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ix <br /> ( Z002/002 <br /> 12:09 FAX 2089621 <br /> CfIU Lvv IV •a..Llti <br /> DATE RECEIVED SAN JOAQUIN COAX <br /> ° EN MOMaNTALHEAJ Tif DEPARTMENT <br /> 304 E Weber Ave 3"Floor StocktoCA 95205 <br /> 2004 46$-3420 Fax: 209 464-0139 Web:www.co.sau joaquzn.ca us/ehd '• <br /> 0 2 �o� ) <br /> MAR (, ) ( , <br /> 0 <br /> tNV1RUNMEW`HEA � HPUBLIC RECORDS RELEASE A�PLICATTON <br /> APP'l.7CANr: BUSINESSIAGENCY: • • - <br /> ADDRESS "Z �' - <br /> a. -! <br /> PHONE.•_ �lK$I �� __.FACSIMILE: O 161A'I <br /> TENTATNE&APPOINTMENT DATE: O i Tuna: ('ZUO <br /> I (Please allow 10 business days[ram date of applltaUon submittal) <br /> r�-� <br /> 1--� CHECK SOK To EXPeDITE REQUEST-$93.00 FEE--REQUEST PR ED IN 3 BUSINESS DAYS <br /> I <br /> SIGNATURE OF APPLICANT DATE 7 <br /> 'r Dao tmxt Use 0111Y <br /> i+ <br /> FILEADDRESS !I UNtT <br /> ftnjR.P S i. ZSLtg WlaI ❑ Unit 1 <br /> 2- sued V,, Lom it <br /> 3. 610MIct Ia1'I ot E 4Unit 2 <br /> a, Saset R L..O ^ 1� � <br /> s. sww L +-a. <br /> ' S 4' Unit 3 ✓� � <br /> 11 saes w W N OcLP <br /> 7. saw <br /> 114 Lo ST• it <br /> U ' 4 <br /> 9. Sada <br /> ,O. 56ee! iPbfI; a <br /> t ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4 UNDERGROU V TANK(UST)CLEANUP STTE(1-OF) 0 ROUSING ABATEMENT ! Q SOUS)WASTE FACILITY <br /> W OTHER CLEA�d UP SITE(MON-LOP) E3 FOOD FACMM i �❑ SOLID WASTE VEHICLE � <br /> $ UIEIUNOERGROD TANK(m NfTORiKGtPEmOVAL) O DOG KENNEL DAIRY <br /> Ir HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 4 PKG TREATMENT PLANT <br /> M TIERED PERPMTTED FAC1L!"fY ❑ MOTELMOTEL i ❑ PUMPER TRUCK/YARDrCHEM TOILETS i <br /> ❑ TATTOplsoo� i wRcwr , 0 POOLISPA " LANE)USE APPLICATION Sn S <br /> D MEDICAL,WA ISTE FACILITY a OTHER(PLEASE SPECI <br /> 1. List up to ten addresses in the space above, Select the type(s)of;lfiles frons the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the <br /> address indicated above- <br /> 2- EHO 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 tiles <br /> will be held for a maximum of fire 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 maybe submitted when the file is available. 1 <br /> 4. An�file not returned In the same condition as released will be reorganized by EHD staff at the expense <br /> of t i e applicant. Future file reviews by the same applicant.may require a$93,04 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 /> N 1 ~T Y <br /> .,:Cb FJ M D. Po rir�iEr�l t 1�A'�E;. : ..,..:.,;: TIME <br /> r aHrr s <br /> DATE-CONi"1RM'1=D . .�� � - _"�.PHO[VE�� - � >✓A�•. '�:..;;.,� 'I;q,L . <br /> REVIEWED i .; YES NO REVIEW DAT> s <br /> Gto 44-02-00E I ' <br /> arzWzvoa ` <br /> Vii, <br />