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-�1/2004 13:53 FAX 1 209 234 7727 STOGKTON 0 002/002 <br /> 02/ / 0 <br /> } © 4641 g `� T E�NVIRDNME+N�TA' EALTH PAGE 01 <br /> S�'�1\ JOAQ `1 COUNTY � Gnu Lw,%vww,n <br /> MAR 0 1 2004 ENvWoNMNTAL IUALTH DEMTd1ENT <br /> ��ZZ��99 ��66 304 B Weber Ave 3'o Floor Stockton,CA 95205 <br /> ENVIRONMENT' MIH$-3420 Fax' (209)464-.0138 web:www.co.=-Joaquin.MUS/Chd <br /> PERMIT/SERVICES <br /> PUBL1C RECORDS RELEASF,APPLICATION ' 170 '7 <br /> APPLICANT: uE7AC. 13U9WESSJAGENCY: 1J0Ljj0.GG- Z"L I 4 Assoc. <br /> AnoAEss: 3 10 Lfl. hj L ; o k. A• 4 <br /> PHONE O 2 1LI— Z Z FAcsVAs-a: 2 o a 2 3 4 — 14 2 <br /> TENTATIVE*APPOINTMENT DAM Tine. <br /> Oneaft allow 10 bink-c•-days ftwn tate of SP91( Am submidaQ <br /> CHECK BOX TO EXPEDITE REQUEST- .00 FEE- PROCESSED N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT A c_ BATE <br /> Oepr6riem use ody <br /> FILE ADDItM UNIT <br /> Z D Gr- <br /> 3 ° Unit 1 <br /> + 1 p <br /> .� ., <br /> LA <br /> ❑ Unit 2 �� <br /> 1 Ef r S <br /> s• ,mesa 9 <br /> Clem ew ,/ d. <br /> Unit 3 <br /> a : Unit 4 <br /> Y. Sept Unit 5 <br /> o. $.en <br /> ENVIRONMENTAL HEALTH DEPARTMENT FiLES ? <br /> X UNDERGROUND TANK(UsT)aump SiTE(LAP) O HOUSING ABATEMENT O SOUR W <br /> •EA <br /> BI OTHER ctIOUP SITE(Nom-Lw) O FOOD FACUM O SOLD WASTE VEINCL.E <br /> UNDERGROUND TANK(MONITORiNOfR6MOVAL) O DOG KENNEL O DAiRY <br /> O HAZARDOUS WASTE OMERATOR V CHICKEN RANCH 13 PKG TREATiAENT PLANT <br /> M TIERED PERMRTED FACILITY a Mo7EL*KnrEL O PUMPER TRUCWYARWCKp TOiiX= <br /> 13 TATrOOA30D'f FWJwING O POOL ISPA O LAID USE APP.ICATiON SiTES <br /> C MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select tine type(s)of files from the list above Jt checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(20914640138 or mail to the <br /> Address indicated above. <br /> 2. EHD Will notify the appliicint if any EHD flies exist. An appointment for review Will be confirmed <br /> approximately five business days but no later than ten(10)days atter receipt of application. The fifes <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 reManlzed by EHD staff at the expense <br /> Of the applicant. Future file reviews by the same applicant may require a 593t to f <br /> b. `TENTATIVE appointment dates must be confirmed with EHD staff. Al <br /> 6. Applicata ns received after 3;00 pm will be processed the next business day. . <br /> � 4 <br /> �D`�;�2yf <br /> . NTl�ii )MT. '����•;;::��•:'•.>•••t •°1`IME 't�•�-;.-'.r,'::�•1•.::;.:• ,.. .. <br /> . •.. i.. .. •r*Z. .rye � .�,':•; .t.r t '.••:.t ,�y. <br /> .t•!!•4tr t <br /> b14E . •FAX-' W.S ` <br /> #tE`VI�WED .� YES NO :`„ REVIEW DATE" -- <br /> ' arc awi.000 <br /> ars MI <br /> I <br />