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08/17/2810 14:35 209-568-2596 PAGE el/01 <br /> DATE RECEIVED trlu LVL;.rvumotn <br /> SAN JOAQUIN COY7N'xY' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3 Floor Stockton, CA 95205 <br /> `1``` C 468-3420 Fax; (209) 464-0138 Web: www:co.san joaquin-ca.uslehd <br /> U`t <br /> itl4k�V'� I�E� �VPUBLIC RECORDS RELEASE APPLTCAMN <br /> APFSLI�AIV7: til E BUSINESSIAGENCY: GOVII (F L. <br /> ADDRESS: L64 Q_53LI <br /> PHONY- - FACSIMILE; '"ZS <br /> TENTATIVE*APPOINTMENT DATE; Time: <br /> (Please allow 10 business,days from date of application submittal) <br /> CHECK$OX T4 EXPEDITE REQUEST4-00FEEV— U ST l?R(]CESSEO IN 8 BUSINESS:dAY9 <br /> SIGNATURE OF APPLIGANT DATE <br /> Department Else Only <br /> FILE ADDRESS UNIT <br /> a" st w 3'1 6 1_/ ,` RD. a <br /> ❑ Unit 1 <br /> a. st�ee! G Unit-2 - <br /> 4. StratG L <br /> s. stmt Unit 3 <br /> 6. <br /> stmtCRY <br /> s d Unit 4 <br /> B $reel � <br /> a, streetCAY ❑ Unit 5 <br /> to. Street . v <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> VNUERGROUND TANK(UST)CLEANUP SITE"P) 0 HOUSING ABATEMENT Cl SOLID WASTE FACILITY <br /> eTHEREI <br /> CLEANUP SITE(NON-LOP) n FOOD FACILITY b SOLID WASTE VEHICLE <br /> � NDERGROUNA TANK(MpNfil`ORiN(31REMOV/4L) 'MDOG KENNEL. 13 DAIRY <br /> E7 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 171 I1a7a41tGOUS WASTE GENERATOR <br /> TIERED PERMftt U FACILITY iYiOTELl41OTEL l7,P UMPERTRUCK1YARdlCHEM TOILETS <br /> a TATTOWBODY PIERCING E3 POOIJSPA d LAND USE PLICATION SITES <br /> d MEDICAL.WASTE FACILITY d OTHER(PLEASE SPECIFY) �- <br /> 1. List up to ten addresses in the space above. Select the typo(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax to(209)464.0138 or mail tot <br /> address indicated above. <br /> 2. EHD will.notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days 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 should be scheduled <br /> -accordingly. <br /> 3. A file that is actively being worked on by EHL)staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. .. <br /> 4. Any file not returned in the same condition as released will be rcorganized by EHD staff at the expense <br /> E of the applicant. Future file reviews by the salve applicant may require a$93.00 deposit prior to review, <br /> S. 'TENTATIVE appointment dates must be confirmed with EHl7 staff. <br /> 6% Applications received after 3:00 pm will be processed the next business day. <br /> tOt4FIRMED AF006 tg iMENT LATE 'TIME <br /> r <br /> DATE CONFIRMED,__. PHONE PAX -I -r <br /> REVIEWED . YES NOREVIEW DATE__':. _ <br /> 48-02-0176' " <br /> ararzoos - <br /> i <br />