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NOV. 11. 2004 9: 31AM COR EARTH TECH • N0. 7908 P. 1 <br /> r 2 ��` 1 !'ir LIi)J <br /> `�1S�A' �ECEIVEQ `! _ EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> NOV 17 2004 ENV]RONWNTALHEALTH DEPARTMENT <br /> 304 E Weber Ave 3`d Floor Stockton CA 95205 ZI <br /> rI 1VIHOi`dl'1EN1 H1 6 468-3420 Fax: (209)464-0138 Web: www.co.san jn,ca.us <br /> oaqui /ehd ®7 <br /> PF'R,M!T/SERVIC <br /> A n PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_A/cy D2wiTr BUSINESSIAGENCY: L 0^6(cr <br /> ADDRESS: 168 F,a k "54 (tvcl<-, 5� 41 S, 5'6L4" CA. 9520(- <br /> PHONE: ,O9-401-Rh(-S l -FACSIMILE:_2o9-2.3'�-o s 38 <br /> TENTATIVE'APPOINTMENT DATE: 12,b 1200-4 Tim: A:00 A M <br /> (Please allow 10 buslness days from date of application submittal) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-S93. EE-REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DepaAmenl Use Only <br /> FILE ADDRESS UNIT <br /> 1. Sia 150 N, eclair oly Si-o4-4-on <br /> 3. saa 0$ . I\AwZ a I_ .3` S ❑ Unit <br /> 3. S� to o S. a I;v al <br /> 4. MO- <br /> �Unit2 / <br /> ares OCe E. �A a i. <br /> s. SOMl'1000 't,I�At"Ir c D ,W <br /> z arse: 52 Ed. PA0.ih al Unit <br /> B. she OSS F~ Wa;", aty 0 <br /> a. sws 5I t 6 E . lAosm of ❑ Unit 5 <br /> 1e Slreal .1 ^^ <br /> l Z,3y e M�Ih <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES Noa� <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILITY <br /> W OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> X UNDERGROUND TANK(MONITORINGlREMOVAL) O DOG KENNEL E7 DAIRY <br /> 2C HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH C PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> tl TATTOOlBODY PIERCING O POOLISPA `2r LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <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 /> 1A :P +INT. Ell T, D !•'')�141h';i; ,,., , <br /> YM: <br /> aasoos <br />