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10/17/2003 15:14 9253715915 GEOCON. - EAST BAY PAGE 01/0 <br /> 10/14/2003 09:49 4641 '8 ENVIRONMENTAL rLTH PAGE 01 <br /> L%,( - �.... cnu s w taitwicam <br /> DATE RECt"KD <br /> SAN JOAQUINCOUNTY <br /> ENVIRONMENTAL HEALTu DrPARTMEN1 <br /> 304 E Weber Ave 34 door StOCktO n,CA 95205 <br /> 0 C T 1 7 20 <br /> Q309)468-3420 Fax: (209)404-0138 Web:www.CO.san joaquin.ca-+,-1ehd <br /> ,:N'Jl ii Edi,,'EN1 'r EALTH <br /> P1=R�11T,' ERS./I�r,` PUBLIC RECORDS RELEASE APPLICATION <br /> 'IC- <br /> APPLICANT: fc�auSINESSIAORNCY,. P,DCO CO A 'IC, <br /> fi�/ e <br /> 1�. ADDRESS: / <br /> 7t PHONE:� '� �/r y � _FACSIMILE: z <br /> TENTATIV>:"'APPOINTMENT DATR: Time; <br /> n/o��: y o TitIa • ,csr°Cle `�f � JifJaellZ -/6, X907' fo Ae, . <br /> El CHECK aox To EXPEDITE~116QUES 00 FEE- QUEST P E 8 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE O:Z7� <br /> DeP2 tmetlt UMa Only <br /> FILE ADDR988 UNIT <br /> w C 3 +kK p Unit,ON <br /> 3 <br /> L �rY <br /> C. L� ❑ Unit 2 10'� <br /> gty <br /> sty+ <br /> -3 <br /> G r11t ❑ Unit 3 <br /> street 153 <br /> � L_ �nit <br /> � C l <br /> e. �trcel <br /> d , Unit 5 <br /> 10. Stent a G 3 W <br /> ENVIRONMENTAL HE&TH DF-PARTMENT FILES <br /> p(UNDERGROUND TANK(UST)CLEANUP SITE(LOP) C3 HOUSING A13ATEMENT C1 SoL)D wASTE FACILITY <br /> ❑ OTHER CLEANUP 817!(NON-LOP) 0 FOOD FACILITY d SOUR WASTE VEHICLE <br /> to UNDERGROUND TANK(MONfrORINGMEMWAL) 13 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GINERATOR Q CHICKFN RANCH n PKO TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY CI MOTELIHOTEL Ci PUMPER TIRUCKIYARD/CHEM TOILETS <br /> O TATTO01RODY PIERCING O POOUSPA ❑ LANA UBE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY 0 WWR(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the pe(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fa 2 9 464-0 it to the <br /> address 113dirate above_ <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for after receipt <br /> will be confirmed <br /> will be held for a maximum of fl a busines but no ss days for ter than ereview. Appointments should pbe application. <br /> The <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately sVAllable for review. A nem <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 <br /> nog to revlev <br /> of the applicant. Future file reviews by the some applicant mey require a$93.00 deg P <br /> $I *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be pronessad the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX ' iNnIALS — <br /> REVIEWIED YES NO REVIEW DATE <br /> eno�ox-0os <br /> anrzoo� <br />