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I <br /> } I40SOLU-rE CONST 209 8366205 12/05'03 Y2::36prn P. 001 <br /> �3,2/04/2003 15:47 46401Atf"- ENVIRONMENTAL HEALTH _ + RAGE 02 <br /> ' LHI1 LuG 1,64;LR <br /> OATH RECE:vE[1 bAIV jOAQUfN COUN rY <br /> sua� , EN,'IRONMEl TAL HEALTH DUARTMEN-r <br /> 304 E Webcr Avc Yd Floor Stockton,CA 95205 id <br /> l)EL 1 03(209)463-3420 Fax: (209) 464-0138 Web: vfvrw.co.san•joaquin.ca.us/cI <br /> ENO' I''irI I=..F,,, PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> Al~PLIGATI . r I 8U51NESSIAGEiVGY: --- <br /> I ADORE-": Id • -" <br /> PHONE: ao FACSIMILE: <br /> TENTATIVE*APPIDINTMC•NT DATE: Time: <br /> (Pleaac allow 10 business days from data of application submiltal) <br /> CHECK BOX TO EXPEDITE REQUEST-193.00 FEE-REQULST PROCESSED IN 3 Ru3[NESs DAYS <br /> SIGNATURE OF APPI.JQANT'~ DATE <br /> .. beearifrir,M1l Use OM1IY <br /> UNIT <br /> V44EE AnnitEBs <br /> Unit 1 ` ✓� <br /> nil <br /> G La� �� . <br /> al ❑ Unit 3 <br /> 7.- SIICtI Gi Q Unit 4 <br /> C.1 . . <br /> SnrM c.I © Unit 5 <br /> IQ upr•1 CII - <br /> • 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 13 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING AQATEM&NT d SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) - 0 FOOD FACILITY 0�1OLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK IMOl11TORINGISEMOVAL) C1 DOG KENNEL Fd'IOAIRY <br /> 0 HA7.ARDOUS WASTE GENERATOR O CHICKEN RANCH p PKQ TREATMENT PLANT <br /> 14 <br /> 0 TIERED PERMITTED FACILITY Q MOTEUHOTEL 0 PUMPER TRVCK/YARDfGHEM TOILETS <br /> 0 TATTQOIBODY PIERCING CI ppoLJSPA ;K"D USE APPLICATION SITES <br /> d MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPEC1fY) <br /> T, List up to ten addresses in the space above. Select the type(5)of tiles from the list above by checking <br /> the appropriate boX(es). At least one file type MUST be selected. Fax to 09 464-0138 or mail 10 the <br /> address Indicated abovx. <br /> z. EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed <br /> approximately five business clays 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 snould be srtleduled <br /> accordingly. <br /> 3. A file that is actively being worker!on by EHD staff may.not be immediately available for review, Anew <br /> application may be submitted when the file is available. <br /> q, 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 moy require a$93.00 deposit prior to revim. <br /> S. '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 TIME <br /> DATE CONFIRMED � _ PRONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />