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09/27/2005 23:29 8639180 RHINO REALTY PAGE 01 <br />09/28/2005 00/9:5/1 �4640138 ENVIR"ENTAL HEALTH <br />�L/ <br />SAKI trzrf JoA�Covrrr� <br />E"MONMNTAL MAUR AEPARMNT <br />SEP 2 20(� h-- 304 Past Weber A've` u' 3"4 Floor, Stockton, CA 95202.2708 <br />ielephonei (209) 468-3420 Fxs: (209) 464-0138 Web: wwws)gov.otF/ehd <br />EIVIRONPOENT PERMIT/SERVICESTkBLIC U.CORDS RELEASE .APPLICATION <br />PHONE <br />RC)/5;11 <br />TENTATW APPDCMUafT DATE: - Time: <br />(pkam Know io bip nM days itwn Kiln of &MCanort sudmntal-•ienta6re wdy-mutt b0 omAmAvo <br />13 CHECK BOX TO E(PEWTEREQUEST -;23MFEE (CASH OR CHECK O"L-f)-Recvj TPROC 5S801H3 "SIMI DAYS <br />IATURE OF APPLICANT (�•tA�DATE <br />Spec f o bate Ringo of information Requested: From o to G o P Y <br />ENY(RONMEPfNTAL HEALTH DIEPARTM£NT FILES <br />,TAW(WT)CLEMwt(ie(t.QP) <br />ee <br />0HCKXw TCRwr <br />❑F000 FAM•t <br />�i "WASTEF� <br />�1prWiTft <br />CcquamStta(H0(4_LOP) <br />wgeaazwnarua (ataatormaAtKnovny <br />a Dog Kaacct. <br />dCmcerN RAHcJPMW <br />P oanrr <br />awAsiEwRTaNtEUaCTnYPAnPtAt <br />TTQFGAcmWiR <br />0gP0ke1b <br />.O <br />aPoousPA <br />1CetRrPMtTrOieRr <br />T <br />�wm APrtaAtt*SttS <br />1(a6'0nWAS7MFAcar' <br />❑0fHMVVJjE!%c1M <br />_ -_ <br />1. Llsf up to ten addresses In the apace above. $elect the types) of files from the fist above by checking the <br />appropriate boX(es). At least one £le type I+6UST be selected Pax to (209) I84 Of38 or mail to the address <br />rndieatad shove. Address ranges wilt not beaccepted -for addlkional assistance with file addresses, oorrtaat <br />the t-f{Q. Appgnat;ons received oiler 3:Op pm wltl be processed the neXt business day: <br />2 Tho EHQ wiq notify the applicant H any EHD fifes exist An appointment for reviewwrlt be confirmed <br />approxtmatety ten (f 0) days actor receipt of 0.ppliaaHon. The ti[e6 wltl be held for a mar9mum of five business <br />days far review. Appointments should be scheduteA accotdtngly. <br />3. A Tile fhak lg actively 1>etng worked on by EHD staff may not be Immod lately available for review. Anew <br />applicailon may be submitted when the file is available. <br />4. Any file not returned in the same con0ion as released will be reorganized by EHD staff at the expense of the <br />aaol'icant. Future fife reviews by the carne applicant may require a $93,00 depatUdof to review. . <br />