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06/02/2006 06:22 FAX �i. %002/002 <br /> OKTEr�"ECElvrzr7 o �11 ..,...,.M„ <br /> SA.N .;�QAC�UI�i cOLiiYI'Y 4 <br /> ENN-',(ROti11•iE,N7A L III,.A i.rTH,DFPART h1LNT <br /> 304 E Weber Ave 3'' Floor Stockton, CA 95205 AUG. 0 2 2006 <br /> (209) 468-3420 Fax. (209) 464-0138 Web:ww,�v.co.saA-ljoaquin.ca_us/e'hd <br /> EN111RMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATI( M1TISEMICES <br /> APPLICANT:,� t t VS 9U5I4ESS1A0FNCY, ��3 <br /> ADDRESS; Ir &YC1114. <br /> F�HflNE: Or `� FACSIMILE' r.;Z�q ` vCv;2.1 <br /> TENTATiVEr APPOINTmENT DATt: z1E� _�Tirna f2a' <br /> (Please allow 10 bu-Anc=days from date of application submj t a1) <br /> © CHECK SOX TO EXPEDFTF-R>QUEST,997.00 FEE-F(EQUCST PROCESSCO W 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Ck-pamianc Lbe Gniy <br /> FILE ADDRESS <�- ( UNIT <br /> 1. s7r-.t «�C• [aG11 -- - - r'� Gf�h+rl i'' <br /> tjrllt 1 <br /> 4M chit 7 <br /> a--,^.?nr.-1 ,.�+'i -e G O <br /> G .,. � Unit 3 <br /> L.- iu.+i c L rr • <br /> Unit t! <br /> vi <br /> �y ON ❑ I lrlit 5 <br /> 9. 58s-i lT 4f,. ..- C N <br /> SQ. :'left Gq, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> MHOERGROUND TANK(UST)CLEANUP SITE(1.0Q) 0 HOUSING ABATEMENT bL SOLID WASTt FACILMY <br /> OTHER CLEXNUP SrM(Nall-t OP) 0 FOOO FA.>rlLI-rY n SOLID WASTE VEHICLE <br /> 91 UNDERGROUND TANK tMO Nf 0fU.14G/RFMOVA1.) Ci DOG KENNEL M DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANGES 8-PKG TREATMENT PLATT <br /> C3 TIERED PERMITTED FACILtIY ❑ MEOTELMOTEL G PUMPER TRUCKTYARDJCHLEM TOiL1173 <br /> 0 TATTOCtRODY PlIeRCING C3 POOL,-PA M LAND USE APPLICATION SIT75 <br /> 0 MEDICALWASTE FACILEif C7 OTHER(PLrt;E SPECIFY)_-__n­ <br /> 1. List up to ten addresses in the space above. Select the type(?) of ftlos from the li,t above b,y checking <br /> the appropriate box(es). At least one file type MUST bo selected. Fax to PM 4.6_4-wl)t 3F or rnaii to 1ho <br /> addroe,-indicated abovr.. <br /> 2. EHI]will notify the applicantjf any EHD fics exist. Ars appointment fat review will be conf'irme'd <br /> approximately five buslno2s days but no later than ten (10) days after receipt of application. The fii:s <br /> will be held for a maximum of floc business days for review. Appointments should be rcho tulod <br /> accardingly. <br /> a, A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> d. Any file not returned in the some condition as roleased will be reorganized by EEHD staff at the expense <br /> of the applicant, Future file revisers by the same applicant may require a $93.00 deposit Prior to review. <br /> 5. ."'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business day. <br /> "ON FIRM't <br /> O N MENT DATE=' '�� a' .��. .— TIME <br /> iDATG CQNF)RMEE) _ 'PHONi: rrx -INMALS <br /> REVIEWED YES ND F2;=V1C1+1!DATE _ <br />