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06-10-'04 10:13 FROM- W.A. CRAIG INC. 707-693-2922 T-900 P002/002 U-029 <br /> VV.}V. avv� vim.va �v�va•..i .....•-.•....•�.....- ... ..• - <br /> ��A <br /> IVIS U L� SAN JOAQUIN COUNTY END LOG NUM t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN 10 20041122 304 E Weber Ave 3'd Floor Stockton, CA 95205 <br /> ENVIRONMENT HEALtH09)468-3420 Fax:(209) 464-0138 Web:WwW.co.san-joaqUin.c&.tts/ehd I <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> AAffAPPLICANT: 6((-;Rf\ C, BUSINESSIAGENCY: 1 <br /> ADDRESS,' 610 l'removd ;x on CA `Tisoo <br /> HONE: �� (n�i "Zq 1 FACSIMILE: <br /> 1 a <br /> TENTATIVE'APPOINTMENT DATE: ,ne; g:30 a rn <br /> (Please allow 10 business days f m del li aubmlaal) <br /> XIG <br /> HECK BOX TO eXPFDfrE REQUEST-$9 .00 FEE—RE EST PROCESSED IN 8 BUSINESS DAYS <br /> ATURB OF APPLICANT � w 9 DATE <br /> � riment Use Only <br /> FILE ADDRESS UNIT <br /> tcjrke. Ak 75,23-7 ❑ Una 1 <br /> 2. POW <br /> « d <br /> sign o ❑ Una$ <br /> e. <br /> a� o �Unit4 <br /> 7. eV <br /> t. - <br /> io. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> _ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT g SOLID WASTE FACILITY /IJ'J <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> p UNDERGROUND TANK(MONITORINGATEMOVAL) 0 DOG KENNEL ❑ DAIRY Ef <br /> ❑ HA7ARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 0 MOTEUIIOTEL ❑ PUMP ERERUCKIYATIQN SI <br /> M f04ET� <br /> ❑ TATTOOIBODY PIERCING ❑ POOL/SPA LAND USE APPLICATIQN SITfi8 <br /> ❑ MEDICAL WASTE FACILITY P(,OTHER(PLEASE SPECIFY) , <br /> 1. List up to ton addresses in the space above. Select the type(s)of files from the list above by checki; <br /> the appropriate box(es). At least one file type MUST be selected, Fax to (209) 464.0138 or mail to U1 <br /> addr�$s Indicated above. <br /> 2. EHD w1U notify the applicant it any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later then ten (10) days after receipt of application. The Tile <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 r <br /> application may be submitted when the file is available. <br /> 4. Any file not retumed In the same condition as released will be reorganized by EHD staff at the expel <br /> of the applicant. Future file reviews by the same applicant may require a$93.Ob deposit prior to rev <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> g, Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX 'INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> um� <br /> uvaaaa <br />