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NOV. 11, 2004 9:31AM OR EARTH TECH <br /> • „��� N0. 7908 P. 1 <br /> 1 r_ �Np('�II;\Ill�_�i� <br /> rpAJ6�A6 - EHD LOG NUMBER <br /> SAN,TOAQUIN COUNTY <br /> N 0 V A. 7 2004 ENMONTVMNTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stocktor4 CA 95205 <br /> E I VIROPJPJ-N 1 HEt#)468-3420 Fax: (209)464-0138 Web: www.co.San-joaquin,ca.us/ehd <br /> pfR�,�ITISERVIC <br /> PUBLIC RECORDS RE_LEASE APPLICATION ICATION <br /> APPLICANT: S/awPe ; rBUSINESS/AGENCY: COplAr <br /> ADDRESS: IBS & "'54 Cirt,Ce Z 5-k,cL-tom Q+ 5ZO(m <br /> PHONE: Oq-L01-" casi FACSIMILE: 2-041-234-0538 <br /> TENTATIVE'APPOINTiii DATE: I2 3 2004 Tlma: I'OOAM <br /> (Plesso allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST•S93. E-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT k r^ DATE <br /> / <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> 1. so-4d 150 N. 'P% lI cL r- GI SA-o-,1,5-4-0n 5(YSUnit 1 <br /> 2. o- O . f 0.. G I-- .� (G <br /> 3. Sm 10 3 O . (DlZVg GI n� �2 7 <br /> unit 2 \� <br /> 4. S.:1410(e E. Ma-i✓1 aly � <br /> 6. shd 1100 O S. oly <br /> Kk�l h <br /> city U M <br /> 7. swr. 52 E . Main al 7 J.Unit4 <br /> e. swe 055 e, a <br /> a. swn S It (. E . M W" GI t) ❑ Unit 5 <br /> 9z$ >~ . MeiA a <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ��e+ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILITY <br /> Er OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL O DAIRY <br /> �R(HAZARDOUS WASTE GENERATOR D CHICKEN RANCH tl PKG TREATMENT PLANT <br /> F TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> tl TATTOOIBODY PIERCING O POOL/SPA 'A;rLAND USE APPLICATION SITES <br /> 171 MEDICAL WASTE FACILITY O OTHER(PLEASE SPEOIFY) <br /> 1. 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 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 the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *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 /> �• . �':APPKaIN7.�NTDYtT1= : ' ;(' ''!i.! ;7!)!jlyli�;e;;,. :. <br /> ',hNFlixlYll' 1?Flti (�:" > 1NYI( CS <br /> ' . <br /> oto aaazoos ".' "'. '. ., ' '•" <br /> demos <br />