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2008665,21t-40 1 FAX >>Ak 2094640138 P 2/2 <br /> SAN <br /> JOAQVIN C0jj[jNTy W <br /> Lc <br /> E_� L) <br /> ENVIRONMENTALHEALTH DE <br /> TART <br /> KENWO-W-11% r--m <br /> 600 ' <br /> East Main Stocktoji.CA 9.5202-3029 04,04 P% <br /> MAR — 5 2008 Televilione:(209)468-3420 Fax., (209)464-0-138 Web:www. - <br /> cv <br /> ENVIRONMENTHEAono) <br /> P t_-M A ii,iG 9-AV,r,r:qLTR <br /> PUB LIC RECD RUEASE APPLICATION <br /> APPUcANT,Ei�edr <br /> ADDRESS:_.�]4 <br /> ,Lf+ <br /> PHONE tly; PHONE(2): -KAS I MIZX3 <br /> 6v-� _�', <br /> TENTATIVER APPOINTMENT DATE: Tim a:_A� 4 <br /> (PlOaSO allow 10 business days from date of application submittal•^Ten(0fj'r0 Only-rntmt be confirmed} <br /> CHECK BOX TO EXPEDITE REQWi-sss.ao FEE{CAS M911 CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 00' Vc; ' DATE <br /> LElectronic.InformatiGm El List El Map—Description.- <br /> _.FILE ADDRESS <br /> EHD USE ONLY <br /> Street Name <br /> Ly ❑ UnIt2 <br /> 3. WT MCI <br /> 4. <br /> 6. Unit 4 <br /> 7, <br /> El unit s <br /> El unit 6 <br /> - —------------— <br /> 7 <br /> Specific Date Range of information Requested. FroM 0 a003 _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UmDERGROumD TANK(UST)ci.EAmur SITE(LOP) 0 HOUSING ABATEMENT 0 SaLa WASTE FACIL11-YNEH <br /> >�VEl OTHER CILFANuF SuTE{Now,LOP) 0 17000 FACILITY 0 WASTE TIRE ICLE <br /> NDZRII�IoVuo TANK(MOINITORINGfREMOVALI El Doo KENNEL 0 DARY <br /> El HAZARDOUS WA$TE UENMRATOR 0 CHICKEN RANCH 0 WASTIEWATIER TREATMENT P <br /> 0 TIERED PE Rm4TTEE)FAr.ILITY LAN*T <br /> 0 MOTEU1,10TEL El PUMPER TRUCKIYAR DICREM TOILETS <br /> 0 TATTOGIBODY PIERC4NO 0 POOLISPA 0 LAND IJ9E APPLICATION SITES. <br /> 12 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY)................ <br /> WELL AND S:EIPTIC PERMIT RJEOURMARE AVAILARI-Ij FOR REVIEW-IVICINDAY-FRIDAY 8:00AM-5,00pm - ExCLUDING HOLIDAYS. <br /> 1. List up to ten addressee in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. q addrges 1011K'abed above Address <br /> ranges will not be accepted--for additional assistance with file addrBeses.contact the EHO.Applications received,after <br /> 3:00 pin will be Processed the next business day. <br /> 2. The EHO wlill notify the applicant If any EHD-files ex[SL An appointment for review will be Confirmed approximately ten(10) <br /> daya,fiftAr receipt Of application. The files will be hold for I maximum of five business days for review. Appointmenfo <br /> should be Scheduled accordingly, <br /> 3. A file that Is actively being worked on by EHO etaff may not be immediately available for review. A now applicatiGn may be <br /> submiltted when the file is available, <br /> 4. Any file not retiurned in the same condition,as relealsed will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$98-00 deposit prior to review. <br /> EHD USE ONLY <br /> 0 ------------------------- <br /> ---------- <br />