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05/05/2005 15:30 209-579-# h10DESTO ATC //V P) PAGE 02 <br /> DATE WCENED �e <br /> SAN JOAQUIN COUNTY o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 2005 MAY -S AM 7: 28 - <br /> (209)4683420 - <br /> PUBLIC RECORDS RELEASE APPLICAV OA QUIN COUNT <br /> APPLICANT DAV 1D SC(21(A(�E t?- BUSINESSIAGENCY ATC ASSOC.IA74C DLPARTHENT <br /> ADDRESS 1111 I-O N E PALM dV E_ ,(N1f\DE_CT6 t f b, a 5135 1 <br /> PHONEu0nN slick•7221 FACSIMILE�S4fi1 b 1�1 • 'L'L'I�'S <br /> TENTATIVE`APPo1NTMENT DATE 5•70. 05 TIME 10 /f1 <br /> (Please give 7 to 10 b„abua m djts of application submittal) M AY - 6 Xffi <br /> El CHECK BOX TO EXPEDITE REQUEST(/•T�9.000FFEE�-REQUEST P O ED IN]BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ����� DATES•OSS <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> T-3 A N s qS2 usi v w 5 -I <br /> iq 69 Hgl11ME2 W E VJ <br /> T _ 5 O <br /> N <br /> 1A <br /> L.i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> IN UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> 9L OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> ¢ UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> 5 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELMOTEL 0 PUMPER TRUCKMARD/CHEM TOILETS <br /> 0 TATTOO/BODY PEIRCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 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 checkin <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to theco <br /> address indicated above. <br /> 2. EH D 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 ca <br /> accordingly. <br /> 3. 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 /> 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$89.00 deposit prior to review. <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 /> END m4yZil <br /> v 003 <br />