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_ 10/27/2003 02:57 7077483171 - CERES ASSOCIATES. PAGE 01/0 <br /> XV <br /> DATE RECEIVED j EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVII20NMtNTAL HEALTH AEPARt MENT <br /> 001- 2 7 2003 304 E Weber Ave 34 Floor Stockton,CA 95205 <br /> (209) 468-3420 Fax: (209)464-0138 Web: www,co.san-.joaquin,ca,us/ehd I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: I�yaM 1 YT�I BUSINESS/AGENCY= C�� , + Oc 'a�s <br /> � <br /> ADDRESS: 5-F`r SaT FC.S+- SL -'- 303 I Ee�.,IC'�A , CA � g°{'j( O <br /> PHONE: —70 1--7 ef V — S 1 7 O FACSIMILE: —70-? — 4 g St -1 <br /> TENTATIVE'APPOINTMENT DATE: V� Ic, (D)3 Time: j <br /> (Please allow 1(I business days from data of application submittal) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 3.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DepartmentOnly <br /> O <br /> FILE ADDRE99 UNIT <br /> a9 00 (o Se —A(-' ...,—! cly Sfec,efah <br /> z. s.., eg+ SoHor . Str.ct c S*CX4@n 0 Uniti <br /> 3. VWl CRY U . <br /> s,.. cJ <br /> s. aro. <br /> CIN Uni (\ <br /> e. ctroet G <br /> ci Unit <br /> A. su"t CI <br /> city Unit 5 _ <br /> cl!y Hot <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(USTI CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT <SOUD WASTE FACILITY <br /> g OTHER CLEANUP SITE(NON-LOP( ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) t7 DOG KENNEL AS DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH PKC TREATMENT PLANT <br /> TIERED PERMITTED FACILITY U MOTEUHoTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> Cl MEDICAL <br /> WAS PIERCING ❑ OTHERPOOLtSPA LAND USE APPLICATION SITES <br /> CI 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)464.0136 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 /> 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 7TNtE t fi,;V� tyro wR: 7 s <br /> DATE CONFIRMED �a PFIONE s FAX INITIALS <br /> ' b <br /> REVIEWED YES NO y 11EVIEYv DIVE I 5� Ls fr <br /> sno.aaame <br /> 8lMOW <br />