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Hp r 26 2004 3: 56PM Rttorney Ht Law ly1bl bay-aoau <br /> 04/26/2004 16:59 46401 ENVIRONMENTAL FF9i •TH L PAGE 01 <br /> STs REC.E1vEn lI jI�) SAN JOAQUIN COUNTY' <br /> ENVIRONMENTAL HEALTH DEPAR'T'MENT <br /> APR 2 7 2004 304 E Weber Ave 3te Floor Stockton,CA 95205 <br /> 20 468-3420 F>ax: (209) 464-0138 Web:www.co.san-joaquin.c&us/ehd <br /> ciT Huh!I}� <br /> c, Rail ~S PUBLIC RECORDS RELEASE APPLICATION <br /> - e 1 •}-R�•.S euslNissMGfHCY:���I�he..t-f Cx� �•ec��.✓.�- <br /> APPLICANT: <br /> ADDRESS: <br /> PHONE: FACSIMILE <br /> TENTATNE'APPOWTIi1ENT DATE: <br /> (Please Anon 10 bWiness�da da oof a�pP11c.`no►+.ubmwAn <br /> CHECK BOX TO EXKDITrc REQUEST-;9 0 FEE—R,EQUEST PROCES3ED t%3 BUSINESS DAYS <br /> IGNATURE OF APPLICANT DATE <br /> peoartrnent lice OMY <br /> 7Un <br /> FILE ADDRESS l <br /> 2 Flu <br /> sve�c <br /> C„ __Unit 3._ <br /> - <br /> ""°' Unit 4 <br /> G -- <br /> 7, <br /> c eiro'+ a p Unit 5, <br /> O <br /> ID Sind <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O HOUSING ABATEMENT Q SOIJD WASTE AL UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D FOOD FACILITY ❑ SOLID WASTE <br /> OTHER CLEANUP SITE(NON-LOP) O DOG KENNEL ❑ DAIRY <br /> NDERGROUND TANK(MONITORINGIREMOVAILI D 000 KEN EL O "G TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR O C"OKMOTIEN RAN r3 pUMPER TRUCKKARo1CHEM Lj <br /> RED PERMITTED FACILnY DPOOUSFA ❑ LAND UsE APPLICATION SITE <br /> 02 TATTOOMODY PIERCING ❑ OTHER(PLEASE SPEC" <br /> ❑ ME01CAL WASTE FAClLrTY <br /> 1, List up to ten addresses in the apace above. Select the type(S) of fiias from the lief above by checking <br /> the appropriate box(es). At hast one filo type MUST be selected. Fax to 209 464-0138 or mail to th <br /> a+ddres In cated abo s. <br /> 2. EHb will notify thQ applicant it any EHD fifes exist_ to appointment jo)days er��ipt o f application.on. The files <br /> approximatety five business days but no later than ten{ie day intments should be scheduled <br /> will be held for a maximum of five business days for review. Appo <br /> accordingly• <br /> vely being worked on by EHD staff may not be immediately available for review. new <br /> :I A fila that is acti <br /> application may be submitted when the fife is available, lied EHD at <br /> 4 Any tics not retuse <br /> rned In the game condition as releas'd�wllt may re <br /> rgan a;93 QO deposit PM the <br /> °vier.' <br /> of the applicant. Futuro fila reviews by tt►a same app <br /> 5 'TENTATIVE appointment dates must conn l processed he n p t business <br /> day. <br /> 6. Applications received after 3:00 pR+willll tag pro <br /> _ ra <br /> rCONFiRMED APPairrrnn>=N-r DATE TIME, <br /> FAX m1TLA� <br /> \ PHONE <br /> DATE CONFIRMED REVIEW DATE r <br /> RENEWED YES NO <br />