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I& NOV. 16. 2004 11:20AM CONDOR EARTH TECH • EHD LOG NUMBER NO. 7885 P. i <br />b / <br />DATE RECEIVED'10 <br />SAN JoAQvnv CourlTx <br />Ert M0NMENTAL IIEALT)HI DEPARTMENT <br />304 E Weber Ave 3" Floor Stockton, CA 95 <br />(209) 468-3420 Fax: (209) 464-0138 Web: www.ro-san-joaquin.ca.us/ehd <br />l�/' A �" <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT, Ale --k6- �oh.Q.S BUSINESSIAGENOY: COV106- 5--aC-b+��„knoloai2s�5Hc. <br />ADaREss:18SI=iral+lc It%asi ;, ale ,C+g T, i oaklev., LA 'Is 2-0 <br />PHONEt 2-L)dI-2.34-0SI$ FACSIMILE:. 2-01-2-34-Q5113 <br />1-05$$ <br />TENTATIVE' APPOINTMENT DATE: I21212.0c)4 Inme: q:OC7 M �a <br />(Please allow 10 h miness days from date of application aubmittal) ,I17 <br />0 CHECK BOX TO EXPEDITE REQUEST - $83110 FEE - REQU ST PROCESSED IN 8 BU5INESS DAYS <br />SIGNATURE OF APPLICANT DATE 1' 16 o qpanmenl Use Only <br />,p, <br />T_-\ <br />t. <br />seem 9-i2 <br />Da <br />d i o <br />VI\11 <br />x. <br />aveel 1411 S. <br />Noah <br />dl <br />❑ Unit <br />to, <br />(�r/ <br />svicel3 <br />4`r CAF <br />a <br />U <br />FI Unit2 <br />12-10 S. <br />Vd.YA <br />ij25V <br />—�,Y <br />• _E;r <br />e. <br />9. <br />sued I2:u S. QC`- L;L S. -l- <br />1 1 1 <br />sh-1 I 4-o G.IL'I--Q r <br />o <br />G <br />�Unit4 <br />-- N) ' <br />a. <br />sues <br />°(q <br />av <br />❑ Unit 5 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />) UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT )rSOLID WASTE FACILITY <br />25 THER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br />ai UNDERGROUND TANK (MONRORINGIREMOVAL) ❑ DOG KENNEL 2<bAIRY <br />W HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br />TIERED PERMITTED FACILITY ❑ MOTELHOTEL 0 PUMPER TRUCKIYARDICHEMTOILETS <br />TATTOOIBODY PIERCING ❑ POOLISPA XLAND USE APPLICATION SITES <br />0 MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECIFY) <br />1. List up to ten addresses In the space above. Select the type(s) of Tiles from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464.0138 or mail to the <br />address indicated above. <br />2. EHD will notify the applicant if any END files exist An appointment for review will be Confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by END staff may not be immediately available for review. A new <br />application may be submitted when the file is available. <br />4. Any file not returned In the same condition as released will be reorganized by END staff at the expense <br />of the applicant Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />5. "TENTATIVE appointment dates must be confirmed with END staff, <br />6. Applications received after 3:00 pm will be processed the next business day. <br />• • I1? t�>%A� pgiftilaNL�fit �fATE••!':.,;.i' „ •';,r.;;idi;.,:',i•: i f.i• ; <br />w'[lia,E3 <br />axoee•azAue � �� <br />eB/ n <br />