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Apr 05 07 03: 02p Krazan & Associates 9165642222 -- p. 2 <br /> „��S,�C�'f.�„��'t``L"E�1?�vV+'•�Lr- <br /> ENVIRONMENTAL HeAL 1-AUL UL <br /> 46401 0 cn1wU L.V,.. <br /> .. <br /> �'v :1 <br /> Ely_ <br /> - SAN JOAQUIN COUNTY <br /> APER 01 M7 ENVIRONWNTA3. FALTFIDEYAR52?5 T <br /> 304 E Weber Ave 3'd Floor Stockton,CA 9 95205 <br /> F{��I1Rv�tN" �y t HEAL(}U9}468-3420 FaM' (209)464-0136 Web.www,cO.san-joaquin.ca.uslchd <br /> SERVICE IMBLIC RECORDS RELEASE pPpl ICA I ION <br /> BU, <br /> 1; ESSIAGENCY: <br /> -�-�1�r1 '//.?A1 �Y ��P q /C LE/G/ � �✓ Jryr 7L'" <br /> !G/j� FACSIMILE: <br /> PHONE .��--- <br /> T1me:,�.--- <br /> r ,Ll TENTATIVE'APPOINTMENT DATE: <br /> � <br /> n > rr �� (pleme allow t0 Pcslne$&days from date of aPPUUtion aJNmlltnp <br /> ]BUSINESS DA <br /> HECK e � <br /> cx TO EXPEDITE REQUEST-Ss -REQUEST PROCE33ED IN YS <br /> DATE —Y.+ <br /> 44. IGNATURE, OF APPLICANT - Doaanment UaC Only <br /> Ken lil <br /> r <br /> OU7N FiPyS%!/�i/ acC <br /> UNIT <br /> FILE ADDRESS un <br /> it 1 <br /> dlCAC— Unit 2 <br /> TIUnit 3 <br /> C1 Unit 4 <br /> unit <br /> 5 <br /> ena ENVIRONMENTAL HEALTH DEPARTMENT FLLS � <br /> ❑Cl HDUSING ABATEMENT ----)-9C- <br /> wsTE FACILITY <br /> UNOF.RGROUNo TANK(UST)CLEANUP SITF.(LOP) FOOD FACILITY -❑ OLID WASTE VEHICLE <br /> (40 <br /> OTHER CLEANUP SrrE'NON-LOP) p DOG KaNNGL ❑ DAIRY <br /> II� ERDDOUSW�TEUttr�ATGROUNO TANK(MOMTORING+REMOVN-) d SICKEN MORm PKG TRFATM@NT PLANT <br /> yc OR D CICKEN RAN `❑ LIMPERTRUCKrYARoC"rM TOILETSPERMITTEDFACILIp POOLpA 7LI LAND USE APPLICATON SITES <br /> 0Totnee PIGROING O OTHER(PLEASE SPECIFY) ��' 111 <br /> 0 MEDICAL WASTE PACILITY <br /> List up to ten addresses in the space above. Select the type(s)of tiles from the list above by Ch6eking <br /> -0-0 <br /> 1, MUST be selected. Fax to 209 4G4.013fl or mail to e <br /> the appropriate box(ea). At least one file type tntmant for review Wl11 be confirmed <br /> ddress indicated above. i application. The tiles <br /> Z, EHD will notify the applicant if any <br /> y EHD files exist, An ap0poin attar receipt o PP <br /> approximately fiver business days but no Vater than <br /> an ten( ) ointments should be sehedulad <br /> Will be held for a maximum of five business days for rovlew. APP <br /> accordingly. <br /> 3. <br /> A lila that Is actively being worked on by EHD stall may not De immediately available for review, new <br /> application on may n sun thea ed same <br /> the iiia a available, ufro a$93.00 deposit prier to review. <br /> 4 Any file not returned In the same condition as released w111 be reorganized by EHD stall at the expense <br /> of the applicant. Future file reviews by the same applicant may req <br /> 5. " with EHD ntftf <br /> TENTATIVE appointment dates must be son Des ed the next business day. <br /> Applications reeeived after 3:00 pm will ba p <br /> TIME <br /> CONFIRMED APPOINTMENT�eTE PHONE . FAX INITIALS <br /> DATE CONFIRMED REVIEW DATE <br /> REVIEWEVES NO <br /> D - , <br /> f.XU YdI-0� <br /> /KIWI <br /> n t, '. <br />