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Feb 25 04 01 : 13p KRAZAN & ASSOCIATES 916 564 2222 p. 2 <br /> 02/06/2004 12:12 46 8 ENVIRONMENTAL OTH Taut nl <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> lJ MD ll 304 E Weber Ave 3`d Floor Stockton,CA 95205 <br /> Fax: (209)464-0139 Web,www.co.san-joaquin.ca.us/r,1id <br /> FEB 2 5 2004 PUBLIC RECORDS RELEASE APPLICATION <br /> m4&&&N P&IA E A�fd euslNessrA�ENCY: /fi�t��.5?i1� y"/�SS4% % S <br /> PFRNAI "CESE�'Z6- S- <br /> ADDRESS: � <br /> PHONE: /�o �` T— Q"} FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE. Time: <br /> (Please apow 10 business days from date of appli"don submtttaih <br /> CHECK BOX TO EXPEDITE REQUEST- 3. -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 4-SIGNATURE OF APPLICANT DATE pi <br /> Denartmonl Use Only v <br /> rUnit <br /> FILE ADDRESS�E�3a N / / <br /> Ire <br /> a t 3 <br /> a t4 <br /> T. 31n6 a Unit 5 <br /> �} <br /> 9. 9ueN <br /> 10. 9uM <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST(CLEANUP SITZ'(LOP) D HOUSING ABATEMENT X SOLID WASTE FACILITY <br /> ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑ DOG KENNEL ElDAIRY <br /> UNDERGROUND TANK(MONITORINGJREMOVAL) a CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> xi HAZARDOUS WASTE GENERATOR ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> 44 O TICRED PERMiTTED FACILITY ❑ POO SPA ❑ LAND USE APPLICATION SITES <br /> O TATTOO/dODY PIERCING d OTHER(PLEASE SPECIFY) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1, List up to ten addresses in the space above. type(s) <br /> e ectedf Faxst from <br /> Ittle 46st above138 bm cheCtheg <br /> the appropriate box(es). At least one file type MUST be s <br /> address indicated above. <br /> 2, Eant if any EHD files exist. to appointmentafter recelpt of application. <br /> ll be <br /> HD wiltnotify the applicli ati n. The files <br /> approximately five business days but no later than ten (10)days P PP <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 available for by EHD staff may not be immediately review. 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 a;93 O Ha so ff atTior to review. <br /> of the applicant. Future file reviews by the same applicant may req <br /> p P <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> EDATE <br /> FIRMED APPOINTMENT DATE TIME <br /> CONFIRMED <br /> PHONE FAX' INITIALS _ <br /> EWEDYESNO REVIEW DATE <br /> �fe/100 <br />