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NOV. 17. 2004 9:31 AM OR EARTH TECH N0, 7908 P. 1 <br /> "FFA <br /> 6`CEI!VED D II J1 <br /> EHD LOG NUMBER <br /> R <br /> l _ SAN JOAQUIN COUNTY <br /> NOV 1. 7 2004 ENVHmONMENTALHEALTHDEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> rI IVIR( PdIJ (T I HL � 468-3420 Fax: (209)464-0138 Web:www.co.san-joaquin,ra,us/ehd <br /> �rRnalT�sE�vic 5 <br /> (� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AA <br /> APPLICANT: I' icy D2wi _BUSINESSIAGENCY: C0tjo;- <br /> ADDRESS: 188 Fra.n1L W25� C+rc1.4 5�+,. 1. �� S{o�l�For r. Ck q�2o(m <br /> PHONE; zoo- FACSIMILE: .2P`I—Z.3Y-o538 <br /> TENTATIVE*APPOINTMENT DATE: 12. 3 zoo•) _nmo: 1:00AM <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-�SSS. EE-RREQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT T4 Ti r^ DATE <br /> I <br /> Department U$e Only <br /> FILE ADDRESS UNIT <br /> see 150 N. ncla r al 5A'0d ov. �� p Unit1 ti / <br /> I. sve 1030 S. 0ISV ca �' t �Unt2 <br /> 4. area 0(p E. N(aino <br /> 1• � l <br /> e. sera '40 d _ N10-ir cil V r 5 <br /> s e 51-18E . M0.1 V aly Unit 4 <br /> e svee 055 CLY7 <br /> o s". -51 1 tr E • NA -%" ai !'+ _ ❑ Unit 5 <br /> DD. spa ply <br /> 97.32 E . M«.;V% y ' II __ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES go—,A%'4 V <br /> Yx UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILITY <br /> TZ OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOUD WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL O DAIRY <br /> �M HAZARDOUS WASTE GENERATOR O CHICKEN RANCH t] PKG TREATMENT PLANT <br /> g TIERED PERMITTED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCKIYARD/CHEM TOILETS <br /> t7 TATTOOBODY PIERCING Cl POOLISPA `t LAND USE APPucAnON SITES <br /> MEDICAL WASTE FACILITY t] 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 /> S. *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 /> A( K( ,AIRF iINTN1Et T A. jtiYvl�i;�.' .F' . <br /> tilkz ' 4kFTtv) h;' 'i,.. iru#�Ars• <br /> c' 4 <br /> NO <br /> WT, PA <br /> Tie <br /> ...... .. .. .. ... a . :. a..„4.,, .... .... .. ., <br /> EH04ae2-0GB <br /> aamos <br />