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0?!21/2007 15:07 FAX IA002/003 <br /> • /16/2006 08:54 46401 EN1/IRONMENTAL ' 'H rcwt 111 <br /> . ; SAN J�O,A,QUIN COUNTY EHD Boa Nut�E�t <br /> ENVM0 NMNTAL REALM DFPAPTMENT <br /> 304 east Weber Avenue, 3`d Moor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.s gov.prg/ehd <br /> PUBLIC RECORDS RELEASE APPI.ICAnoN 17q3 <br /> APPLICANT! �� ' � SUVRESS1AG-DWY: <br /> ADDRESS: Llei 5 <br /> PHONE(1): /3 L'1S PHONE(2): }IA=MILE: <br /> TENTATIVE*AppoffmENT DATE: Time. . <br /> (Pkaw allow 10 buainasa days tram date o(apprlcAuort Submitral-'Tenb&t V Doty-must be coerced) <br /> ❑ CHECK BOX TE)EXPEDITE REQuesT-195.00 H CHECK ONLY)-RSQUUT PROGESSED IN 3 DUSMESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> E)ectronic Infontratlon: Q ListDEL es pt;an: <br /> FILE ADDRESS EHD USE ONLY <br /> 9trevt g Sb,"A llama City a Unit 7 <br /> 1. <br /> 2 G' G - E) Unite <br /> 3. <br /> 4. Unit 3 <br /> 5. <br /> Unit 4 <br /> s, <br /> 7. ❑ Uri s <br /> 8. . <br /> 9. <br /> Y <br /> Specific Date Range of Infntlratlon Requested:Front to <br /> EWIftONMENTAL HEALTH DEPAKTMENT FILE% <br /> UNaeRaaalr b TANK(UST)CLEANuP Srm(LOM 13 Hovsm ABAY rTm WAZTE FAcLrrYN H= <br /> Ott�se CLPANur•SrrE(MON-LOP) Ood FoFAcn-qT E3 WAM TIKE <br /> LA"[1�KQUM TAMS(M6WVOFaNdRE1AOYAL) d Doo KaomL O DaKY <br /> FZAPP%M WAM GEKERATVR t3 CHKXF14 RANGrt jkwASTEwATERTREATMtW PLAM' <br /> C3 Tatw FaurrED FACd1TY Q MOTVJHOTEL O PUWNKTRUGIUYAN WCNEY TOCEn <br /> Cl TA77G6/BWy PLaMNp 13 PooL/SFA LAND USE APPLI4ATION S m <br /> MEDICJL WAS-rol FAQKM M 07tt4R(PLEASE SPECIFY) <br /> WELLAND Smnx-Noma RacmS AREAVA AnLE Foca Rbvir:w. MotMAY-FRmAY 8:00 Am-S-.Ow a - Exa tmwo tk=Am <br /> r-. <br /> 1. List up to ten addresses In the space above, $elect the type($)of Was from the list above by checking the appropriate <br /> box(es), At least ona file type MUST be selected. Fex to(209)4e"138 or mail tv thea��ress Indicated above. Address <br /> ranges will not be accepted,for additional assistance with file addresses,contact the ERD.Applications received after <br /> 3.00 pm will be processed the next baaslnoss bay. <br /> • 2. The EHD will notify the applicant if any EHD files exist. An appointrrrerit for review will be confirmed approximately ten(10) <br /> days ratter-receipt of application. The flus wul be held for a maximum of five business days for review. Appolrttrt:ants <br /> should be scheduled accordingly. <br /> 3. A fila aril Is actively being worked on by EHD staff may not be Immodiata(y available for rpviow, A P*W application may be <br /> submitted when tits filo Is mailable. II <br /> 4• Any fate not returned in the same condition ac ed released vwili bo reorganizby EI-10staff at the expense of the applicant <br /> Future file raviaws by the same applicant may require a$95.00 depoatt prior to review., <br /> EHD USE ONLY <br /> UP 4-6 WI <br />