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' NO.013 - 00 <br /> 10/20/2003 10:32 ATC SOC I ATES j 12094640138 r.,.rr: u <br /> ECEIVED �,.; 1. ' SAN JQAQUIN <br /> COUNTY <br /> Cj,gTEFI -- { - <br /> ENVIRONMENTAL HEALTH DEPARTMENT. <br /> OCT 2 0 2003 304 E Weber Ave Ya Floor Stockton.,CA 95205 <br /> lili`v virl'J I <br /> d 468-3420 Fax: (209) 464-0138 Web:www•co.sari joaquin.Muslehd <br /> -i!"JI <br /> PUBLIC RECORDS RELEASE AppX,IC ATI4N <br /> auSINESSIAGENCY: TL RSSoua{ <br /> AFPLICANT: 0li,,^ die"' C.A ,S'K6 <br /> r- <br /> -51— t OD ^ <br /> ADDRt=_as: 6660 L C 0�:vtrFACSIMILE; <br /> PHONE:�,,, <br /> (.t i�Zn A�ra��a.��t ---•—•�" <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> � — <br /> (PIeme,allow 10 business tlays frOrn date of application submittal) <br /> VEST PROCESSED IN 3 BUSINESS DAYS <br /> CHECK BOX TO EXPEDITE REQUEST'$93-00 FEI:– DATE _& a c 0.3 <br /> SIGNATURE OF APPLICANT Department Use Only <br /> ;1U1 <br /> FILE ADORES3 <br /> a I <br /> 2 SI I p <br /> S. Arne fJ <br /> 4 &Mat Bhtet c:7. strm <br /> a. s+aer G <br /> \ 9. 6treet Gi <br /> t0, Smut <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 HOUSING ABATEMENT 0 301013 WAsTE FACILITY <br /> 0 SOUD WASTE VEHICLE <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O p000 FACILITY 0 DAIRY <br /> �0,,/ C3OTHER CLEANUP SITE(NON-LOP) 0 DOG KENNEL pKG TREATMENT PLANT <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) c3 CHICKEN RANCH. 0 PUmPFR� <br /> RkUCKryARDICHEM TOILETS <br /> O HAZARDOUS WASTE GENERATOR p MOTEVHOTEL 0 LAIp USE APPLICATION 9ItE9 <br /> co TIERED PERMITTED FACILITY O pOOL)SPA <br /> L7 TATT0011900Y PIERCING O OTHER(PLEASE SPECIFY) <br /> 0 MEDICAL WASTE FACILITY the checking E <br /> e s of file <br /> List <br /> 9146136yorb ail to List up approptan riate <br /> addresses x(es) tAttleashe tone riace be type MUSTtbe epectod. Fax - i <br /> the aper P I <br /> L_ <br /> indicated above. ointment for ravtew will b`I�confirmed files j <br /> 2, EHD will notify the applicant if any EHD files exist. An app i t o1 app I <br /> pintment$should be scheduied <br /> approx( o 1Wly five business days but no later than ten(10)days after rt*ce <br /> wltt be held for a maximum of five business days for review- APP <br /> accordingly I being worked on by EH O Staff may not be immediately available for review. Anew <br /> 3. A file that Is active y expense <br /> application may be submitted when the file is available. require a$93,00 deposit prior to review <br /> d <br /> Any File not returned in the same condition as released <br /> same app!can#rnaywill be eoq reorganized by EHE)staff at the exp <br /> Of the applicant. Future file review$by th <br /> S. Oflthe ap VE appointment dates must be confirmed With EHD staff• <br /> 6• TF-NT TIVEtions re <br /> ceived after 3:00 pm will be processed the next businesApplics day- I <br /> TIME ± <br /> CONFIRMED APPOINTMENT HATE PMONE FAX INITIALS <br /> DATE CONFIRMED REVIEW DATE i <br /> RMEWED YES NO <br /> 4e-0a oat <br /> ersnoo� - •-� <br />