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FROMD:ECNgEC I2g04RACY, CA FAX NO. : 209-835-0675 c. 10 2004 03:19PM P2 <br /> D REt.�IVLU <br /> J(( I SAN JOAQUIN COUNTY <br /> \ EI P1C tr ;l F I,ij L ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 1 0 2 304 h Weber Ave 3r1 Floor Stockton, CA 95205 <br /> _4)468-3420 Fax: (209)464-0138 Web:www.co.san-joaquinca.us/ehd <br /> EN KI' k %I <br /> �k,, ( r.N1Lf H <br /> PER,� , .,ERViCFS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: _ASF Y TEN 6Fc(1 BU$INE$S(AGENCY: EN 6E6 W N. <br /> ADDRESS: 2116 p. 7,eAcy dipip, -40L 3 )f 14 374< - .:'Y k'"' P"�'^,`"•. ,` <br /> PHONE: -7Q9' 135'0e/0 FACSIMILE: 209.35-6 6'76 <br /> TENTATIVE'APPOINTMENT DATE: ASAk Time: 1:30411 <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��rl �i� cat== DATE i6/rb�aS� <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> Unitt' <br /> zSe, o GP ,0 <br /> S n <br /> a. sv.t I-00al's c S7764 Unit <br /> �i 11.> usT 4. slrc..l 2� Q Loo tiV a ! O 1 , <br /> sveG 2913 U;9?Aef3 6N Oe^e7D.t/ Unit �(Y <br /> U" -- 6. Svee! 3,733 100MOSO c. _tt71!W <br /> 7. Slreet G Unit 4 <br /> 9. Svcxt G <br /> s. sveet o Unit 5 <br /> toLA. svcv <br /> ..../ ENVIRONMENTAL HEALTH DEPARTMENT FILES W <br /> SW <br /> Ja UNDERGROUND TANK(Us I)CLEANUP SITE(LOP) HOUSING ABATEMENT OLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) FOOD FACILITY SOLID WASTE VEHICLE <br /> ,UNDERGROUND TANK(MONITORINGIREMOVAL) ;011IOG KENNEL �JDAJRY <br /> HAZARDOUS WASTE GENERATOR ),r CHICKEN RANCH �KG TREATMENT PLANT <br /> ,fr� IERED PERMITTED FACILITY TEUHOTEL UMPER TRUCK[YARDICHEM TOILETS <br /> 0TATTOOIBODYPIERCING POOOVSPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY Cl 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 one 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 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$93.00 deposit prior to review. <br /> 6. '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 /> Eno4a-02405 <br /> M003 d _ . <br />