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11/02/2004 10:04 916063"--9 SEAR <br /> ��_m23d01/2004 15:10 4641 -, ENVIRONMENTAL H F' <br /> tm 1.0r,1.0r,DATE RECEIVED . <br /> A_ JoAQUIN COUNTY <br /> 6FRONMENTAL HEALTH DEPARTr V;r <br /> 304 E weber Ave 3d Floor Stockton,CA 45205 <br /> NO V 0 2 20a;09)468.3420 Fax: (209)464-0138 Web:www.co.saa-joaquin.=USfehd 2000,ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATIONO/7 <br /> 7ADDREW, <br /> I ) Q �y <br /> PHONE ��l I0/ [7(0 J-()�17(7 __FACSIMILE: (C)l(.T/ V ogs <br /> TENTATIVE'APPOINTMENT DATE: J_ - Tkaa: Q UDG'i rrI <br /> M12xm allow IQ bwmbss days from date of application 39bal a" <br /> PZ CHECK BOX TO E)U'EDFE REgLMS\T-_$9933�A0 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �C/ W � DATE 114-09 <br /> DavcMxnt llsa ONY <br /> Fay nDORrS- uwrt <br /> z i'ac c A v � ' d Unlit <br /> Z s 2 P 1�Y� 51 <br /> unit <br /> wdn �zs - L's3 <br /> �. 'a" & a <br /> Unit 3 <br /> 0r V �, s urrta <br /> Sol L-1D Una 5 <br /> 7t4w ,vIC h I'C-Ca S <br /> NVIRONMENTAL HEALTH DEPARTMENT FILES <br /> C3 U CA -�• 61 FACIL <br /> UNDERGROUND TANK JUST)M.F_ANUP srrE(L1 0 �� 'AnA BENT 13 SOLID WASTE VMICI <br /> 0 OTHER CLEANUP SFE MON-LOP) 0 rOOD FACILITY O DAI R7 WASTE VEHICLE"" <br /> I&UNDERGROUND TANK IfMONITaNiNGIREMOVALL.) 0 DOG KENNEL O DAIRY <br /> ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 7�NA*REDPESWASTEGENMTOR 13 MOiEUHOTEL r7 PUMPEFtTRUCK/YPRDICHEMTOaM <br /> d TTETtEO PER1arrtEb FAtSLttr W LARD USE AppLICATION sr1E9 <br /> O TATTOOM60Y PIERCING p �(Pj EASE SPECIFYI <br /> (3 MEDICALL.WASTE FACtLRY <br /> . List up to ten addresses In the space above. Select the lype(s)of flies from the list abaye by checking <br /> 1 <br /> the appropriate box(es). At least one file type MUST be selected- Fax to 20Qt ..4_6 -Ot 33 or mail t01t O <br /> address i d atp a appointment for review will be Confirmed <br /> 2, EHD will notify thea Plkant H any END files axt5l An BPP° after receipt of application- The flies <br /> approximately five business days but no later than ten(t0)days <br /> -011 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, 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 reorgaael a��b3Y00 deposit Pace to iew <br /> of the applicant. Future file reviews by the same applicant may req <br /> 0- 'TENTATIVE appointment dates must be confirmed with END Staff. <br /> on received after 3:00 pm will be processed the next busines <br /> G. Applicatis day. <br /> .. TIME w <br /> Fr1:111NF111MEb APOOINTMEtIT DAtE'fECOFII=ifZMCISViEVfED YES NO REVIEW DATE. <br /> Ee,o se-0z Cas <br />