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12/10/2004 16:56 1866C;&'329 RYAN & FONG PAGE 02 <br /> a 12/10/2004 15:51 468 EWTPON4ENTA!4LALTH PAGE 01 <br /> • -1100 LOG NUMBER <br /> DATE Rrwntwao SAN JOAQUTN CPUNTY <br /> o rc D+NV]ERONMENT•AE MALTTi DEP•ART'M NT <br /> r` 304 E Weber Ave 3r°Floor Stockton,CA 95205bob? <br /> I <br /> DEC 10 2004 (201)46&3420 Fax: (209)464-0138 Web:w«rw.cD.saD joaqufnca us(ehd <br /> ENVifi �!i- { I pu-BLIC RECORDS RFLEASE APPLICATION f- <br /> PFRI>�� ,. ;, i��YiP w�fl`rc�C'rrC7rn _ _susa+EssIAAENCY: <br /> APPucarrr: <br /> -� Sys ,�• Op <br /> ADOPxs _ -1-Z <br /> PHONE: Q '— Ia. FACSt I��11'' <br /> TENTATIVE'AVPowtMENrDATE: � ``f Ta`re'� <br /> ukase a11M*1 D tn+slneas days ttom dais of aPPlcatro„o�tunlaaq <br /> CHECK 60X TO t7q'EDrrE REQUE •59100 FEE—REQUEsr PROCESSED Wi a BUSMSS DAYS <br /> DATE 1 IlcrUs-_.— <br /> IGNATURE OF APPLICANT pS>*,y„u,K Use Onr <br /> UWT <br /> FIRJ= DRESS <br /> Q Unit 1 <br /> Unit ;LAO <br /> �. tL3. <br /> s. <br /> 'Unit4 <br /> T. <br /> a �] Unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O SOLID WASTE FACILITY <br /> 4wDERGROUNO TANK(UST}CIFANUP SRE(LOP) 173 MOOD FACILTY O HOt1sMG ABATEMENT ElSOLID WASTE VEHICLE <br /> VOTF, R OtEANUP sn7:(NON-Loo ❑ DOC KENNEL ❑ DAIRY <br /> f�UNDERGROUND TANK(MONITORI WAL) ❑ CHfC�U:t1 W+IiCH Ci PK07RFATMFM PLANT <br /> O W-A;t000S WAM GPNERATOR ❑ CHMIT.KMaMLPHRANTFL ❑,yPUUMMPER TRUCIUYARb/CHEM TOM ETS <br /> L7 TIERED PERWITED FACILITY O POpUSPA t�LAtlp USE APPLJCA71ON SITES <br /> ❑ TATMfEf3ODy PIERCING O OTHEk(PL CASE SPEC <br /> 0 u[DICALWASTt:FACILrrY checking <br /> t. List up to ten addresses In the space above• Select the types)of fid from the Gst above Py <br /> the appropriate box(es)- At least one file type MUST be selected. :; <br /> .�,�l1uL Arelrt38 Dr meq to the <br /> .MM22Indicat0above. <br /> 2_ EtIO will notify the applicant If any EHD files exist An appointment�forerev t of a be confirmed the files <br /> approximately five business days but no tater than ten(t0)days P pp <br /> Will be held for a maximum of five business days for review. AppoltYtments should be scheduled <br /> acoordingly. g may no <br /> be Immediately available for review. A now <br /> 3, A file that is actively being worked on by EHD <br /> Application may be submitted when the file is availabig• <br /> 4. Any file not returned In the same condition as released Will be reorganized by EHD staff at the expense <br /> of"Applicant. Future file reviews by the same applicant may require a$93" it <br /> '.5, "TENTATIVE appointment dates must be confirmed with E}(D staff• • `- <br /> G, Applica Eons rrRlved after 3:00 pm will be processed th next business day. <br /> blN7lulEkT DATE iM <br /> FV;A <br /> 3NFIC?fdr3t1?P. t E <br /> TE CONFIRI4l�D _ HONE FAX iNffldL ` <br /> MEWMtD 'wi. YES NO REVIEW DATE <br />