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12/15/2063 17:54 209-%./-2225 MODESTO ATC PAGE 02 <br /> nm%,Zi V Lai tC1U 4 E IV02 <br /> SAN JOAQUIN COUN'T'Y <br /> ENVMONmENTAL HEALTH DEPARTMZNT <br /> 304 E Weber Ave 3`d Floor Stockton, CA 95205 � <br /> F09)468-3420 Fax: (209)4640138 Web:www.c0-San�joequin.ca.us/ehd <br /> 20 ov <br /> PUBLIC RECORDS RELEASE AFPLICA'I`XON <br /> APOLIOANti5 BusiNEawAaENCY: <br /> + QCT <br /> rv, Ak <br /> FACSIMILE: <br /> TF_NTATIVE'APPOINTMENT DATE: Tlme: <br /> or: w a <br /> (Ply allow 10 business days from ■b of pP tion aubmftMl) <br /> CHECK BOX TO EXPEDITE REQUEST-$03.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> r3&MAn int tta.Only <br /> FILE ADDRESS UNIT <br /> 6 Unit 1 <br /> Z �u U; <br /> a Q unit 2 <br /> 4 6ewt <br /> Unit 3 / <br /> a <br /> e. stlrtl <br /> '? ra Unit 4 <br /> e. anre! } nit 5 <br /> ,o ears 54 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> HDERGftOUNa YANK(U9`rl CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q s3ouQ WASTE FACILITY <br /> TDOHER ROUNUP SM U311(MONCOP1 ❑ FOOD FACILITY © SOL.Ip WASTE VEHICLE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) Q DOG KENNEL c3 DAIRY <br /> ARDOUS WASTE GENERATOR ❑ CiiiCKEN RANCH Q PKG TREATMENT PLANT <br /> O'kQ❑ TIERED PERMMMD FACILITY ❑ MOTELMOTEL, 0 PUMPER TRUCKIYARD1CHEM TOILETS <br /> 0 TATTOOIBODY PIERCING ' 13 POOUSPA a LAND U3 E APPL.ICA110N SITES . <br /> ❑ MEDICAL WASTE FAC&ITY CS OTHER(PLEASE$PECII� <br /> i List up to ten addresses In the Space above. -Select the type(s)of files from the list above by ofheckln+, <br /> the appropriate box(es)- At least one file type MUST be selected, ERA ISI (2091§04-012§or M11191a <br /> jaws I digold; hoe, rmed <br /> 2. EHD will notify the applicant If any E HDQ;s than ten appointment <br /> after receipt of ill be Con The files <br /> fI <br /> approximately five business days + <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fila that is actively beim worked on by EHD staff may not be Immediately available for review. Ane <br /> application may be submitted when the file is available. ens <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the exp <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to reviff <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 8. Applications received after 3:00 pm will be processed the next business day. <br /> TIME '`'`:�;� -:,�:• <_� ., ,._h� ., <br /> CONFIRMED APP10INTNlENT:QATE _ - <br /> 'PHONE <br /> DATE CONFikMEt3 _ - <br /> REVIEWED' YfES NO REVIEW DATE. T� <br /> r�o ss o�4M <br /> anReos i <br />