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_` "' •,� •,� imp KRRZRN & nSSOCIATES <br /> i' 916- 564 2222 p, 2. <br /> 02/06/2004 22:12 4 X39 <br /> ENVIRONMENTAL k� �7H ra:.3E I]1 <br /> DATE RECEWED 4 =nu line w.. �. <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> { I�n 304 E Weber Ave 3d Floor Stockton,CA 95205 <br /> �4�8 420 Fax:(209)464-0138 Web:www.co.san-joaquin.camstchd <br /> I <br /> "07 D I <br /> ' FEB 2 5 2004 PUBLIC RECORDS RELEASE XPPILICATION <br /> APPLlCJ��&�yy�� <br /> �� NAIAD,))�,� r <br /> � �`� 01,13INE$SIAGENCY: � <br /> ADORESR <br /> 5f- a FACSIMILE: <br /> Ij <br />+ <br /> TENTATIVE*APPOINTAREN7'DATE: <br /> i (Please#flow 10 buatne"days from date of ap0cstlon sorni"An <br /> PCHECK BOX TO EXPEDITE REQUEST- 9. -ReQUEST PROCESSED IN 3 BUSINESS DAYS <br /> I} k <br /> SIGNATURE OF APPLICANT �1 DATE fin <br /> Depattmonl Use Only <br /> FAX ADMMS$ UNIT <br /> a JAG e /1f6- <br /> c I1! L/N GI c "' C If Unit f <br /> c t ;R1 <br /> Unit 2 f <br /> 411 <br /> a. stftl a �� Unit 3 <br /> a, sr.eas <br /> r. s�e ON 11 U t 4 <br /> i 5. stmel Ow <br /> 9. smet a Unit 5 <br /> W a" <br /> I} <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UIT <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT I SOLID WASTE FACIUTY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACIUrf D SOLID WASTE VEHK:LE <br /> UNDERGROUND TA!!K(MoNtTORINGMEMQVAL) 0 DOG KENNEL d pAIRY <br /> �HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ! <br /> D PKG TREATMENT PLANT <br /> I3 TIERED PER11In'TED FACILITY O MOTELIHOTEL ❑ PUMPER TRUCr"ARDICHEM TOILETS <br /> t O TATTOOMODY PIERCING 13 POOLISPA M LAND USE APPLICATtON SITES <br /> t[3 MEDICAL WASTE FACSUYY ❑ OTHER(PLEASE SPECIFY) ,1 <br /> 1. list up to ten addresses in the space above. Select the type($)of files from the fiat above by checking <br /> tij <br /> the appropriate box(es). At least one fila type MUST be selected. Fax to 209 464-0138 or rnait to It <br /> address indicated above. 11 <br /> 2. EHD w111 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. Appalntments should be scheduled <br /> accordingly. <br /> immediately available for review. A new <br /> s a not be IrH1rI <br /> 3, A file that is actively being worked an by EHa teff may i� ty <br /> application may be submitted when the file Is availab It. <br /> 4. Any rite not returned in the same condition as released will be reorganized by EHD staff at thle expense <br /> of the applicant. f=uture file reviews by the sante applicant may require a$93.00 deposit prior to review. <br /> S. "TENTATIVE sppolntmant dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next li usiness day, <br /> CONFIF7ME0 APPOINTMENT DATE TIME <br /> k � . <br /> DATE CONFIRMED PHONE FAX-[ fA11TU11S � <br /> E } <br /> REVIEWED �. YES NO REVIEW DATE <br /> ' EMD IdAY� 11 � <br /> +i <br /> 3, <br />