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12/10/2004 16;56 18669' 329 RYAN 8, FONG <br /> .. 12/10/2004 15:5.1 46, 8 PAGE 02 <br /> ENV POR ENTAL_ TFI PACE 0I <br /> DATE RECEIVED •. EHD LOG NUMBER <br /> SAI JOA,QUIN COUNTY <br /> I I;. n PNMO>+D!'1�1VTAHTA�L TH DEF•AIt; AMIr'T <br /> ; / <br /> -;1,�,.,� I- UI <br /> - . ro <br /> 304 E Weber Ave 3 Floor Stockton,CA 95205 <br /> D E C 10 2004 (209)463,3420 Fax-(209)464-0138 Web:WWW.Co-RM joaqubL a.Tls/ehd <br /> ENViR lh rj; ftli HFAI-HPUBLIC RECORDS RELEASE APPLICATION <br /> PERP✓f T.f, ERVIUrS susnvEss/AaEttcY: <br /> APPLICANT: ' - <br /> 'lq �axs uR oD - <br /> PHDNE: - is FACS g«-aa�-3g�Z. <br /> TENTATIWE'APCOM MENTDATE: qL1« TkW.j• - <br /> (pimmo allow 10 lw laemm days from data of*m*c&t;W"1411101 <br /> CHECK WX TO EXPEDRE REQOE -"3.oe FEE-REQUEsT PR,O..�C,EESsEDD IN a uUSWM DAYS <br /> GNATUREOFAPPLICANT DATE Deov ItUseOnv <br /> FILE UNIT <br /> 1S0 ! it 0 Urtif 1 <br /> Unit2 <br /> 41- <br /> N <br /> 5. <br /> T. 1h11t 4 <br /> ' ❑ Unit 5 <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES _, <br /> 414DERGROUND TANK(USTI CIE UP SITE(LOP) O HOVSMG AEA.TEMEMT O SOLID WA5TE FACILITY <br /> VOTHER CLEANUP SCM(NON-LOP) ❑ FOOD FACnXrY D SOLID WAST£VEHICLE <br /> VUNOERGROUNOTANK(M MiTORMC+7REM0VALI ❑ DOGKMF-L ❑ DAIRY <br /> Q HAZARDOUS WAgTE OPNERATOR O CHICKEN RAnCH Q PKG TkSATM511T PLANT <br /> MOTNTEL ERTRUGVYARDiCHEMTOILETS <br /> ❑ TIEREDPER+tr7FOFACafTY USB AppllGA710N 9rrE5 <br /> ri TATTOOMoDYPMRCtNG d POOLISPA <br /> Cl MEDICAL WASTE r-ACILM O OTHER(PLCA+E SPC <br /> I. List up to ten addresses In the space above. Select the typc(s)of files from the Est above Py checking <br /> the appropriate box(em1- At least one file type MUST be selected. caw o- r> )9140-0138 or malLto the <br /> address Indicated above. <br /> 2. FHD will natty the applicant If any END files exist An appointment for review will be Confirmed <br /> approximately five buslnesS days but no later than ten(10)days after receipt of application, The files, <br /> will be held for a maximum of five business 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 Fie expense <br /> of the applicant. Future file reviews by the same applicant may require a$93. it f <br /> 5. ''TENTATIVE appointment dates must be eCmfimmed with EHD staff. I NEI <br /> 0. Appticatlons received after 3:00 pm will be processed the next business tray. <br /> . <br /> i?A*C�ONFft�SfEp. ' >ir,,..'^:j51{ONE•:':` Fes,,.. ; <br /> OliiVIEWED a VIES NO REVIEW DATE,— <br /> �L� 7r No 15�i�cnd �ii En <br />