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02/05/2007 08:39 5306766005 STRATUS NO CALIF PAGE 01/01 <br /> _... w PAGE 01 <br /> V �D SAN JOAQUI1v COUNTX L:MU Lw rvUI"ooc <br /> RNvMONMENTAL HEALTH DEPARTr4ENT <br /> FEB 0 5 2007 304 E Weber Ave P Floor Stockton,CA 95205 <br /> (209}468-3420 Fax. (209)464-0138 Web:ViWw.CO-!;=joaquin.ca.us/ehd <br /> ENVIRONMENT HEALTH v <br /> PERM IT/SEERVI rC'ES p pUBLIC RECORDS RELEASE 1APPLICATION � <br /> APPLICANT; 5�+ PAAr'� .Sfr u0rn <br /> :.._� BUS1N£SSlAGENCY: a�•� F�'v.ypl <br /> AADRESS•3 30 Ca_{�' fpkpL_ SU) s$J (lf' SS617- <br /> HONE:. 5-,;u-Ov,.. 2p 2�FACSIMi1.E: 530-0 '-SOS <br /> TENTATIVE`APPOINTMENT DATE: F-kRe [R4 5i!4c/? Time: <br /> (Please allow 10 business days from data of application submtt(a0 <br /> In CHECK BOX TO EXPEDITE REQUEST•$93.00 FE -R QUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANTSri / DATE <br /> Department Use Only <br /> FILE ADDRESS V V UNIT <br /> rice �S Coun Qj6 aw. 5 HW <br /> ❑ Unit 1 <br /> a. sem« <br /> s s <br /> i a ❑ unit 2 <br /> CRY <br /> IL S"°t � Unit 3 <br /> e. Saett q �\ <br /> c Unit 4 <br /> e. 9vedcity <br /> CRY <br /> Spee <br /> ❑ Unit S <br /> m. sneer <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(USII CLEANUP SITE(LOP) ❑ HOUSING ASATEMENT C] SOLID WASTE FACILITY <br /> 13 <br /> "OTHER CLEANUP M(NON-LOP) 13 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK fMONITORINGn;TMOVAL) ❑ DOG KMNEL ❑ DAIRY <br /> HAZARDOUS WASTE atmERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACffJTY C3 MOTELIHOTEL M PUMPER TRUCMARDICHEM TOILETS <br /> ❑ TATTOOISOOY PtERCiNC ElPOOLISPA ❑ LAND USE APPUCATION SITES <br /> 0 MEDICAL WASTE FACILITY P OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list aboye by cheClung <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 EHD files exist. An appointment for review will be confiITned <br /> approximately five business days but no later than ten (10)days after receipt of application. The files <br /> Will be held fora 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 Nle 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 review's 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 /> ti. Applications received after 3:00 pm Will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME _ <br /> DATE CONFIRMED PHONE FAX INFtWS <br /> REVIEWED YES NO REVIEW DATE <br /> aersoo� - <br />