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12/01/03 MON 17:13 FAX 916 ^99 2742 EARTH TECII-SACRAMENTO 0 <br /> 12/01/1003 16:53 46401 ENVIRONMENTAL .TH PAGE 01 <br /> XT <br /> l� e;` L' v �✓� SAN JOAQUIN COUNTY <br /> E ( 2 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3'1 Floor Stockton, CA 95205 q5 <br /> IV'�itSJi��ir?'cNT Agp µ}68.342O Fax: (209)464-0138 Web: www.co.san-joaqUin.ca.uS/ehd <br /> p[:1--%11T/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: L,0(0. tiC 1 BUSINESS/AGENCY: Eo l�k TPC V� <br /> S� Ceram e c 5S2 5' <br /> ADRESS: (O5/� n u 1'111'11P-•CS r-I•,n <br /> HONE: �Ilo-C'2q 41`-13 X �� FACSIMILE: 1 `�2'9— a--)4'-- <br /> am4 fiery 9.6 i 2{S e-r <br /> TENTATIVE'APPOINTMENT DATE:_ U Tlma: <br /> (Pteaso allow 10 business days from date of appil=tion submittal) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> .,SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> UNIT <br /> FILE ADDRESS ` <br /> WSR,�-1 <br /> Ur�v ci Cryo 0 ❑ Unit1 l 5 L et �I ❑ Unit 2 c elD, U nN, ni-, c�°' ❑ Unit 5eetEM <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑ SOLID WASTE FACILITY <br /> ❑ UNDERGROUND TANK(U37)CLEANUP SITE(LOP) D FOOD FA ABATEMENT 0 SOLID WASTE VEHICLE <br /> 1�OTHER CLEANUP SITE(NON-LOP) D FOOD FACILRY AL) ❑ DOG KENNEL O DAIRY <br /> f�s!UNDERGROUND TANK(MONITORING(REMOV <br /> ❑ CHICKEN RANCH Cl PKG TREATMENT PLANT <br /> O HAZARDOUS WASTE GENERATOR ❑ MOTEIJHOTEL D PUMPER TRUCK/YARD/CHEM TOILET <br /> d TIERED PERMITTED FACILITY 0 POOUSPA C3LAND USE APPLICATION SITES <br /> ❑ TATTOOIBODY PIERCING 0 OTHER(PLEASE SPECIFY) <br /> ❑ MEDICAL WASTE FACILITY <br /> e(s) of files from <br /> 1_ List up to ten addresses in the space above. Select the typom the list above by ehetkinl <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the <br /> address indicated above. y ointment for review will be confirmed <br /> 2. EHD will notify the applicant if an EHD files exist. An app <br /> approximately five business days but no later than ten (10) days niter 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 ne <br /> applic2tion may be submitted when the file is available. at the <br /> 4. Any file not returned <br /> Future file reviews bytion as released will be the same applicant may require zed by EHD a $93.0 deposit prior to revie <br /> of the applicant <br /> 5, "TENTATIVE appointment dates must be confirmed with FHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> TO <br /> CONFIRMED APPOINTMENT DATE TIME Co.IDept <br /> DATE CONFIRMED <br /> PHONE FAX phono <br /> REVIEWED YES <br /> NO REVIEW DATE Fa.K 9" J <br /> , <br /> CMD Aa-0 <br /> uu2oo3 _ <br />