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JT BY:. E01y'.10-0 INC+;;II_' 415 597 7880; < JUN-11 -0< 1 '1; PAGE t /1 <br /> 06/18/2803 13:54 4640138 ENVIRONMENTAL HEAL7I.1 (PAGE 61 <br /> DATE RQCGVm <br /> JUN 11 2003 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> \ - WIRONN1EN i 11:AI_I N 304 EAST WEBER AVENUE,THIRD FLOOR <br /> V PFf?P•.al? FrvICE; <br /> STOCKTON CA 95202 ' ) <br /> (209)468-3420 M/ <br /> PUBLIC RECORDS RIELEASE APPLICATIC'N <br /> i`' 7lz IGA�Eti'Ay' oHoGrcA��N :., _ <br /> APPLICANT pU31N0S1Al:F1JCY .i_- ---- <br /> ADDRESS /5,�94 lfowk�P Sl . �57E. Nc7 o_ 9R/v res <br /> PHONE 'll.�• .5-9 1- FACSIMILE_ y/S. 54 2, J...�----f---- <br /> TENTATIVE'APPOVrPl"se DATE TIME ""-"--- 3j <br /> (Pleas°DWS 7 to 10 buElnaEat aEy!:tT0111 date of appllcetlOn RubmlHnl) <br /> +� CHECK BOX TO EXPEDITE REQUEST.$39.00 FEE-REQUEST VROCE33FD IN 3 BUSINESS,DAY'S <br /> DATE . LL21 b.Iq �3 <br /> ;-SIGNATURE OF APPLICANT �'^ Jae <br /> SIDE EHO STIJT SE CNLY� <br /> FILE ADDRESS PROGRAM ELEMEI IT..aL�A1tCH I <br /> 2801 Was L NE 7-D Al -- <br /> I Soo t✓ rA N• wr` I <br /> 2 3S A I,YIN 5 .:.._ 9 � /J — <br /> 2 N W S r 6ANE 5Tb ete N <br /> 2�3 vN I V f�TAF 5 <br /> IS28 L /NJ4'L Si0 rot✓ <br /> $0 %TV�GfoN �frl GCNG7�lzi N n t —• -- ��\?V' <br /> 23o CV 5 L Ne U N <br /> r N• wrFsou N ^ ti'-"' <br /> 02 wz9Y LRNSI 6796"'fl <br /> ENV pN MEFITAL HI:ALTH DIVISION FILE, <br /> I�sb N- Wit-PON Wjlt 06Cji J <br /> Cd UNDERGROUND TANK(UST)CLEANUP SITE(LAP) I7 HOUSING ABATEMENT 0 O D WASTE PAL.ILITY <br /> ❑ FOOD FA'ILITY O SOL1I}y1'ASTIi VEI-0ICI.1! K <br /> OTHER CLEANUP SITE(NON-LOP) 0 DOG KENNEL R DAIRf <br /> IEC UNDERGROUND TANK(MONITORINOlREMOVAL) CHICKEN RANCH Eq PKG IRCATM-:NT PLANT <br /> 0't HAZARDOUS WASTE GENERATOR St 5t PUMPiFS TRU:K/YAFIDICH M TOILETS <br /> TIERED PERMITTED FACRnY EIBL/H <br /> MOTOTEL <br /> 0 TATTOOlaODY PEULCING C3 POOIJSP 1 lit LAND UL4E NI PLICATION S S <br /> ❑ OTHER V%RASE <br /> M:DICAL WASTE FACILITY <br /> sPECIF•� •--— <br /> t. Litt up to tan addressor in the space above. ,;elect the type($)of fiN1s from the I ist above�checking <br /> the appropriate bOX(a5). At least one 1118 typo MUST ba selected. Fj�o I. 9L•11. € all to n <br /> addi eas indicate above. <br /> 2. EHO will notify the applicant if any END files a dst. An appointment for nml'of ill u0 Ovnf"01i files <br /> approximately,five business days but no later than ton(10)days altar retell PP • ) <br /> will be held for a maximum of five bUalness days for inShould view. Appolnimorlts Shoube scheldulad <br /> accordingly. not he immedWttay oval 4314 for r3 iew. A new <br /> 3. A file that Is actively being workod on by EMD staff may <br /> application may be submitted when the file Is.1vallable. {q <br /> 4. Any Ne not returned in the Same condition as released will be reorganized Uy EI tip mtttM at>Ehe expanae <br /> of the applicant Future file reviews by the same applicant may require a U 9.00 df-110 it p r t a review. <br /> 5. "TENTATIVE appointment dates must bo confirmed with EHD staff. <br /> 6. Applications received atter 3:00 pm will be pr4.Ges9ed the next business .ta;y- --•�_ --...�."--. __ . <br /> Pa,t4t°Fax Note 1,371 i peosR I <br /> CONFIRMED APPOINTMENT DATE "���,yp�1,1 <br /> DATE CONFIRMED �—"- <br /> �� I 597-7Fb5i� <br /> REV15WED YES NO rot 5 1L' .°�I_ci I-tj � <br /> - <br /> .�rz�aow }t <br /> F <br />