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FROM : Grrlound Zero cavirIRnalysis PHONE NO. : 209 838 9883 _ Jan. 26 2007 04:08PM P1 <br /> NEIV, I� EHD LOG NUMBER <br /> DATE°i`` Lam. SAN JOAQUIN COUNTY <br /> SAN 2 B 2007 E 114 E W M r Ave 3 HEALTH DEPARTMENT w ^� <br /> 3041✓Weber Ave 3`d Floor Stockton,CA 95205 (•//' 'G/ <br /> ENVIRONMENT HE/�o 468-3420 Fax: (209)464-0138 Web: WWW.00.SaDjoaqujn.ca.us/ehd <br /> PERM(TJSERViC�S <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_Barbara VOo*-Hees BUSINESSIAGENCY: Ground 7,Pr 6 A <br /> ADDRESS: *ia-1-v.S.l�� Yti n`T( <br /> 1714 Main Street <br /> PHONE: 1.209 838-9888 FACSIMILE: (209.)...$38.✓-`9922 _�"7 <br /> TENTATIVE'APPOINTMENT DATE:,,_.^_ Time: <br /> (PIae6C allew 10 business days frau dais of appllcaUon submittal) <br /> CHECK BOX TO EXPEDITE REO -593.00 FEE-REQUEST POCE�nF{ SS�N 3 BUSINESS DAYS ry <br /> i � DATE <br /> SIGNATURE OF APPLICANT Depadmsnt use Only <br /> UNIT <br /> FILE ADDRESS <br /> 1. aa,a4221 E, Mari O R Hu'' ❑ Unit <br /> a �'° ❑ Unit 2 <br /> s. swwt ` rl <br /> a. sleet r •' Unit 3 \� <br /> Uy X Unit 4 0 <br /> seat <br /> 0. SBeei MyFEB <br /> CIN ❑ Unit 5 o <br /> c <br /> 10. Geed <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> V�IINDER CLEANUP <br /> TANK(UST)CLEANUP SITE(LOP) I7 FOOD FACILITY [3 SOLID WASTE VEHICLE <br /> ta/OTHER CLEANUP SITE(NON-LOP) LI DOG KENNEL `- LI DAIRY <br /> (?'UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG CHICKENLM4KG TREATMENT PLANT _ <br /> 06MZARDOUS WASTE GENERATOR d CHI CKEN RANCH EL tI PUMPER TRUCKIYARDICHEM TOILETS <br /> ¢'TIERED PERMITTED FACILITY p POIELAiO ❑ LAND USE APPLICATION SITES <br /> OLISPA <br /> ❑ TATTOOIBODY PIERCING VOTHER(PLEASE SPECIPY)!w).RQ ' <br /> ❑ MEDICAL WASTE FACILITY <br /> 1, List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(208)464-0138 or mail to the <br /> address i jca ed abo e. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirm <br /> approxlmatelY five business days but no later than <br /> an ten(10)days aftereceipt eshe dof pb schedu edfiles <br /> will be held for a maximum of five business days for review. App <br /> accordingly. <br /> 3, a floe that is actively being worked on by EHD staff may not be immediately available for review, Anew <br /> application may be submitted when the file is available. at the expense <br /> 4. of tfile <br /> applicant. Fute reorganized in the Same Condition as released Willi be staff <br /> ure filer views by the samapplicant may require a$93.00 deposit het p or to review. <br /> 51 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 <br /> PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE _ <br /> no ecozoac <br /> - erersaeee <br />