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Jan 29 2007 3:27PM 41F 27837 <br />01/29/2007 15:2 2094E40133 ENV IROANENTAL F-EALTH PAGE O1/1 <br />6.1. I 1.0 ••• <br />)AE4EVED SAN JOAQUIN COUNTY <br />HN-Vh <br /> <br /> 111 Zg <br />ENviRoNMENTAL I:LEAL:at DEPARTMENT <br />JAN 2 9 2,007 304 east Welicr Avenue, 3'4 Floor, Stockton, CA 952-02-2 708 <br />ENVIRONMENT EA "°' (209) <br />468-3420 Fax (209) 464-0138 Web; wviw.sjgov,orechd <br />POW/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />GUSINESS/AGENCY: <br />APPLICANT: <br />ADDRESS: 4/4// <br />PHONE (1)....L_5_,.=:-2-L-6-j-4-1-2-11-___ <br />otiONE (t),: <br />(Please <br />TERTATNEr APPOINTMENT DATE. -must be co <br />allow 10 business days from date of application submittal --Tentative only <br /> <br />0 CHCOlt <br />BOX YO EXPEDITE REQUE T .$95.00 PEE (CASH OR CHECK ONLY) .REQUEST <br />pROCESSED is 2 BUSINESS DAYS <br />SIGNATURE OP AP'PLICANT <br />DATE <br /> <br />to <br />Specific Date Range of information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />QlsoLio WAsTE FactirtNemicLE <br />iliPioEltoRouND TANK LUST) CLEANUP sire (LP) 0 HouswG AsATIALENIT <br />gr:PTRER CLEANUP SITE O4ON-1.0P) 0 F000 FACILITY in WASTt ine <br />izipp.uer <br />pituAkciousWg're GENERATOR <br />0 GeiCKEN Refical <br />MotaLfHoill. <br />a WASTEWATER TRU:DONT PLANT <br />Pa UNDERGRoLiNo TANK OA CINITORING/RENGYAL) 13 GOO KENNEL <br />Cl TIERED PEruarrTto fAcciTY <br />ll PubirEaTaucidYfutb/CNEmTetLETS <br />J ootBoor PIERCING <br />O'NoL/SpA <br />0 LAND UsE AP PLIcAT ION $irEs <br />DI MSDIcAL Mut F ecti.rrY <br />0 Or4 (PLEA= SPEcirt) <br />WELL AND UK= PEPINT RECclitos ARE AvAILABLE <br />i•OR RE•erkly • McINDAY•FRIDAY COO AN•61000.1 • ExCLUEANO HoUDAys. <br />US1 Up <br />to 1An addresses in the space) above_ Select the type(s) of files from the list above by <br />ohetkIng the appropriate <br />box(es). At least one file type MUST be selected. ex Io 200 484-01 <br /> r II t t address indica ec__ Address <br />ranges will not be <br />accepted - for additional assistance with file addresses, contact the EtiD. Applications received after <br />The END will notify the applicant If any END files exist. An <br />appointment for review will be confirmed approximately ten 00) 3:00 pm will he print/SSW:1 the next business day. <br />days after receipt at application. The files will be held for a maximum of five business days for review. Appointments <br />A file (hails actively being worked on by END staff may not be Immediately available for review. A new application may be should be scheduled accordingly. <br />submittal when the file Is available. <br />, <br />. 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />, <br />Future file roviewe by the same applicant may require a S95.00 deposit prior to review, <br />------" <br />END USE ONLY <br />Do2 C/1 <br />FACSIMILE , <br />Time: <br />9.2-71'37 <br />Ert0 ali•ii DA117.006