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R5/01/2007 16:46 GEOMR X—RANCHO CORDOVA 4 12094640138 NO.753 P02 <br /> DATE RECEIVED E_HD I_40 NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 00� <br /> dr <br /> 9 <br /> 600 E. Maiu Street, Stockto CA 95202-37022 <br /> Telepbone, (209)469-3420 Fax.(2:09)464-0138 Web,-www <br /> Agov ave q7Z <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Ac_" - 4""A6_1 f�f BUSINESSIA(WNCY:CEO �2jl!��LidAf_6 <br /> ADDRE66;-Ak 0 Ndi le goCt, 4� C y CA.. <br /> PHONE PHONE 011, .R 91(0140 1-1 Z-0 FACSlM1La:%—( <br /> TENTATIVE*APPOINTMENT DATE: 6 -_ <br /> I Time: <br /> (Please allow iD business dOyt from date of application submittal-'Tvrrla6v6 only-must be confirmed) <br /> CHECK BOX TO FXPEOM RE ST-$95,00 FSE(CASH OR CHECK ONLY)-RE011JEST PROCESSED INS <br /> SIG ATURE OF APPLICANT DATE <br /> loy <br /> =180tronic IrrFormation., 0 List D Map-Description; <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 2901 leer Lamir _��Toc�L"r 61- <br /> nit 2 <br /> -F17 <br /> 4. <br /> units <br /> 5. Ad <br /> 6. <br /> A0 <br /> 7. Unit 5 <br /> Unit a <br /> Ila. I I <br /> $pecific Date Range of Information Requested.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT 1=11LES <br /> �151.UNQERGROUWD TANK{UST)CLEANUP S(TE(LOP) 'MHOU8(N0 ABATEMENT 'M SOLID W4m FACR."r4EHICLF <br /> 19 OrKER CLEANUP SITE(NON-LOP) "mF000 FAciu" -Q]I'YAUFTIRE <br /> UNDERMUNP TANK(M0NrTowxQ1Rr;MOVAL) "RDOO KeNNEL "9LDAIRY <br /> HAwDous wAsTz GixeswToit 'i�I,CHICKEN P-WCN '-Q WASTEWATER TREATMW FWWT <br /> Tj9RW P911MMED FACIWY '"PTELMOTEL 'Q.P0A1PERTftUWYARP[CHEMT0LM <br /> -ZZTATTo0f66bV PwWma' PCOUSPA LAND USE AppucAmow Sms <br /> TAEDIcAL WAxrTz FAmLrry OTHER(PLEASE SP GIFY) <br /> WELL AND SEPTIC PERMrT ReCOMS ARE AVAILABLE roR Rwav - M00410AY-FRIDAY '.ODPM - ExcLuomG HOLIDAY& <br /> I. List up to ton addresses in the space above. Select the type(s)DO Pies frarn the list above by checking the approplato <br /> box(es)- At least one file type MUST be selected. Fax to(WjA§tAj38 or mail to the address�t3dlcated Address <br /> ?an9B&will not be aucapted-for additional assistance with file addresses.contact the END.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any END files exist. An appointment for review YAII be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available, <br /> 4. Any file not retumad In the same conditlon as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a S95.00 do I posit prior to review. <br /> END USE ONLY <br /> ? <br />