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US/j/"f �,�9252836121 AEI CONSULTANTS (SF) PAGE X71 <br /> \V/ i�URiI� 464P v? ENVIRONMENTAL ',LTH <br /> PAGE F. <br /> .•A1 1 y005 <br /> SAN JOAQUIN COUNTY EHD I.OG NUM: <br /> EKI�ROKMfKT HEALTH E�RONmNT'L HEALTH AEIPAR'1 ma <br /> 304 E Weber Ave 3 Floor Stockton, CA 95205 <br /> PERMIT/SER\/ I **07C <br /> �2��468-3420 Fax: (209)464-0138 Web:www.co.san-joaquimmuslehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1N7 <br /> � <br /> APPLICANT: SnU• BUSINESS/AGENCY: n/ V( <br /> ADDRESS:ZIXSyOpCktmlf10 t ablo I VJGiIylt Tr}� CX� '114G'r-)- <br /> PHONE: 72.5 _ ZS`403 tCI FACSIMILE: -293-'/01211 <br /> TONTATIVE'APPOINTMENT DATE: Time; <br /> (Please allow 10 btolne"days from data of application submittal) <br /> ACHErK BOX TO EXPEDITE REO - E-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIflNA7t1RE OF APPLICANT 59a.aa TEPATE <br /> S/ j3 Ob <br /> Department Lbe OnlY <br /> FILE ADOREsS UNnT <br /> a <br /> Nsr "e 231 S o Q Unit 1 <br /> z s <br /> NIF a axe 1 hP Q Unit2 <br /> A. <br /> Sn pw Unit `Z <br /> a- WMK CUT <br /> T. Sired ox Unit 4 <br /> a <br /> s. am - ❑ Unit 5 <br /> UWU <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> uNOERGROUND TANK(UST)CLEANUP SITE(LDP) 0 HOUSING ABATEMENT *souo WASTE FACILITY <br /> OTHER CLEANUP SIT'E(NON•LOP) t7 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> M UNDERGROUND TANK(MONRORINGIREMOVAL) ❑ DOG KENNEL a twFry <br /> XC HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH ❑ PKG TRFATMENT PLANT <br /> 'Oi TlmD Pmmir1ED FA,CILRY d MOTELMOTEL 13 PUMPER TRUC1UyAADICHEM TOILE ' <br /> • TATTOOBODY ptERCING ❑ POOLI"PA Cl LAND USF APPLl JON 8nvs <br /> • MEMCAL WASTE FACILITY F OrHER(PLEASE SPECFr GI p GI <br /> T. List up to ten addresses in the space above. Select the type(s)of files from thine Ilst a O. a hec <br /> the appropriate bOX(es). At least one file type MUST be selected. Fax to '209 464-0138 or mail to tt <br /> address indicated strove. <br /> 2. 1-ti <br /> will notify the applicant If any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of applicabon. The fil <br /> Will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> S. A file that is actively being work6d on by EHD staff may not be immediately available for review. A <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 exile <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to re' <br /> IL TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> t3NFIRMED APPOINTMENT DATE TIME <br /> LWTE CONFIRME6 PHONE FAX' IN(O.Af_S <br /> REMEWED yes NO REVIEW DATE <br />