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NOV. 17. 2004 9: 31 AM EARTH TECH N0, 7908 P. 1 <br /> v4q;Aime0 _,iI <br /> EHD LOG NUMBER <br /> _— SAN JOAQUIN COUNTY <br /> NOV 1. 7 2004 L'NvIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Veber Ave 3r1 Floor Stockton, CA 95205 <br /> Lj; VIV OC) WEN HL#6 468-3420 Fax: (209)464-0138 Web: www.co.san-joaquin.Ca.us/ehd <br /> KRJ'A T/SERVIC <br /> A (� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:.A/R..SC.. D.2wi'rr BUSINESSIAGENCY:S_OJ'l Ar <br /> ADDRESS: IBS 60.n14 1,125' CrvG 41 Sw.'-�c. 1, 546.&4" ,r CA `)520(m <br /> PHONE: ,?AR-bol-4c si FACSIMILE:_ 2-01-7-34-0536 <br /> TENTATIVE'APPOINTMENT DATE: 12,b A <br /> 0041 Time: '7:oO Q M <br /> (Please allow 10 buslnesa days from date of application submittal) <br /> 0 CHECK BOX TO EXPEDITE REQUEST.$93. EE-R�REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT y i£ DATE _41!� <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> so-�a Iso N. eclair City <br /> 51'01otn ❑ Unit1 <br /> ora <br /> 2. sO . t\Ao`: <br /> s. sneer !O O o l;v GI Tl, .� 7 p�unit 2 <br /> 4. sres aty <br /> 6, sh't /'0I00 '(' 1�1A"V- G <br /> z sues 52 E . Mai vT al Unit <br /> e. Soeel 5055 e. ❑ n <br /> e. Suer -51 t (e al /1 ❑ Unit5 <br /> to slreel G '{'7� <br /> y7.32 e . Mo.iw V �► <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ��• <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D HOUSING ABATEMENT SOLID WASTE FACILITY <br /> tar OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ]�UNDERGROUND TANK(MONrrORINGIREMOVAL) D DOG KENNEL O DAIRY <br /> '9C HAZARDOUS WASTE GENERATOR D CHICKEN RANCH D PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEB TOILETS <br /> D TATTOOIBODY PIERCING D POOLISPA N rLAND USE APPLICATION SITES <br /> rI MEDICAL WASTE FACILITY D OTHER(PLEASE SPECIFIC <br /> 7. 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)464.0138 or mail to the <br /> address indicated above, <br /> 2. EHD will notify the applicant If any EMD 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 b slness 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 new <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 the expense <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> S. *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 /> •t�KI APP(�INT.fENTIDYtT1= �.;;.';• <br /> i17k(ti15•t�gl�lFlt�N�l�`' iF?�1t52iE� 1=r' ,:'�: . <br /> tWI�YI(.�a .. . ''•Y;�; 'NSW ,;.E>�ri�JEllyc>prE' i`2 <br /> aazaw <br />