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DEC-13-2004 1253 CONDOR EARTH TECH 209 532 0773 P,01i0: <br /> PATE RECEIVED . EHD LOG NUN i <br /> SAN JOAQUIN COUNTY <br /> E+WMONMENrAL EEA'L,':'H DEPART1VIErI7' <br /> DEC 1 .3 2004 304 E WeberAve 3rd Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:www.co.sanjoaquin.ca-us/chd <br /> Pr 1 yyF��S PUBLIC RECORDS_RELEASE APPLICATION <br /> � y► <br /> APPLICANT:_. PATS-W BUSINESS/AGENCY:_._ -�1 )�R linF+I H' Ick-� <br /> ADDRESSJ' ATO Nil //�I �^1 <br /> PHON �.,L..— 0—a ff FACSIMILE:T� n tJ 1-F <br /> TENTATIVE'APPOINTMENTDATE: „}!g� <br /> (Please allow 10 busln.ss days tram date Of appOcation submIt al) - 229- �� <br /> CHECK SOX To ERPEDITE RE T-s93.,0�0,FEE—REQ��UFSTPROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C � DATE 1 <br /> Department Use Only <br /> FILE ADDRESS n <br /> +. s�.. Br,24 Airpoop-r- W a r`' Illy Unit 1 <br /> Z Sbw ox 11 <br /> I ftw MY n r UO2 <br /> -3fto Ow <br /> a Unit <br /> a � P�T�rL b <br /> 7. so-ee! (42 <br /> ON 47AN IIZF'O� -r <br /> a. a VIN Co, rro crole r-7;-y5415 A;r, ( } V11y Unft4 <br /> a. sem gt0_N :hCAFIC- RAtLIWAD "'r av pJ3 L C-ijl,, Sr Unit <br /> io. sneer CWI <br /> 14 V <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES t <br /> �r UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT SOLID WASTE FjW 01 <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY t SOLID WASTE <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) 0 DOG KENNEL AT DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH t] PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILFTY O MOTEUHDTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ T/ITTOOlaODYPIERCING ❑ POOLJSPA )3�LAND USE APPLICATION SITES <br /> J MEDICAL WASTE FACOMY 0 OTHER(PLEASE SPECO Y) <br /> 1. Inst up to ten addresses in the space above_ Select the type(s)of files from the list above py ctteGdnt <br /> the appropriate box(es). At least one file type MUST he selected. Fax to(209) 4640138 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 Le 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 net <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 expens <br /> of the applicant Future file 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. FA fr, <br /> CONFIRMED APpoiwmENT DATE: T1ME ) _� <br /> li DATE CONFIRMED 'PHONE . FAX INITIALS'. <br /> REVIEWED YES NO REVIEW DATE__ <br /> TOTAL P.O: <br />