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NOV. 11. 2004 9:31 AM Cy OR EARTH TECH N0. 7908 P. 1 <br /> 12')'I ESD LOO NUMBER <br /> J <br /> ii Eo SAN JOAQUIN COUNTY <br /> NOV 1. 7 2004 ENVIRONMENTAL HEALTH DEPARTMENT q <br /> 304 E Weber Ave P Floor Stockton, CA 95205 _®7` <br /> gVIRO !PA Nl FTE{#468-3420 Fax: (209)464-0138 Web: wwTy.co.san-joaquin.ca.us/ehd <br /> GERPAITISERVIul: <br /> (� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally D2-w i'r� BUSINESSIAGENCY: LrtoLeeAr <br /> ADDRESS: /B8 ><0A 14 "54 6yG14P 5ti -ft. 1, 5.6L4o", CA g5,20(a <br /> PHONE: zg9-&oi-4c,si FACSIMILE 2.-01-7-34-0538 <br /> TENTATIVE*APPOINTMENT DATE: IZ 1A 2004 Tlmc: `]'00AM <br /> (Please allow 10 business days from date of application submittal) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-S�9� E;REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �/yY I �� - 44 <br /> DATE <br /> Department Use only <br /> FILE ADDRESS UNIT. <br /> see Iso N. ncla v a. 51'0-k3-0 ❑ Unit <br /> 2. Sr 0:15, C. Ma 01y <br /> a. 6� 10o S. 01,vg city 4Un10 <br /> 4. sr�= Olp 15. N AqJ A a 1 `-) <br /> 6. 6o 1,010 O U' ),11 «C V- o (]6. S6v 14O d - IV�0.1 h cil V M,. s6��: 52 t✓ Mair` al 055 e. a I E • I�o..�n cI %� <br /> ta. Saeal a �� <br /> 4232 e . Mair 4' too0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> YS UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT 7+3t,SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> )s.UNDE:GROUND TANK(MONITORING/REMOVAL) O DOG KENNEL 0 DAIRY <br /> $HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH M PKG TREATMENT PLANT <br /> ;9 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> t] TATTOOIBODY PIERCING 0 POOLISPA `QC LAND USE APPLICATION SITES <br /> ❑ MEDIcAL WASTE FACILITY 0 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 ona 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 EHD 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 worVed 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. "TENTATLVE 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'.t f 'iAPPS?1NT,I NT;DAT <br /> '� �4r� �,' ':1RNtik(f '- i>=�§`;;'! °' IN17'fd�s.' ••,.rr . ; <br /> f 1ilYll.E . . 1') L4pTl <br /> T. <br /> 'enoa6az-0aa <br /> auzaos <br />