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DEC -13-2004 12:53 CONDOR EARTH TECH 209 532 0773 P.01i0: <br />PATE RECEIVED _ <br />r SAN JOAQUIN COUNTY � FHD LOG NUN z <br />- Erre,.:-:0Nr4EN AL H> AITH DEPART► xNT <br />DEC 1 3 2004 304 E WeberAVe 3`d Flow Stockton, CA 95205 <br />(209) 408-34M Fax: (209) 464-0138 Web: www.co.san-joaquiccaus/elid 1 <br />FPddIK i ;_ t1i hii Ff <br />PFR/i PUBLIC RECORDS RELEASE "PLICATION <br />APPLCANT;'A-a (a7IA15USWSS/AGENCY:Q1iLbeR EA4T-UqU <br />& <br />ADDRESS:,Io. P/G/14- <br />S <br />�riJ_ nNOR'4 /1 rte- - "l:Cj�r� <br />1_ FACSIMILE <br />TENTATIVE' APPOINTMENT DATE: 17 �ecem bar v m <br />nte: ,pq <br />(Please allow 10 bmina days from daw of app(!catfan submiUaq <br />LZ <br />CHECK BOX TO ExprD1TE RC=I T- 593.00 FEE-- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 1 3 11 Ec- oZ004 <br />Depanme0t Use only <br />ENVIRONMENTAL HEALTH DEPARTMENT (FILES ♦��t e <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING ABATEMENT Q_ SOLID wA$TE VE <br />OTHER CLEANUP SITE (NON -LOP) ' 4 FOOD FACMY ,tt( SOL1D WASTE <br />Vdivt* <br />UNDERGROUND TANK(MOWTORIMG/REMOVAL) ❑ DOG KENNEL DAIRY <br />HAZARDOUS WASTE GENERATOR 9 CHICKEN RANCH 4 PKG TREATMENT PLANT <br />TIERED PERMITTED FACHM O MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHtEM TOILETS <br />❑ TATTOOBODY PIERCING O POOLISPA <br />LAND USE APPLICATION STIES <br />J? MEDICAL WASTE FAMiTy 0 OTHER (PLEASE SPEC <br />llq <br />1. test up to ten addresses in the spade above. Select the type(s) of files from the list above py checidd' <br />the appropriate box(es). At least one file type MUST he selected. Fax to (209) 464-0138 or mail to the <br />address Indicated above. <br />2. FHD Will notify the applicant It any Eib 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 buMnonn days for review. Appointments should tie scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A no, <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 EH D staff at the expens <br />of the applicant Future fil-: reviews by the same applicant may require a$93.00 deposit prior to revie) <br />5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day."' <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REVIEWED <br />YES NO <br />TIME <br />REVIEW DATE' <br />INITIALS . <br />TOTAL P.O: <br />FILE ADDRESS <br />Po� <br />o <br />Z <br />shw <br />a. <br />seen <br />'9 b <br />- <br />s <br />LOTHM egyg-4- <br />& <br />Street <br />i'ENT�(� <br />b <br />a. <br />e. <br />10. <br />west <br />street <br />N <br />(ON <br />t,tN co, (r64-VCcmc <br />GIFtr- RALLROrt� <br />""r'"C. <br />DN <br />.QUA3L'�r VV7 <br />tr1r, <br />ENVIRONMENTAL HEALTH DEPARTMENT (FILES ♦��t e <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING ABATEMENT Q_ SOLID wA$TE VE <br />OTHER CLEANUP SITE (NON -LOP) ' 4 FOOD FACMY ,tt( SOL1D WASTE <br />Vdivt* <br />UNDERGROUND TANK(MOWTORIMG/REMOVAL) ❑ DOG KENNEL DAIRY <br />HAZARDOUS WASTE GENERATOR 9 CHICKEN RANCH 4 PKG TREATMENT PLANT <br />TIERED PERMITTED FACHM O MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHtEM TOILETS <br />❑ TATTOOBODY PIERCING O POOLISPA <br />LAND USE APPLICATION STIES <br />J? MEDICAL WASTE FAMiTy 0 OTHER (PLEASE SPEC <br />llq <br />1. test up to ten addresses in the spade above. Select the type(s) of files from the list above py checidd' <br />the appropriate box(es). At least one file type MUST he selected. Fax to (209) 464-0138 or mail to the <br />address Indicated above. <br />2. FHD Will notify the applicant It any Eib 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 buMnonn days for review. Appointments should tie scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A no, <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 EH D staff at the expens <br />of the applicant Future fil-: reviews by the same applicant may require a$93.00 deposit prior to revie) <br />5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day."' <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REVIEWED <br />YES NO <br />TIME <br />REVIEW DATE' <br />INITIALS . <br />TOTAL P.O: <br />