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May 12 06 09.16a Bagley Er>terprises (209)367--5424 p.1 <br />DATE RECENED ` <br />EHQ LUG NUMBER <br />+2 SAN JOA,QiUIN COUNTY <br />NVI[ROI° MENTAJ, HEALTH DEPARTMENT <br />\` - Weber Avenue, P Floor, Stockton, CA 95202-2708 <br />0 �T� (209) 468-3420 Fax: (209) 464-0138 Web: wwwxjt ov.mg/ehd <br />r oti' <br />PUBLIC RECORDS ]RELEASE APPLICATION <br />v <br />APPLlcAwrc 0Rt Bagley sustri aOieJucT• Bagley Enterprises, Inc. <br />ADDRESS: 2570 Maggio Circle, Ste 4, Lodi, 9524(3 <br />ptjoNE (1): 367-4800 PHONE 12):329-0582 FAcsjMjL : 367-5424 <br />TENrTATWE® APPOINIVENT GATE: ggjyR /t7,*y 2S 2 ' Tom: 4L:g04Vn' .. <br />(P ettow 10 businen da" from daft or appuc tion submim - rrwin nre omy - must be coallmi" <br />® CHECK BOX TO EXPWTE DO FEE (CAS OR CHECK ONLY) - REQUEST PROCESSED Its S SUSINEss DAYS <br />SIGNATURE OF APPUCANT®ATE 4� f, f e <br />UNIT Dt8MOUMON 0 knit 9 efunit 2 -M Unit 3 0 Unk 4 0 unit 5 0 Unit 6 I3 Other (6WtronkA1zts/rmps) <br />�9�. _I.LZ�_✓_..._�__.,�.-_FILE ADDRESS -S��cctOoyxEMD <br />_ -US- E_ ONLY <br />luloV")E.3t totbtOCKton <br />:TT) <br />3- 7000 Michael <br />__.. <br />a- 5(X3 ✓ <br />rpital Rd-kxcz�chCaa�N.. _L9 ckc Gro_v_ Rd. , .: �_ LODI <br />0- '4520✓ .._. W.:.Far, .b: .c�.RdA... 1 S&Q_VA �o�— _ ' _ ._ <br />.OQR.✓ .,.___ Mx cbacl.. Gzulis .81vd_CEa '.aench-Camp <br />08,7,8. ✓ .99_R.. Front: <br />Ziac Date Range of Infonrafto Req : From Jail 1t 2003 1z 2006 <br />- - �PiViRONI E�1Ti�L HE ILTi I-DEPARif MENT-FiLES - _ _ ---_ - ---- <br />In <br />en UNmEROROU TANK (FIST) CLEANUP SITE (LOP) G Houmm AisATEmENT 0 SOLID WASTE FACILJTYiV W10LE <br />ER CLEANUP Snt (t�tvN-LOP) to F000 FAc1UYY E7 WASTE IjRE <br />f CSRGROVNID TANK (MONITORING7.e ovAL) n Doc KENNEL 0 DAIRY <br />0 HA2ARDOUS WASTE GENERATOR 0 CHICKEN RANCH a V1ASWWAYER TREATMENT PLANT <br />0 Tt6REp PERMITTED FACILITY ❑ MOTEUKDT€L 0 PUMPER TP=MYARDiCHEA TOIL= <br />0 TATT OOMODY PIE PgNG 4 pooism 0 LANG USE APP MATION SITES <br />0 MEDICAL WASTE FAACILITY E3 OTHER (PLEASE SPEgFYL _ . <br />WCLLAND SI!VrMPERI TRE00F=AREAVAILABLEFORREVIEW-MONDAY-FWAY8:00Am5:00pm- F=WOmHOLIDAYS. <br />1. List up to ten addresses in the space above. Selectthg type(s) of files from die list above by checking the <br />appropriate box(es). At least one file type MUST be selected. Fax t4 j209) 4644138 or mall to the address <br />indicated above. Address ranges will not be accepted -for additional assistance with file addressee, contact <br />the END. Applications received after 3:00 prig will be processed the next business day. <br />2. The END will notify the applicant If any END files exist. An appointment for review will be confirmed <br />aplaroximMy ten (40) days after receipt of application. The fflea will be halts for al maximum of flea business <br />days for review. Appointments should be scheduled aorcordingly. <br />3. A fele that Is actively being worked on by END staff may not be Immediately available for review. A now <br />application may be submitted when they fele is available. <br />4. Any file not returned in the same condition as, released will be reownfzW by END staff at Me expense of the <br />applk:ant. Future file testis" by the same applicant may enquire a $93.00 deposit prior to review. <br />..9...w�vwv <br />7A�5 <br />