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lit61111JU3 16:12 9168610430 SECOP. PAGE 01/E <br /> DATE RECEIVED EHD LUV NUMbnK <br /> SAN JoAQuIN COUNTY ,�, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3'd Floor Stockton, CA 95205 <br /> 1, <br /> (20�y 4�8 � 0 Fax: (209)464-0138 Web: www.co.san-joaquin.ca us/ehd <br /> NOV 0 7 2003 PUBLIC RECORDS RELEASE APPLICATION <br /> idViFiUNr r <br /> APPLIGA[jF�ir I �11 DUSINES3/AGENCY: S!;_ fL + �r.(�.✓.e rr 7� <br /> w <br /> ADDRESS: " — Y4 E cQ 10o G^Hc.'o mtbJ- -CA <br /> PHONE: CT(o) $lot -6ym Azes FACSIMILE:�ca+:1 �Ca)'OY3o <br /> TENTATIVE'APPOINTMENT DATE: 11118—r'j L3 Time: /o:m A, <br /> (Please allow 10 business days from date of application submittal) rAft�c <br /> 0 CHECK BOX TO EXPEDITE REQUEST-$93.00 FE —REQ ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � _ DATE /1/7/03 <br /> Deoartment Use Only 0 <br /> FILE ADDRESS UNIT <br /> spm > V G ❑ Unit 1 <br /> ]. Srcn /s- SIA \�, CIto <br /> 17) <br /> Lj <br /> 1. SL-,-t v v Oty 5 ✓al`L 11 <br /> 5. Street x/ TE 572�K70AI Unit <br /> S. 9rcn 4 OA/4O/14 A'4W \ 1 CItY s�k7Drl <br /> 1 SIrc91 (4L(e E V O <br /> Unit 4 It <br /> B, 8h06 YkC (o'� (rJ A.e)_Cqy . ON � C <br /> 8, Sven Gi ❑ Unit 5 <br /> 10, snn CI � <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,Iif/UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> le OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> YlL UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY 14110 <br /> ;Er HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY O MOTEUHOTEL ❑ PUMPER TRUCKfYARD/CHEM TOILETS <br /> ❑ TATTOOMODY PIERCING ❑ POOUSPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least ane 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 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 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 available for review. A nev <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 reviev <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 TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 40x2-006 <br /> BIBltoaa - . <br /> G.. �f_ Kin Gnpes.ii <br />