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JUN-1Y-2005 16:19 CONDOR EARTH TECH 209 532 0773 P.02 <br /> OAiN JVAYUIIN %-UL)INI Y <br /> ENMRONMENTAL HEALTji DEPARTNmw <br /> 304 E Weber Ave 3rd Floor Stockton, CA.95205 F <br /> 0 ?WY9)4683420 Fax: (209)464-0138 Web:www.co.san-joaquin.ca.us/ehd <br /> 04VIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. PAT.-,9 C�U!-`7.A l :Z- _DUSINESSIAGENCY: olo m bn R_ e;5MT f( TC-C-44 , <br /> ADDRESS: oZ'l (Io3 1317-1a4lj LANE <br /> l <br /> PHONE: 302 •_Q i z� 11 FACSIMILE; �j�-y--- _ p <br /> TENTATIVE`APPOINTMENT DATE: OO TIm®: 0 <br /> q b�(Please allow 10 bminess days from da a of application submittal) ^ �� <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS V" <br /> SIGNATURE OF APPLICANT DATE <br /> Department use Only <br /> FILE ADDRESS UNIT Q <br /> 1- Svc 11aj a [] Unit 1 <br /> 3. street l O Clky Unit 2 <br /> A Oty <br /> s- sweetu s ►-i a.1 Ve• a Unit 3 2 <br /> 6. Street 7 S. O. 9ty1 V <br /> 7. Mr" 5 I PaUta Ave. Q ;!100,Unit 4 <br /> e. sweet '71 o S 'a. Ave . CRY <br /> 9. sv.et )e tv• 41. 113t, Oty Unit 5 <br /> 10- sweet '¢ 5 oe/Cfio n <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4L C3 HOUSING ABATEMENT SOLID WASTE FACILITY <br /> ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> ❑ DOG KENNEL 9?f DAIRY <br /> 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 13MOTEUHOTEL 13PUMPER TRUCKJYARD/CHEM TOILE 5 / <br /> ❑ POOLISPA FC-LAND USE APPLICATION SITES ��/'Li'' <br /> ❑ OTHER(PLEASE SPECIFIC) <br /> tce above. Select the type(s)of files from the list above by checking <br /> ALJ ane file type MUST be selected. Fax to (209)464.0138 or mail to the <br /> I'�JJ� ✓� EHO files exist_ An appointment for review will be confirmed <br /> '7� but no later than ten(10) days after receipt of application. The files <br /> C) �'� �, business days for review. Appointments should be scheduled <br /> 7 on by EHD staff may not be immediately available for review. A new <br /> 70 n the file is available. <br /> ondition as released will be reorganized by EHD staff at the expense <br /> rs by the same applicant may require a$93.00 deposit prior to review <br /> ust be confirmed with EHD staff. <br /> o. Hppncanons receiveo aTTer a:uu 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 /> EM 46.02-006 _ <br /> 6R3t200) <br /> TOTAL P.02 <br />