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SEP -03-2010 03:26 PM TTINS.ENV&ENG 949 2 0517 P.01 <br />�ATi1t <br />SAN JOAQUIN COUNTY EHOLOO NUMBER <br />V� \ <br />ENVIRONMENTAL HE <br />i; €? 800 East Mein St, Stockton, CAC95202.3029 NT <br />Telephone: (209) 488-3420 Fax: (209) 484-0138 Web: www,sjpov.c <br />12 <br />�I. PUBLIC RECORDS RELEASE APPLICATION <br />Ap ,LICANt,- J0 G i i h $ BUSINESS/At3ENCY: Glt° lta$ E'wV. 4' 1TtV <br />ADDRESS: Cl'Y/STATE/ZIP: <br />tyHtNF (1}:; q'+q . -?-943 PHONE (2): FACSIMILE: R� ` K `�t 2 - o si % <br />reNTAT/VE" APPOINTMENT DATE: —1 Time: _ 2 P t`1 <br />(PIease allow 10 business days from date o appllcation submittal • *Tentative only - must be confirmed) <br />0 CHECK BOX TO EXPEDITE REQUEST - $122 FEE (CASH OR CHECK ONLY), REQUEST PROCESSED IN 3 BUSINESS DAYS <br />60AXfORE OF APPLICANT DATE 9-3-10 <br />ENYIRQNMENTALHEALTH JD PARTM T FILES to <br />UNI)iM000 TANK (UST) CLEANUP SITE (LOP) ItOvBfNG ABATEMENT Q SOLID WASTE FACILITYNEHIGLE <br />%Til fJ�llPluUA SITE (NON•LOP) Ay <br />IV H FOOD FACILITY [ ] WASTE TIRE <br />UN��I��l1 W TANK ENCFAORIN11 QE VAL} ROG KENNEL D DAIRY <br />HAItliQ4t11.!N(AsTE (�ENERATOR/,� CHICKEN RANCH [I WASTEWATER TREATMENT PLANT tM r ()1 g� <br />Tt r2�� l� hAtrCr$D FACILITY i ❑ MOTEL HOTEL 0 PUMPER TRUCKIYARDICHEMICAL TOILETS " 1 l! <br />`fATtb:E 1Y PIERCING (] POOUSPa <br />El LAND USE APPLICATION utTEB <br />MEkAI. Molt FAGILrrY Q OTHER (PLEA$E SPECIFY) <br />8ti'. 0PYIO P ERMIT RFCORD$ ARE AVAILABLE FOR REVIEW; MONDAY -FRIDAY 8;00 AM-6;00PM E HOLIDAYI4 <br />In the space above. Select the type(e} of flies from the list above by checking the apprppNate <br />bb�t s}; Feast one file type MUST be selected. 1 i In Address <br />r7df�f�tl0 il not be accepted -for additional assistance with file addresses, Contact the END. Applications received atter <br />3:00,01A Will be processed the next business day. <br />'. TN4010 will notify the applicant if any END files exist. An appointment for review will be confirmed approximately tan (10) <br />dayf AiNr i` 001PI of application. The files will be held for a maximum of five business days for review. Appointments <br />t*ij' iild 60 iidchedulod accordingly. <br />3, A illi tit* hi actively being worked do b EfWq t ff <br />y s <br />su�}ryi'IttQi� wyhdn the fate is available. a may not be Immediately available for review. A new application may be <br />. <br />A AM��` �I+M'itrdt returned In the same condition as released will be reorganized by END staff at the expense of the applicant. <br />Ftlilrir 114 t`IavieWs b the same applicant ui <br />Ise <br />a= row'!�? / i r , fi j�u�r�r�.,�rw,.l'�I. w,.r[:•.� was .�ht�r�IF4M1 ~ <br />.=.wa����rsia�arrar�ratr��.is,�lSI111►�!�� / .,: /i � S, J, <br />