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M Geo-Phase Environ metal Inc. FRX NO. 2095690295 (""•j. Jun. 01 2004 10:02RM P2 <br /> yr "� EHD LOG NUM <br /> SAN J`OAQ'UIN COUNTY i <br /> ENVIRONMENTAL$EALTII DEPARTMENT <br /> JUN 0 1 2004 304 E Weber Ave 3rd Floor Stockton, CA 95205 1% <br /> (209)468-3420 Fax: (209) 464-0138 Web:www.co.san joaquin.Ca.uS/ehd <br /> ENVIRONNU"ff HEALTH / B <br /> 1) <br /> PERMIT/SERVICES PUBLIC RECORDS .RELEASE APPLICATION <br /> 22 <br /> APPLICANT: d/C(/e 14 '44-4rtG'f r BUSINESSIAGENCY: CSO &QfL� G:�////r0'y-✓ry�-vr � <br /> ADDRESS:e29 3 7 de�r Ade go- 9.2 yO 67a��r�y <br /> PHONE:_ �6q (��.�� FACSIMILE( 9Trf Q I <br /> TENTATIVE'APPOINTMENT DATE: Ti <br /> �I <br /> me:�— <br /> (Please allow 10 business days from date of application submittal) <br /> (fes OIIECK BOX TO EXPEDRE REQUEST.$93-00 FEE-REQUEST!*PROCESSED IN 3 BU ESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only I4 <br /> FILE ADDRESS UNIT <br /> s 3d c e Lo 7U1 35 7 unit 1 F <br /> 3. <br /> G' (j <br /> Unit 2 �. •fl; <br /> G 1 <br /> 5, bVM �yi <br /> G 3+f <br /> B. sweet <br /> aly [] Unit 3 � 1 <br /> T. SVeet --. <br /> Unit 4 <br /> n <br /> G <br /> Unit 5 � <br /> �k <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WAS A 1LI <br /> ;(OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ <br /> E3 UNDERGROUND WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING62EMOVAL) O DOG KENNEL ❑ SOLID f{ <br /> DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ pKG TREATMENT PLANT j[ <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCK(YARD/CHEM TOILETS <br /> 0 TATfOOIBODYPIERCiNG ❑ POCIUSPA, <br /> IIII Cl MEDICAL WASTE FACILITY ❑ OTHER LAND USE APPLICATION SITES ,) <br /> (PLEASE SPECIFY) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> oddressindicated above <br /> 2. EHD will notify the applicant if 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$93.00 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 /> man <br /> CONFIRMED APPOINTMENT DATE <br /> TIME �{ <br /> DATE CONFIRMED PHONE FAXINITIALS <br /> REVIEWED YES NO REVIEW DATE, <br /> eno�eozaoc. <br /> aIVT0B7 <br /> I� <br />