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NOV. 17. 2004 9:31 AM C OR EARTH TECH N0. 7908 P. 1 <br /> r� <br /> iO A� CEI EO -= - EHD LOG NUMBER <br /> � SAN JOAQUI N COUNTY <br /> NOV 1. 7 2004 ENVIRONMENTAL HEALTH DEPARTMENT w <br /> 304 E Weber Ave P Floor Stockton,CA 95205 I —7l <br /> EIdVIR01'dPP N I Ht 468-3420 Fax: (209)464-0138 Web:www.co.san-joaquirLca,us/ehd <br /> PUBLIC REC� ORDS RELEASE APPLICATION <br /> APPLICANT: ttIIEX Pz ; rBUSINES&AGENCY: CDE14ee1^ <br /> ADDRESS: 10-8 6, k 4 5u,LZZ, (-A 95:20(- <br /> PHONE: <br /> 5:2o(- <br /> PHONE: L 0I-4rsi FACSIMILE: ;L0'1-7-34_0S367.34-OS36 <br /> TENTATIVE'APPOINTMENT DATE:, 12. 3 200• Tlme: `I:oO AM <br /> (Please allow 10 business days from date of application submnlal) <br /> CHECK BOX TO EXPEDITE REQUEST.SSS. EE-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -1 i DAT <br /> E <br /> z Department Use Only <br /> FILE ADDRESS UNIT <br /> spa 150 N. ❑ Unit1 <br /> 2. soca oa M0.; I o L <br /> 03. Sx 10 5 0 S. 011V4 CarR, { 2 UNt2 <br /> tir <br /> a. s = � <br /> OCo . Ma_in / `� <br /> s. sen 100 0 5. 1_00d V- CRY <br /> 40 0 of ' <br /> 52 E . Mo it Cly- Unit <br /> e svea o55 r• <br /> I <br /> Unit <br /> ,o. sueel : <br /> y y 3 2. (V1a.i vL Vol <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES y�e� <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILITY <br /> Er OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> IX UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> gC HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> �d TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPERTRUCKlYARDICHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 0 POOL/SPA `mr LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 oTHERIPLSASE 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 /> G. Applications received after 3:00 pm will be processed the next business day. <br /> +�.(�i(Il~ p':1kPP4lNT•�NTUIeY� ':. �'j'IILI�•'a^; , , ' , �• ' <br /> h - NF7 141 1i pllb (k: '•:OA <br /> atyVtA(-s.i •; •; <br /> i•ljfti!TUII,LYA?�' <br /> 'Qioasozaae <br /> aamw <br />