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1/2004 13:53 FAX 1 209 '°.J,4 7727 STOCKTON Q002/002 <br /> 02/ /Il/1\.2�e\-;III��II1(( \111\ 464r 9 ♦fit T TT�VENVIR�DTh1�MM€NTA EALTH PAGE 01 <br /> J ll L��/lam- J � - SL'�l\ V OAQ Vile Co LLt L 1 Gllu Lw Www�f <br /> ENVI1 oNmNTAX,HEALTH DEFARTIVIENT <br /> MAR 0 1 2f20�0g4 �s 304 E Weber Ave 3W Moor Stockton,CA 95205 <br /> ENVIRONMENT'HtA�I H 83420 Fax:(209)464.0138 Web:www.co.=-Joaqujn.Caus/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELFASE APPLICATION <br /> - 170 '7 <br /> APPLJCAkT: aKba('- e �N <br /> usessrAOENc�r; GJadlacc � <br /> — Z"41 4 Assoc.ADoREss• 3110 W, /./ L04. ja4;4 r, 54ocl4m; 14 <br /> PHONE_C 2og) FACSIMILE:/Zoal L33 —' <br /> 33 - -4-72 <br /> TE.NTATNE"APPoWMENT DATE: . <br /> (Please allow 10 brrskmas dot's front date of nppjICatton cubmWal) <br /> A CHI=CK Brno TO EXPEDiM REQUEST-5,V.00 FEE— PROCESSED IN 3 dUSE8S DAYS <br /> SIGNATURE OF APPLit,ANT A 4 1NDATE <br /> Daps ww"use Ody <br /> FILE ADDRESS Laff <br /> + 2 D ,W- <br /> 33 I 1 0 unit i <br /> Mike L451 &fAz- 'STO, t044 <br /> O <br /> a. aaeet 12 g c <br /> ElUnit 2 Unit ' <br /> sonet OLA <br /> E i 7xra yl- -44 CW <br /> a 3 Dunit 3 <br /> vol- I/ <br /> unit 4 <br /> R Sbe4 <br /> 9. b6eelair URIC 5 <br /> Ory L <br /> 0. 6Re{ <br /> ENVIRONMENTAL HEALTH Dl;PAiTitIENT FIL>rSAM std <br /> UNDERGROUND TANK NST)CLEANUP SITE"9t7 HOUSING A8A7>:MENT D SOLID WAsrTSFwgt n'Yw'- = <br /> OTHER CLEANUP SITE(NON�OP) O FOOD FACILITY a SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORIRGIREMOVAL,) O DOG KENNEL O DAIRY <br /> 0 NAZAnDOUS WASTE WMERATOR V CHICKEN RANCH a PKG TR@ATitlENT PLANT <br /> C3 TIERED PERM!I I FACa1TY Ll MoTE1JHOTEL a PUMPER TRUCKMARDIOMM TOUXIM <br /> EJ TA7T00AMY PIERCING V POOLISPA o LAND USE APPLICATION SMES <br /> 13 MEDtC.AL.WASTE PACi M 13 Ol'HM(PLEASE SPEC3F1f) <br /> 1. List up to ten addresses in the,space show. Select the typo(*)of files from the list aboye py cheWng <br /> the appropriate box(es). Al least one file type RUST be selected. Fax to(2091464.0138 or mail to-the <br /> Ilddress Indicated above. <br /> 2. EHD will na ft the appil int if any EHO files exist. An appointment for review will be confirmed <br /> approximately five business days but no lamer than ten(10)days after receipt of application. The files <br /> wttl be heid for <br /> a ma�dmum 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 /> applitation may be submitted when the file Is available. <br /> 4- Any Elle not returned in the same condition as released will be reManked by EHD staff at the expense <br /> Of the applicant" Future file reviews by the same applicant may require a$93. i <br /> 5. "TENTATIVE appointment dates must be confint*d with EHD staff. <br /> 6• Applications received after 5;00 pm will be processed the next business day. ' � ' :_' k r= <br /> • '1'O..._ .TIME '�a..iyC��r,f':Yv��.i,i..• :.�ar'•,i.=• �• 1 <br /> •�/A.L:r C.Vf�..!!M\lYD '' •}t Y��'{-r7MG .�ff• !ii 1 .:1 t <br /> �.. ..�' FAX''' <br /> t�• •YES 'NO REVIEW DATE" l'•.� ,:•... <br /> • tnm .000 <br /> Mimi - <br />