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NOv. 20.-2003 8:40AM CONDOR EARTH TECH, W. 143u EHU LUG NUMBER <br /> _DATE RECFJVEp SAN JOAQM C01JN y <br /> L`wi[ITD011L1L%NAALlln H1.1JA DELARAAY11�+1\A <br /> 304 F Weber Ave 3d Floor Stockton, CA 95205 <br /> NOV 0 200i <br /> (209)468-3420 Fax- (209)464-0138 Web:w`xw-cO,San�Oaqum.ca us/ehd <br /> ENVIROWAIILIN Ii .F+i ' <br /> PERMn/�E 'r R' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: J T LL BUSINESSIAGENCY; <br /> ba "f�NNolas <br /> ADDRESS: <br /> 88" i <br /> FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE! Time: <br /> i_- _10 L22_�C�,I H�,� <br /> ((please allow 1e business days from date of apDliratlon submitai) <br /> ❑ CHECK BOX TO EXPEDITE REQUES $93-00 FEE REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE )10 03 <br /> SIGNATURE OF APPIrICANT ��----- Department use Only <br /> ' VZ UNIT <br /> lA—J KILE ADDRESS <br /> see Sas GflRpf.Nr6� RD oc ro ❑ Unit <br /> z sv� 3 �• Ar:P£AT-6P- �. a �- <br /> a. scram is . <br /> Unit 2 <br /> 4. Swa R N 7 Q 1�1 yGl� <br /> RrL, f2,15 A a , . ' le v tj� Unit LC +(f <br /> Z ✓ AUnit 4 <br /> l <br /> 7. SYee, � 00 Q <br /> I 00 �D <br /> ,9 Svad � pQ<& 7Zp Units <br /> .4a. svee, t7 N'r'-O iZb vVO <br /> �n ENVIRONMENTAL HEALTH DEPARTMENT FILES C <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 5 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY XSOLID WASTE VEHICLE C <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 13 DAIRY <br /> ❑ CHICKEN WINCH E3 PKU TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ MOfELJHOTFL C3RDl <br /> PUMPER TRUCK/YACHEM TOILETS <br /> L3 TIERED PERMITTED FACILITY ❑ POOIJSPA ❑ LAND USE APPLICATION SITES <br /> 17 TATTOOIBODY PIERCING 13 OTHER(PAF-ASESPECIF'Y) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the spate above. Select the type(s)of files from the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464 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 /> [DATE <br /> ONFIRMED APPOINTMENT DATE TIME <br /> CONFIRMED PHONE . FAX INITIALSO'nVIEWED _ YES NO REVIEW DATE <br /> wrmo�- <br />