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OG/03/2005 12:23 2095 '�27 GEOLOGICAL TEC `CS PAGE 01/0 <br /> EHD LOG NUMBER <br /> We RFCE1Vr=DSAN JOAQUIN COUNn <br /> E <br /> W' <br /> , <br /> ENVIRONMENTAL HEAL'I'R DEIPP NT <br /> n E E <br /> i' E LJ 30.4 V Weber Ave 3" Floor Stockton, Ck 95205 <br /> (209)46&3420 Fax:(2-09)464-0138 Web:www.cq,sanijoau�uin.ca.uslehd <br /> 1� 1 - . 1 <br /> �LA ?005 pUgLIC RECORDS RELEASE AppLIC.ATION . a <br /> k <br /> IvV# C V11 a BUStNEWAGEKY-1 of ; <br /> P1 <br /> sCA <br /> APPRE88• Ica <br /> PHONE; raa b�- 1 FacslMiL�: � 5 �s - y�7 <br /> V 3i it !)e rub <br /> TENTATIVE"APPOINTMENT DATE: #•• <br /> (Pls� lour 94 uri�hue6 ■PAAn submlbbo<li <br /> CHET(BOX TO EXPEDITESR R # <br /> F —itEQUES P C IN a BUSHdE88'`DAYS <br /> SIGNATURE OF APPI.XANT <br /> 1} '� DATE <br /> i bsoartawr4 Ube Only �J <br /> FILE ADDRESS '� ip DIIIT <br /> Unit# <br /> 3, �� <br /> s� tAmit a � <br /> i iN Unit 4 1 <br /> �F <br /> 6. WON _ <br /> �o. <br /> I� <br /> ENVIRONMENTAL HEALTH DEPARTI IENI`FILES <br /> Plf CLEANUP SITE(#AP) 0 HOU ING ABATEMENT j� ❑IkSOUD WASTE FACIUlly <br /> UNOE#tGRauND TANK(U" I 0�$OLJD WA9'!S VL3t9l� <br /> j� OTHER Rt.F.Ad�UP SITE(NON-LOP) © FOOD FACILITY <br /> 19 UNt}ERGROUND TANK OWNITCRINGIREMOVAL) Q DOG KEKtWL r3 DAIRY <br /> Ts`'T''HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C I FK*TREATMENT PLANT <br /> 0 TIERED PER#Ar1'i Lx0 FACILI rY 0 IIAQ'I'UMOTEL � ❑f PUWER T#kVCWAR=HMM,TO1lL S <br /> G TATT001000Y MERCf 0 E3 POOLISPA f Gi�LAND USE APPUCAMN SIM <br /> ❑ MEDICAL WASTE FACILITY 0 OTH59 ipI,.RABE SPE <br /> 1. List up w Wn addrasaea in the space above, Select the type(*)of flies from the list above by checking <br /> the appropriate bo*0s). At least one file type MUST be selected. 464-01Milli to the <br /> 2. EHD will}noUry the applicant if any EHD files exist. An appointment far review will be cortflrtned <br /> approAmately tine business days but no h tsar than ten(10)diva alter r"pt of application. The ides <br /> will be held for a maximum of five husine"days for review. 'Appokments should be scheduled <br /> accordingly. ii <br /> 3. A file that Is actively being worked an by EHD staff may not be imrrtedlately available for renew. A new <br /> app kation may be submitted when the file[a available. [j <br /> 4. Any file not returned In the same rendition as released will bs mofVantted by EHD staff Int the expense <br /> of the applicant. Future file reviews by the same app#lcarrt msy require a$93.QO deposit prier to resew. <br /> 5. *MUTATIVE appointment dates must be confirmed with EHID staff. <br /> 6, Applications received after 3:00 pm will be proomed the next bWness day. <br /> "I <br /> 3 JI I <br /> CONFIRMEO APPOINTMENT QAC TIME <br /> DA'L'E COkF[ftNlED PHONE F" INITIALS <br /> II INITIALS <br /> Rl"V MEb ylt s NO REVIEIIII D <br /> a+a coax 'p <br /> it <br /> i <br /> i <br /> iM <br />