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EHD L06 NUMHE:k <br /> SA-K JOAQUIN COUNTY10 <br /> DCT 'r ENVIRONMENTAL REALTH DEPARTMENT <br /> 304 E Weber Ave 3`�FlooT Stockton, CA 95205 <br /> �209) 468-3420 Fax: (209) 464-0138 Web: www.co.san-joaquin.ca.us/chd <br /> Pr- 903qt <br /> 19 T <br /> V'11---s -PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: T/� I9 BUSINESSIAr.,ZNCY, <br /> q02_ Myl ,k)n/a. (naq <br /> PHON5'. FACSIMILE: 62Ly? �q- q-22 ou <br /> TENTATIVE*APPOINTMENT DATE, TImc: <br /> (Plea-5e allow 10 business days from date of appiliration Submitfal) <br /> CHECK BOX TO EXPEDIT5 REQUEST-$93.00 FEE-REQUEST PROCESSED IN 313USTNESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> FIIL,V ADDRESS UNIT <br /> M <br /> CAA b V\- 0 Unit 1 <br /> 3. strew cf ---- - - E) Unit 2 P-V-t <br /> s. S"et m nn.. rn\ n , n P 5 P rP <br /> s. stores 11 IE Unit <br /> e. S1rcc1 <br /> 7, S:,ct Unit <br /> 5, 'qTnO r-)tv---,. b <br /> 9. Sheet f.— 0 Unit 5 <br /> 2!X <br /> ENVIRONMENTAL HEALTH OEPARTMENT FILES <br /> 9/UNDERGROUND TANK(ij$T)CLEANUP SITE(LOP) IZI HOUSING ASATT~MENT 11 SOLID WASTE FACILITY <br /> i(OTHER CLEANUP SITE(NON-1-CP) 0 FOOD rAClLrFY ZI SOLID WASTE VEHICLE <br /> C�UNDERGROUND TANK(MONITORINGfIREMOVAI-) 0 DOG KENNEL El DAIRY <br /> ;/,/HAZARDOUS WASTE GENERATOR 0 CHICKEN RANC14 11 PKG TREATMENT PLANT <br /> = <br /> C/ TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCKfYARD1CHrN1 TOILETS <br /> ZI TATTO01500T PIERCING 0 FOOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY C1 OT14EFZ(PLEASE SPECIFY) <br /> List up to ton addresses in the spare above. Select the type(S) of files from the list'above by check <br /> the appropriate box(es). At[east one file type MUST be selected. Fax to (209)464-0133 or mail to tK <br /> address indicated above. <br /> 2. EHD will notify the applicant if arty 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 f!ro <br /> will be held for a maximum of five business days for review. Appointments should bd scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. <br /> applicationMay 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 e <br /> of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to revi <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 VATS TIME <br /> DATE CONFIRMED FHONE FAX INITIALS <br /> P,EVIEVVYL) YES NO REVIEW DATE <br /> EHT)"-02-00F <br />