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SEN: BY: NAI SACRAMENTO; 916 376 8840; OCT-2-03 6:24PM; <br /> 10/02/2003 17:01 4640138 ENPAGE 2/2 <br /> VIRONMENTAL HEAIJH� PAGE 01 <br /> G <br /> DA -�C NED r (LL, j`y SAN JOAQUIN COUNTY V v V yy <br /> ENviRoNmFNYAL HEALTH DEPARTMENT <br /> OCT - 3 2003 304 E Weber Ave 3t Floor Stockton,CA 95205 <br /> "1 '(209 468-3420 Fax: (209)464-0138 Web: www.co.sanjoaquirl-caLuslebd <br /> E(vVIROflM <br /> t•d I )) <br /> HrALiH 15 <br /> PERMIT[S RVICES <br /> PUBLIC RECORDS RLEASE(�APPLICATION <br /> APPLICANT: Asr BUSINESSIAGENCY: Ml S4<AAn6ftl-VAG,I 10� <br /> 1"A <br /> ADDRESS, 840 16F4-64-Sol <br /> f' WO Wer JrC✓�•s+'�"i���D �"' Np�� <br /> �1 LLL PHONE: �IG• J7S• ISDD X 31 - FACSIMILE: q/L • 3-7`• 8e4`D <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow io business says bom data of application submittal) <br /> CHECKBOXTOEXPEDITEREQUE( "SS��,.40 FEE-REQUESTP CE59ED IN 78USINESS HAYS <br /> SIGNATURE OF APPLICANT LTil �— � 6 DATE y �3 <br /> Docarbrant the i <br /> FILE ADDRESS UNIT 0 <br /> O d �!M S [ elft ST. a 4.0 0 Unit 1 <br /> zA 045--26Q a65. <br /> D< Unil2 , E7 <br /> s. aw.i a <br /> flInit 3 / (rl alU <br /> 6. Nre a fel <br /> 7. Slroalii 114 <br /> a. <br /> aiiii L=L= Lju ❑ Unit 5 <br /> to 8,rte1 r <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) C3 HOUSING ABATEMENT 13 SOLID WASTE I'AC6.ITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY CT SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGfREMOYALI O ill KENNEL O DAIRY <br /> 4CM3 <br /> HAZARDOUS Wl GENERATOR O CHICKEN RANCH 171PKG TREATMENT PLANT <br /> 'iPERMITTED FACILITY 0 M TTELIHOTEL O PUMPERTRUCKIYARDICHEM TOILETS <br /> TATTOOIeODYPIERCING 0 POOUSPA CI LAND USS AIPPLICATION e <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) 1� I r Lr <br /> N r -r / <br /> 1. List up to ten addresses IAtthe <br /> leastone fiace le Vee MUSTthe <br /> be selected f Faxstor(0914@4x41139 rgmail o he <br /> chal <br /> the appropriate box(es)- type <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any END files exist. An appointment for review will borifi The files <br /> approximately live business days but no later than ten(10)days after receipt of application. <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 /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6, Applications received after 3:00 pm Will be processed the next business <br /> CONFIRMED APPOINTMENT DATE TIME .-- Hat-It'Fax Note 7671 <br /> DATE CONFIRMED PHONE FAX TO <br /> REVIEWED YES NO REVIEW PATE co'l 1. <br /> Phots M <br /> Ell n a O <br /> danara Fay a <br />