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NOV. 17. 2004 9 31A OR EARTH TECH Is N0. 7908 P. 1 <br /> iiI'I_JI, EHD LOG NUMBER <br /> l_�,TE�ECEIYEO SAN JOAQUIN COUNTY <br /> NOV 1. i 2004 FNmoNMENTALHEALTH DEPARTMENT <br /> 304 E Weber Ave 3r4 Floor Stockton,CA 95205 <br /> rI NIR( i11JtNl HEq 468-3420 Fax: (209)464-0138 Web: www.cosan joaquin.ca.us/ehd <br /> pc�p;q,?�SERVIC <br /> A (� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Pk- ; l EUSINESSIAGENCY: 6)^4Te^'- <br /> ADDRESS: 168 6.�kr! "s4 C'vG 4e. 5.%�z Sa ( CA q�2o cm <br /> PHONE: ,1p41-Lo1-^Y(.31 FACSIMILE: 2.-p9-Z3'!-os38 <br /> TENTATIVE'APPOINTMENT DATE: I Z/3 L2 00 4 Tlma: `1 A M <br /> (Plossa allow 10 business days from date of application submittal) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-S9 E;REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT1 DATE f — <br /> Depanment Use Only <br /> FILE ADDRESS UNIT <br /> 1. sumac 15o N. 01y v� -s�{ ❑ Unit1 <br /> I.? /� V\5 <br /> n. Sora 0q . too`: 94 <br /> (' (1 / <br /> x. al n '" �` / �Unit2 <br /> 4. sues OCa e. o ^ Z� <br /> s. seta /oo o l.rJalk.�sr a U VUnlit <br /> Cil'/ Sia• 52 E Ma;� U �It G E . Nlo in of 9a'ay e . Ma1v� i' 44 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 173 SOLID WASTE VEHICLE <br /> 7�UNDERGROUND TANK(MONRORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> 9C HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> V TATTOOIBODY PIERCING 0 POOLISPA `LAND USE APPLICATION SITES <br /> Cl MEDICAL WASTE FACILITY E0 OTHER(PLEASE SPECIFIC <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 arty 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 /> .fats {. , '';APPpINT.MENT DATA " <br /> 1tilYid• i <br /> 7UI):411E. <br /> ero<aoxaae <br /> aarmos <br />