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Nov 15 10 01:07p San Joaquin Co OES 2099536261 P- 1 <br /> ;, atial'l•'• COUNTY OF SAN JOAQUIN <br /> OFFICE•OF EMERGENCY SERVICES <br /> 2101 E.EARHART AVE.,SUITE 300 <br /> `4 STOCKION. CALIFORNIA 95206 <br /> •",�_ <br /> TELEPHONE(209)9536200 <br /> FAX(209)953-6268 <br /> Records/Data Request Form <br /> Business chemical inventories,emergency plans,and risk management plans prepared under Chapter 6.95 of the <br /> California Healthand Safety Code are available under Community Right-To-Know provisions. Hazardous <br /> Materials Management Plans(TIMMTP)and inventories can be accessed through our website at"wvnv. <br /> sjoesdata.org". All available documents can be viewed in our office by completing this form. Upon receipt,our <br /> office will make an appointment with you to view requested documents. There is no charge to view documents held <br /> by our office but if you request us to make copies there is a charge of 10 cents for the first 21 pages and 7 cents per <br /> page thereafter. <br /> Please be aware that facility maps and chemical location information are confidential(Section 25506 of Ciaptcr <br /> 6,.95)and cannot be released. In addition,if a business has indicated that trade secrets arc contained in documents <br /> submitted to our office,your request must be held for 30 days in order to allow the business lime to obtain an <br /> injunction halting release of that information. <br /> Please note that Risk Management Program submissions are only available at our office for viewing during an <br /> advertised 45 day public review and comment period. Following this period,these documents are available through <br /> the business itself. <br /> In addition to(lie above business information,hazardous materials incidents reports of our office are also available. <br /> We do not conduct searches. You may view our reference binders. Please indicate dates that you are interested in, <br /> if known. If you have qucsdons on this program,please contact us at the above add{css or by e-mail at <br /> sjcoes@sjgov.org. <br /> J,A�.�� c.� tom@ ae� co..•3„ l�w�,co..•�- <br /> Please complete the following informntion: <br /> &v 01 A"0, Gz2ee9efLig— M):44G- (at q <br /> Datc -i Name Telephone No. Facsimile No. <br /> AF—M 2 5-00 (R 1%-V> 0(x Sa(0, e-r Q?, � LA �- <br /> Name of 1)LsincssfAgrncy if applicable Address of Rusiness/Agcncy if applienble <br /> Indicate below the information that you would like to view: <br /> If <br /> Risk Management ProgramI�}G�LHMMI/Chemical [m•entory D�::1Incident Re ort <br /> C , <br /> Date(s)[Needed: 5-V z��t <br /> Describe specific documents desired below: <br /> ---'� (pO0 5 p-re c 41 en f A v e l Uo -t< G A, C1 6 <br /> Name of Business Site Address,City,and Zip'Code <br /> d <br /> 5pre.Gk.� 50!go,r <pt=rpGKu /1/teyC [. A <br /> 'Name of BusiKess Site Address,City.and Zip Code <br /> Name of Business Site Address,City,and Zip Code <br /> Name of Business Site Address,City,and Zip Code <br /> I <br />