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Jan 29 2007 3:27PM <br /> 4 1 F 27 83 7 <br />P.1 <br />01/29/2007 15:20 <br /> <br />20945401'J, ENVIRONMENTAL HEALTH <br /> <br />PAGE 01/01 <br />1.• <br />v•OEVELD SAN JOAQUIN COUNTY <br />ENVIRONMENTAL nEkun DEPARTMENT <br />J 4N 2 CI a007 304 east Weber Avenue, 3td Floor, Stockton, CA 95202-270 8 <br />4684470 Fax: (209) 464-0138 Web: www.sjgev,orechd <br />ENVIRONMENT I--iEZtlih°"; (209) <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />aUSNESS/AGENCY: <br />APPLICANT: <br />ADDRESS: <br />PHONE (1)......LA5....i1-15-L-4{-211-- PHONE (U <br />(Please allow la business days from date of application submittal -*Totatire onlY • must a TENTATNE* APPOINImEtil DA . <br />0 CHECK 130X YO EXPEDITE REQUE T - <br />$95.00 FEE (CASH OR CHECK ONLY) • REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE ___Z_-__*-L--1------ <br />FACSIMILE , <br />Tem: riled) <br />ZO <br />9.2--437 <br />Specific Date Range of information Requested: Front <br />to <br />21mb WasIE Fikolur(TVelect.E <br />In WASTE Twe <br />1:1pAIRY <br />00-WASTEWATER TREAThii PLANT <br />CI PumvElt TRUceJYfrini/Ci4Em TOILETS <br />LARD USE AP PLICAT ION Svcs <br />WELL AND <br />SEKTIC PERM', RECORDS ARE AVAILABLE FOR REVrEW - MONDAY-FRIDAY <br />II:00 Am4:000+1 • ExcLuotmc) HOUOAYS. <br />list up to um addresses in the spaco above_ Seiec <br />ranges <br />t be accepted — for additional assistance with file addresses, contact the END. Applications received after box(es).At least one file type MUST be selected. ax to 200 484.013 <br />The END will notify the applicant If any END flies exist. An <br />appIntmertt <br />for review will be confirmed approximately ten (10) 3:00 pm will be processed the next business day. <br />dayt after recelPI of application. The files will be hold for a maximum of five business days for review. AppointmentS <br />should be scheduled accordingly <br />A file that's actively being worked on by END staff may not be immediately available for review. A now <br />application may LA , <br />submitted when the file is avallabte. <br />. 4. Any tile not rutumod In the same <br />condition es released will be reorganized by EHD staff et the expense of the applicant. <br />Future file reviews by the same applicant may require a S95.00 deposit prior to review, <br />END USE ONLY <br />END .a.ei A i406 <br />(DiINDERGROLicti NO TAW (UST) CLEANUP Sim (LOP) <br />e (Now-1.015) <br />031),INDERCROLIND TANK (MONITORANG1REMOYAI-1 <br />P462ARDOUS Won GarEsKron <br />Web PERMIlto FACILITY <br />jarmorBoor PiErteltIO <br />UPIletgcs4.WAsTE flittrrY <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Nousim) AmanmErIT <br />F000 FActLtn. <br />1303 <br />CiucKEN RANCH <br />MIL:i0TEL <br />pa <br />crritt R (PLEASE SPECIFY) <br />(a) of files from the Ilst above by ch•e.king the appropriate <br />It t address indi ed above, Address