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06/02/2008 09:22 FAX 9002/002 <br /> E REcetvEo SA*t JOAQUIN COUNTY D <br /> RE-C EKED.......... <br /> EYVIRON1INIENTALHEAT,TtTDFPARrfYlLNT <br /> 304 E Weber Ave 3"k Floor Stockton, CA 95205 AUG 0 2 2006 <br /> (209) 468.3410 Fax: (209)464.0133 Web.www.co.san-joaquin.ca.os/e' <br /> ENVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE A.PPLICA'T'I01NRMIT/SERVICES <br /> APPLICANT- .RYdAI t-'jSIL4 BUSINESSIAGENCY: �j/llrtKlaer <br /> ADDRESS: Z'Z2!�' C Lll�tr!'�R 5&U,6 <br /> PHONE: 4ip4[ 9ym-tk(As -FACSIMILE: r, ,� S(•j�` J[oa,i <br /> TENTATIVE'APPOINTMENT DATE:, Time: IZa <br /> (Please allow 10 h"nasS days from date of appliat(on submittal) <br /> CHECK DOX TO EXPEDITE REgUEST.$23.00 FEE-REQUC•'ST PROCESSED IN J BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ;�: .r r�a - . DATE <br /> DoparUnont Use ONy <br /> FILE ADORES UNIT <br /> O .... <br /> Unit t <br /> A A) G <br /> 3. sum 7 r ,. t Unit 2 <br /> Az c, G I`J <br /> s.,. rw.xt (12tQ—>* 4n ' 3.. '.. � ). Unit 3 <br /> O.O.WM <br /> p Unit 5 <br /> t0. faM Gry / <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK tU5T)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT wL SOLID WASTE FACILITY <br /> OTHER CLEANUP SrTE(NGN-LOP) 0 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> M UNOFRGROUND TANK(MONITORINGlRF.MOVAL) ❑ DOC KENNEL M DAIRY <br /> ID HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 8-PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACfLrY ❑ MOTELIMOTEL ❑ PUMPER TRUCKIYARDlCHEM TOILETS <br /> ❑ TATTOO/BODY PIERCING ❑ POOI,MPA GS. LM10 USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILIT"r ❑ OTHER(PLEASE SPECIFY)__ _ .... <br /> 1. List tip to ten addresses in the space above. Select the type(s) of files from the list aboyc by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (2091. 464-0138 or mail to the <br /> addrOss ind(wted above_ <br /> 2. EHO will notifytheapplicant 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 filees <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 availablo 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 reorganized by EHD staff at the expense <br /> of the applicant, Future file reviews by the same applicant may require a $93.00 deposit prior to reviaw- <br /> 5. `TENTATiVI-appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> ..ten—.. .p. � <br /> .'.CONF.LRfd�D APPOINTMENT DATE' i 1..:": r. , _.� J. TIMES ^i <br /> .. <br /> DATC CONFIRMED __.� ..._. ...... PNON[9 PNC' INITIALS <br /> REVIEWED YES NO REVIEW DATE: <br /> UHT/asa:.00t <br />