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12/30/2004 09:40 4640138 ENVIRONMENTAL HEI PAGE 01 <br />DATE REGENEb SAN JOAQUIN COUNTY Awa Loc tJ11M1113EF_ <br />)ENVIRONMENTAL RE ALTH AEPARTMEtv7 <br />DSEL' 3 0 2004 <br />� 304 E Weber Ave 3 Floor Stockton, CA 95205 <br />(209) 463-3420 Fax: (209) 464-01.38 Web: www.w,san jaaquin.Ca.us/ehd <br />PUBLIC RECORnS RELEASE APPLICATION , <br />APPLICANT: n�1 A�.Yfi 6 ,,(� - DU`StNESstAGENCY: CEJ GA A S <br />ADDRESS: (�w2.01 KID i P inf W ! �l/�� T� 1 �� ; l�{,St CA <br />PHONE: �-i v ,LiO '"���� FACSIMILE: <br />TENTATIVE' APPOMWENT DATE:—AM. �( IJ TIS 0- 02 <br />(Please allow 46 business days from date of applloAnan submlttaD <br />CHECK BOX TO EXPEDITE REQUEST • $93,00 FEE - REQUEST PROCESSED IN 3 BUSINESS DAYS ' <br />SIGNATVRECFAPPLiCANT� DATE <br />V._ Demftent Use Orly <br />FiLEADDRESS I UNIT <br />Ir,JOu_CL`t25dtdf —ah �1D <br />Io s.I - - -rn <br />Y t <br />■ <br />4— unit 3 <br />Unit 4 <br />❑ Unit 5 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES -0' LuI U' <br />A ✓tl�L� � r -;: � I! <br />I�fl <br />• .,.� ��}Ila�'ii.`�r n rah <br />1D ILS0MWASTE FACILITY <br />{a'OTHSR CLEANUP SITE MON{op) <br />M FOOD FACILITY <br />[I.OLID WASTE VEHICLE <br />�UNDERGROUNDTANK(MONRORiNGnt£MOVAL) <br />❑ DOG KENNEL <br />r7 DAIRY <br />wr�NALARDDus WASTE GENERATOR <br />o CHICKEN RANCH <br />Io s.I - - -rn <br />Y t <br />■ <br />4— unit 3 <br />Unit 4 <br />❑ Unit 5 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES -0' LuI U' <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />0 HOUSING ABATEMENT <br />1D ILS0MWASTE FACILITY <br />{a'OTHSR CLEANUP SITE MON{op) <br />M FOOD FACILITY <br />[I.OLID WASTE VEHICLE <br />�UNDERGROUNDTANK(MONRORiNGnt£MOVAL) <br />❑ DOG KENNEL <br />r7 DAIRY <br />wr�NALARDDus WASTE GENERATOR <br />o CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />❑ TIERED PERMIk iED FACILITY <br />Cl MOTEUMOTEL <br />Cl PUMPER TRUCKrrARD(CHEM T(MM <br />CT TATTOOM613Y PIERCING <br />❑ DOL/SPA <br />Cl LAND USE APPLI TION S� <br />I_E <br />Ve MMXCAL. WASTE FACILU Y <br />1W 07 ER (PLEASE SPECIFY)_& <br />4t,(��LU� -0ll�( f C -J <br />1. List up to ten addresses In the space above. Select the type(r) of files from the fist above by checking <br />the appropriate box(es). At least one file typo MUST be selected, Fax to (209) 4640138 or mall to the <br />address indicated aboyp. <br />2. EHD will notify the applicant If any will 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 EHD staff may not be Immediately avallable 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 EHD 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 />6. 'TENTATIVE appolntment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm wilt be processed the next business day. <br />�i 7iFliiM lS.If�SF�[SINTt�l1 NT.DA7e ti T(kIE <br />DA NE FAX <br />L~C1=ViEWEO YC=S NO REVIEW DATE. t <br />