr(QlpetroNelliststmflpsl <br /> UNIT P15TRIPuTIQN UnI!1 Unit 2 "It 3 fUnit 4 i . <br /> FILE AAQR1kSS .•-- 4 EHD USE ONLY <br /> _Street street N_amo city <br /> 2. 2 Oil r .I <br /> 3. <br /> 4. <br /> to <br /> Specific Date Range of Information RegU05ted; From <br /> ENVIRONMENTAL-REAP„TH 0 FARTMENT FILEG2 sa�a WALTR PacILITYNEHICLE <br /> t{Qu6INC ASATEMflNT <br /> EKDERGRoumD <br /> NDPAGROUND TANK(LIST)CLEANUP%rrE(LOP) O FOD¢FACILITY Li WA$TF TIME <br /> THER CLEANUP SITE(NON-LOP) Q P44 KENNEL C RAINY <br /> TARK(MONITORINGIREIA�+AL1 M 000 KEN N01- i .id WASIewATgR T8t VrMENT PLANT <br /> �F(AZAR14 GENERATOR f_1 s4IGC FNRA L gppuMPFRTRUCKNARnICHt=M TOWEIS <br /> IV lIpRVFI PFRMITTED FACILITY U P9130SPA A l aNp USE APR41CATI4N SIM <br /> 0 TATTOCIROP”131FRCING P Opi0l(PLEAEr Spocipil � <br /> P'MECICAL WASTE FACILITY S 60PIN - FXCI-L LING HOLIDAY9. <br /> WELL AND SEPTIC P01MITfteGoRPS ARE AVAILA0L6 FGR REVIEW - MON AY-otlfi(es from^fhe list above tty checking the <br /> ail to the addrosa <br /> 1, List up to ten addrettSBs in thO space ahave.UST be altleryted, } x to D9 6 -0 3 o contact <br /> appropriate boxes?. At least one f(le type Massistan accepted—for <br /> indlca�ed� above=- Address ranges will not be will be proaassedtha next business day file a resSes� <br /> j <br /> the !IQ,Applicationa received after 3.t1 pm pintmant for raviow w13I he confirmed <br /> y, '�tte E}iD Will notify the applicant if any FHP filos exist. An app <br /> o! tae~(10) days aft€r rccalpt of appllcatllan, Thefiles Wll be Feld for Ia maximum of flVe busin+ass <br /> approximat y clntmentS should be scheduled accordingly. <br /> days for reViftW. App available for review. A new <br /> 3, A file that Is actide)y being worked o11 by SHR staff may not tte imlTtsdiately <br /> application may be submitted when the file is available• <br /> the Sams Condition as relea$ed will be eC 3 00 depo ltt prior to totraview-----the -- <br /> A. Any file not returLqe�,n lrcpnt They Cequif <br /> applicant. Futurereviews!�y the safriB'aPP �J <br /> ERo ee.az-4o5 <br />