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08/13/2004 09:25 FAX 209 948�'�1 " 0002 <br /> D RECEIVED <br /> SAN JOAQuiN CouN'TY <br /> .�Z ECOWED ENVIRONMENTAL�AY.TH DZrARTMENT <br /> i. t. <br /> 304 E Weber Ave 3`4 Flnor Stockton,CA 95205 <br /> AUG 1 04.468-3420 Fax; (209)454-0135 Web:www.co.m-joaquin,.m <br /> uslehd <br /> �,0RUNMEr C HEAJH <br /> EI VICES I)UBLIC,RECORDS RELEASE APPLICATION i <br /> APPLICANT. ! .�lG $USINESSIAGENGY: i!'e L440 <br /> ADDRESS- 67- <br /> PHONE: �3 �� FACSIMILL'� a�d � �Y s 049 <br /> TENTATtW APPOINTM ENT DATE. 00 d Time• 1-A� <br /> Vg0a&e.,allow 10 business days from date ef.applleatlon submittan <br /> CHECK WX TD EXPEDITE REQUEST-1593.00 FEE—PEQUEST PROCESSED IN 3 BUSN'IE$S DAYS <br /> SIGNATURE OF APPLICANT J DATE <br /> DepartmeM Use Onix <br /> FILE ADDRESS UNIT <br /> 0 Unit'I J <br /> $. sv ❑ Unit? <br /> Unlit 3 <br /> a. s4*ed <br /> r. s�eee Unit 4 <br /> a sC ly ❑ Unit 5 <br /> 10. sage <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t1NDERGROUND TANK(UST)Ct.EANVP srW(LOP) E3 HOUSING A13A.TEMENT ❑ SOLID WASTE FP�E <br /> R=GROUND <br /> CL ANUP SITE MON-LOP) f3 FOOD FACBJT)r 0 DAIR w�►TE VEHIGL.E TANK(1fl omIORII!GIREMOVAL) O-DOG KENNEL � DAIRY <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH n PKG TREATMENT PLANT <br /> . <br /> puMp <br /> ❑ TIERED PERMITTED FACILITY 0 MOYMMOTEL 0 LAND $E APDL CAP�C�IEM TOiI.ETS <br /> I] TATIOOn=Y PIERCING 0 POOLUMPA [3 LIWD.;USE APPLFCATION STIES <br /> C3 IAEDIGAL WASIF FACR-ITY o OTHER(PLEASE SPEC#FY) <br /> 1. List up to ten addresses in the space <br /> above". Select the types)of files frons the list above by checking <br /> the appropriate box(es).';At least one file type MUST be selected. Fax to (M)46.4-0138 or snail to the <br /> address indicated above. <br /> 2. EHD will notify the appl'irant if any EHD files exist An appointment for ciewo f a bei neon. h files <br /> approximately five busln6ss days but no iater than ten(10)days after receipt f app" <br /> will be held for a rrtwelm'lm of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. Afile that is actively being worked-on by EHD staff may not be immediately available for review. Anew <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$93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointms nt dates must Fre confirrlted with EHD staff. <br /> 6. Applications received after 3:00 ptn will be processed the next business day. <br /> G F�,FtMFp.�A.?. b F_NT 'TE - <br /> rUATG CONFtRfHEQ <br /> ONE Fp,)(' "AN1T U <br /> REVIVtifD <br /> YES N4 REVIEW DATE" - i' <br />