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\ 05/01/200' 08: 34 2094671118 AGE STOCKTON PAGE E11/01 <br /> "q f i'� , i I ", - I )! I SAN JOAQUIN COUNTY EFD LOG NUMB <br /> i <br /> � IENVI ONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY 0 1 2003 STOCKTON CA 95202 J <br /> (los)ase-;azo ` Wn' <br /> ::Lm-PUBLIC RECORDS RELEASE APPLICill'1014 <br /> APPLICANTUI BUSINE55lAOENCY Qdtkt.v�c";,��-F!0, k'4 ��� <br /> ronme�r j <br /> ADDRESS ko.tw {� ❑' <br /> PHONE Mq FACSIMILE / " 1W I L— <br /> TENTATIVE"APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from dale of application submiVal <br /> ' <br /> CHECK BOX TO EXPEDITE REQ7;z <br /> REQII T PROCESSED IN 3 BUSINES$11A1 S <br /> SIGNATURE OF APPLICANT _ DATE <br /> T <br /> FILE ADDRESS THIS SME IcI1D tiTAPF 113E ONLYs <br /> PROGF ANI ELEMEN'i5 SE <br /> I rid 03 <br /> It a <br /> It Y 3 <br /> Yl r-rr, lU rx Lt)t , S-Mck, <br /> Sou t n . IP <br /> — ---- - <br /> Y1 r U)t n S CICI D r� <br /> ✓* a Or _ -- —- ,►� <br /> k n - "t3 <br /> �)F UX Will 0— ou1-auk � P�o:IT' -vNvulb kuue— <br /> COP`t seryl G WHOIz ENVIRONMENTAL HEALTH DIVISION FILES nqr 1=11A 4, <br /> . . (�UNDERGROUND T�AK(U.ST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ 8(iLl;l WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLIII WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH ❑ PRG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEU40TEL ❑ PIIMP'ER IRUCKI'rARDICHEM TOILET:; <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLISPA ❑ UNCI usr APPLICATION Sims <br /> ❑ MEDICAL WASTE FACILITY ❑ 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 1212.09)464.0138 or mall 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 raoalpt 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 immedhiteiy m ailabie 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 tho expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 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(lay. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATEQONFIRMED PHONE FAX INITIALS; <br /> fi:I YES NO REVIEW DATE <br /> END 48424Bc ------___- _ <br /> anumsa <br />