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67/16/2068 13:31 2094 13e ENVIRONMENTAL FH PAGE 01/04 <br /> DATE RECENED EHD LOC NUMBER <br /> l (�` SAN JOAQUXN COUNTY i <br /> U.C,`_.� "_ .- �'� `= ENVIRONI WNTAL REALM DEPAR ENT <br /> 600 East Main Street, Stocktan, CA 95202-270$ <br /> JU 'Clu Telephone: (209)468-3420 Fax: (209).464-0138 Web.www.sjgov.or <br /> PUBLIC RECORDS A R RELEASE A.PFLICA,I7aN <br /> APPLICANT; L,.�J y � BUSINESSIAGENCY; ed� U 64 �LUVI(M1 5 <br /> ADDRESS:-114 f, t- 'CLOIVI1 - <br /> PHONE(I)- Z_7 ©t' PHONe(2): SIMILE:q-7 " 2 5�T <br /> TENTATIVE"APPOINTMENT GATE: Time: <br /> (Please allow 10 hualness days from date of applicatlon submittal•"Tentat"only-muga Cp contlrrntd) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CAZH OR CHECK ONLY)-REQUEST PROCEBSER IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Sj"A'A DATE 07 I - . <br /> Electronic Information: Pq List❑ Map--Description: S T P S'T Aar_-T__0V"4L_ AR M1' <br /> FILE ADDRESS EHD USE ONLY <br /> Street M 9tmet Name city ❑ Unit 1 <br /> 3 3 A I R eb P--r Why 5�ac.�-i" UST 7 <br /> 2- Z R Igo r- u 4j0$ fvh (,U-,�4 �:;_c�,/90'C />� p Unit2 <br /> M ��-�' wl�-'Y_—_ S LbrxF�+n <br /> 4. �y S"1- ��tT>�T A s7��-1 n its <br /> ��,qy r <br /> 5. 2„4(I MA tPan_7 unit a <br /> (2 p a lZ-t- w��_ S i. I /0100 <br /> ?, <br /> 9. 3 x-12 A I r ? �. S c.�.� ❑ Ung:e <br /> 10, 6-7 b1 Aif- r a.R- ..'., WIf66c „ <br /> Specific bate Rang*of Information Requested,From o1 I ��bpd to <br /> �a ENVIRONMENTAL HEALTH DEPARTMENT FILESI�� <br /> 8I UNDGRGROUHD TANK(UST)CLrtANur,®ITE(LOP) 0 HOUSING AnATEmE+NT ❑SCLIO WASTE FAGtLrryNEHICLr- <br /> OTHER CLItANUP sITE(NON-LOP) LI FOOD FACILITY ❑WA9T5 TIRE J <br /> UNOERGROUNTI TANK(MONM39INWR9MPVAL) 0 DoG KaNNEL ❑DAIRY <br /> �t HALARODUS WAST[GENERATOR p( a M CHICKEH RANCH Q WASTMATC0 TRLATMrNT PLANT <br /> ,KTIERED Pr.RMITTGD FACILITY C1 MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEM TOILEYS lC <br /> C]TATToQ11300Y PIERCING U POOLISPA C1 LAND Use APPLICATION SITES <br /> d MEDICAL WASTE FACILITY 0 OTHER(PLE.Atr SPscIPY) <br /> WELL AND SCPTIG PRRMrr RECORDS ARC AwAILAHL@ rOtt REVIRW -MONDAY-FRIDAY 8:00 Aur-3:00PM -EXCWDING HOLIDAYS, <br /> 1. List up to tpn addresses In the space above. Select the typa(s)of filer from the list above by ObACking the appropMate <br /> box(es), At least one fila type MUST be oeEected. x to(2Q9)484 -Z3a or mail to the addres6 Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications raceived after <br /> 3%pm will be processed the next business day. <br /> 2, The EHb will notify the applicant if any EHD files exist An appointment for review will be confirmed approximately ten(10) <br /> days after roeelpt of application- The files will be held for a maximum of five business days for review, Appointments <br /> should be scheduled accordingly, <br /> 8. A file that is actively being worked on by EHD staff may not bo immediately avdflable for review. A new(applicatlon may he <br /> submitted when the file Is available, <br /> 4. Any filo not returned In the same condition as released will fat reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 daposlt prior to review. <br /> FFD USE ONLY <br /> Ifamu should need further assisYnnce pleose, cantaet Diane Mortinzz a (209}468-3426 directly, Thank You*` <br />