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• -• v .v.. Jll YVJ bIMIUb M CAL*4 . PAGE 01/0 <br /> tFW Wu rlumbm <br /> NM w E 0 SAN JOAQM COUM <br /> ENvM0NMYNTAL HEALTH DEPARTMENTAUG 10 2004 304 E Weber Ave P Floor Stockton,CA.95205 <br /> (209)._468-3420 Faun: (209)464-0138 Web:wWw,co.san-joaquinca.us/ehd <br /> ENVIRONMENT-HEALTH Iq <br /> PERMIT/SERVICES PUBLIC RECORDS )RELEASE APPLICATION <br /> APPLICANT-- KIKAN NAGLARA:50 BUSINESS/AGENCY: Sf+2A?vS ENVILVNjAENThL M. <br /> ADDRess: 3330 Carm6teN PAftx 'bR.tYE , svIle 4$SO C*msurl p*tjL, C�4 9St<82 <br /> PHONE: (530 6q'b Goo-:j- FACSIMILE: x530) 6+4 6005 <br /> TENTATIVE*APPOINTMENT DATE•d S I Time: a:0 66 <br /> (PlOaae SHOW 10 business days from dabs of application submitW) <br /> CHECK BOX To a morrE REQUEST. 3 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT n,A+vNMAA-V�1-1 DATE 0 81I 0 p4�' <br /> DS0aM`nW Use Only <br /> FILE ADDRESS UNIT <br /> X05 CcvN'rR C S <br /> ❑ Unit 1 <br /> ab" ❑ Unit 2CAV <br /> IS, Skm 3 <br /> 4 �..I U <br /> +a s NAW <br /> ❑ Unit 6 <br /> ch j . <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES RUSH <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT L7 SOLID WASTE FACILITY <br /> cKffnim CLEA"SITE(No Ni.OP) O FOOD FACLrfY D SOLID WASTE VEHICLE <br /> Q�RGROUND TANK DOG KENNEL C3 DAIRY <br /> 041AZARDOUS WASTE GENERATOR <br /> afREMOYAI) 13 CHICKEN RANCH O PKG TREATMENT PLANT <br /> E3 TIERED PERMITTED FACILITY a MOTELMOTEL O PUMPER TRUCKIYAR=HEM TOILETS <br /> ID TATTOOIBODY PIERCING 0 POOLISPA L7 LAND USE APPLICATION SITES <br /> M MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list above by checking <br /> the appropriate boges). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicalted above. <br /> 2. EHD will notify the appifeatlt It any EHD 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 893.00 deposit prior to review. <br /> 5. *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 /> CONFIRMED APPOINTMENT DATE RET1ME. <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REv1EWED YES NO REVIEW DATE <br /> aS� <br />