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I ' <br /> II. ..DATE RECEIVED <br /> eH0 LOG NUMBER <br /> Ec,ENED <br /> ENVIRON54t KArrT - <br /> 2�11 600 E. Main Street, Stockton,CA 95202-3029 <br /> p+AR 1 $ Telephone:(209)468-3470 Fax:(209)464-0138 Web:wwwsjgov.OrWebd <br /> �� rat t aLzt� PUBLIC RECORDS RELEASE APPLICATION <br /> EN Live Oak GeoEnvlronmental <br /> nma ANi bby Racco suslrtEBslAcsNcr:, <br /> Mxw,ss: 407 W. Oak St.,Lodi,CA 95240 <br /> PHO14E(1): (209?369-0375 m;ow(Rk FACS• (209)369-0377 <br /> TENTATIVE'A"OINTMFNTDATE: 2-.3 Time: <br /> 9:00 am <br /> �[ (Pwm wI w to btr*"ss dvys Anmdate pmt out "I" '.1 ebCAa oMY-IrAW be con kmvd) r <br /> I CHECK BOX TO ExpED;IE REOMT-QAS,AD FW(MAW(ORctlsclr UtB.Y)-It&G1�aT"PRDGGS&kms m a BUaR 3S DAYS <br /> SIGNATURE OF APPLICANT , �p —DATE I�IIkII <br /> Ele <br /> -boll.I formation: Lista MOP—Doscriptlon: " <br /> PILE ADDRESS EHD USE ONLY <br /> str to Stnatwan. ca C] u„nt <br /> �. 99b1 5 VtiGt-�+.1r Esca,.lp Or*2 <br /> 2. ZOoot s. yvlc )-('2.v�r ES�a.•lcv. <br /> 3. IoIO� ' Ty1c 1'3�v r �Sca tD unto <br /> 5 unit a <br /> t3. <br /> 7_ <br /> 0 U.Ns <br /> 9. Units <br /> 1D. Ila <br /> op,cHlo Data Range of Infanivalloo Requoated:From all available to <br /> / E(tty(ROMMENTAL M>=ALTH DEPARTMENT F11.ES <br /> t, NDataRDUND TANK(Uaz)CLeANta�aCe(WP) a Hcuam AaATid�®n' 0 SMO WAM FA=WrdV&WXZ <br /> Hm CLEANUP SITE(NON-.OP) - 0 FooD FADIIrtY 0 DAIRTe'nue@ .. <br /> iTyMp�¢SRWab TAM(( YAL) O PO,KeNNaL G bAiaY <br /> fl_f}"tArnMwusWAereO wmn.. 12CROMRANW _ C1 WASTIONAMTOATIm"PLw <br /> 1d Tndtwp 1rTWFAOILRY owwvetmi O P+.nvEttiku0IdYAfW)OMMTO1fM <br /> 0 TATTOWBODY PIERc O pootlSPA 13 LAND Bae APKWANM 8171W <br /> 17MLdOALWAsr.FAoa-rtY 13 OyHRN(PLEASE SP� y) <br /> WILL 94R OR pxwov , MONMY-FR40AY 9:00 AM-6:00PM ,EXGUIDM6 HOUI)AY& <br /> i, Uat aP tan eddraevee rn tlt,apet�atatv,. Selaattlta qupeds}orgies hunt M,get atroYtt byutas app dauia <br /> ddress <br /> ""(sebnx(ea1. At least auaflly type MlutsT be sem. <br /> vAlf not h,aPWpAad—tor addtdorwl asalatana,with flk aadreasna,aoretAtat tha END-Apppoatlon:received alts <br /> x:tm tam wNl pe prac„s+W ttto next busine,s day tnr ravtwv vdtl be aanfitrned app Y ten Ale) <br /> 2. TMgHDvt4N:odulod <br /> 1ha #anYEHDigesetdsf. Mappdnanent <br /> days atte.T faptellaim MTIva 1malfP,ss days for tevNw. Appdatma�shtwldbeutooOfdMgiy WnowappNoaponmaybe <br /> 3. A file plat la I bNhg wotKed p(u by ERD start may Hat ae latm,dlattly <br /> submleted vNten Sw 0,is avtdtatMe. start atit+e expense of Ow apppcant <br /> 4. Any ftnot r ehnTnd In the some o,wuo as relaaaad vdn be taetganlEd by END <br /> Futuro fila reWGW$tri try,earn,aPP"Mftt m,y r"airs a tspitAB deposit ww W MA*W . <br /> END WE ONLY <br /> uNown mom <br /> xab <br />