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FROM : ENGEO INC TRACY, CR FAX NO. : 209-835-0675 Oct. 31 2003 11:55AM P1 <br /> \ DATE RECEIVED EHD LOG NUMBS <br /> \V• SAN.�OAQUTN COUNTY <br /> ENVIRONIVIEN7'AL HEALTH DEPARTMENT <br /> 304 $ Weber Ave 3`d Floor Stockton, CA 95205 <br /> (ICT 3 1 ZY939)468-3420 Fax: (209) 464-0138 Web: www.co.san-joaquin.ca.us/e1hd <br /> J\!l ?, id?r r_I iic A'Li FI PUBLIC RECORI)S RELEASE APPLICATION <br /> APPLICANT: SEMI-EE E,�sE.d/ 13USINESSIAGENCY:_ eWM45I r'AAC, <br /> ADDRESS: 28g0 ) 7RACy 1i?4y;9, 437F. L. ?�A�� r�A q4376' <br /> PHONE:, FACSIMILE:FACSIMILE: 207-S35 - 0676 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: i, MIC <br /> / 'L_�^� <br /> (Please allow 10 business days from date of application submittal) DT1 <br /> ,*CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 0 <br /> SIGNATURE OF APPLICANT /...'Gua �� .( f — DATE /p/3//13 <br /> ��• Deparonent Use Only <br /> FILE ADDRESS UNIT <br /> t. svmt Of E LOG '-Q a Unit 1 <br /> AU C. 7 C lay <br /> A. Lm yosf 7 UP C AUy_e 3 <br /> 5sttt 50 w. C& I <br /> s. 50-cet )677. V 0 V a. ,f2�E ��CG Unit >�� <br /> 6. ,�j <br /> r. sued HA O o U Unit4 <br /> a. sveet I AIPQa 7 LUAy G A,L7 <br /> s. sveet 7 LJlF G Unit 5 <br /> 10. 5�,ee� - n �n e��t O CC ,uOOv���� .N{ 4 2 03 <br /> C Cn 3"2.1W Y1b.� 10'r� EM�IRDNMEN AL41 A�LTI�DEPARTt41ENLFiLEs + <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) TSC HOUSING ABATEMENT SOLID WASTE FACILITY `"' se <br /> OTHER CLEANUP SITE(NON-LOP) ,aS FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGtREMOVAL) ,$L DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOtBODY PIERCING ❑ POOLISPA )4yLAND USE APPLICATION SITES <br /> X MEDICAL WASTE FACILITY K OTHER(PLEASE SPECIFY) AN✓ ut,-om 6a USt=. OR H47 FIA-7 <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 /> 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 ! TIME12 <br /> DATE CONFIRMED PHONE FAX' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EMD 4841406 <br /> aeaoas ' <br />