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_ 11-25-03; 1 :OOPM;CRA STOCKTON ;209 993 6960 tt 21 <br /> \ 11//25/2003 12:13 464013 ENVIRONMENTAL HE H PAGE 01 <br /> IrIl_�I 1, I-7 Cr/U LUI-i IVUIVIDZ{ <br /> IPDA�E,RECEVEOt%_Ii__ .Y)) <br /> SAzv JoAQu1N COUNTY <br /> NOV 2 5- 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 F Weber Ave 3`d Floor Stockton, CA 95205 <br /> L_NViR61Wv1NT HFtF iVy) 468-3420 Fax: (209) 464-0138 Web: ,,v-%Yw.co-san-j*oaquin.ca.us/chd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: JI 'f r\ 1"v' BUSINESS/AGENCY: <br /> ADDRESS: !V2- V V��U� C� ��u)rl + t <br /> j HONE: 12 0�' - $ O ,FACSIMILE: <br /> i <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> 1 (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> -*SIGNATURE OF APPLICANT DATE <br /> DeDartrnent Use Only <br /> '/ II�^1 FILEADDRESS <br /> n!, �j� UNIT 4 <br /> 1. Slr—, 1 V Y'� Vv CI i-a c ^`� Unit 1 <br /> 2. s t 2 Cll 1 <br /> 3. 316 1 CI //-- 0 unit 2 <br /> a. 9lrR. <br /> !nit <br /> G. Street CI' <br /> �. saegt _ u <br /> I e. S1ra4t cl <br /> 1 9. Slrcet G � Unit <br /> 10, Street G <br /> ty <br /> e. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILESa g�+ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING ABATEMENT C1 SOLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> Td UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL J M DAIRY <br /> D HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH i❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL ❑ PUMPER TRUCKlYARD/CHEM TOILET <br /> ❑ TATTOOIBODY PIERCING 1) POOL/SPA "o, .O D USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY _q,6THER(PLEASE SPECIFY___ <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464.0136 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 ne <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 1014 <br /> 44 rxpens <br /> of the applicant_ Future file reviews by the same applicant may require a Tr, retie I <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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> eno ui-42"006 <br /> 8)612003 <br />