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08/_02/2008 08:22 FAX • I9j002/002 <br /> 'fE RECEIVED <br /> SAN .JoAauzrr CoulvTY <br /> ENVIROti1}fENMU HEALTH DF.PAP rNIENT <br /> 304 E Weber Ave 3"I Floor Stockton, CA 95205 AUG 02 2006 t <br /> (209) 46$-3420 Fax: (209) 454.0133 Web,wwtiv.co.san joaquin,ca.us/e LTH <br /> ENVIRONMENT HEA <br /> PUBLIC RECORDS RELEASE APPLICATINMIT/SERVICES <br /> APPLICANT: 1^dd.`L`4-iP-C35!>h SU5INESSIAGENCY:_� �e./a ear <br /> ADDRESS:, <br /> PHONE:l�Orral 9 -�S(�S_.__ FACSIMILE: v&;4I <br /> TENTATIVE'A (14PPOINTMENTDATE; /.oz <br /> I <br /> (Please aaovr 10 hu.inoss days from dtta of applimition submlti.30 <br /> © CHECK BOX TO EXPEDITE REQUEST-$03,00 FEE-REQUCST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE � / <br /> D•--Pantncnt Use Only <br /> FILE ADDRES4 UNIT <br /> Unit 1 <br /> a. r z I Unit <br /> ..11rGL r to rJ .( ` \ <br /> 1 Unita <br /> 10. Seevv � ❑ 11r11 t`5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK DUST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT UL SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) rl FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> t5Y UNDERGROUND TANK(MONITORINGIREMOVAI.) ❑ DOG KENNEL ®- DAIRY <br /> IB HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 8-PKG TREATMENT PLANT - <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUNOTtL O PUMPER TRUCKrrARD/CHEM TOILETS <br /> ❑ TATTOCIRODY PIERCING ❑ POOL/SPA M LAND USE APPLICATION StT'E'S <br /> ❑ MEDICAL WASTE:FACILITY ❑ OTHER(PLEASE SPECIf�____,�, •�•�,�,._ <br /> 7. List tip to ten addresses in the space above. Select the type(.) of files from the list aboye by checking <br /> the approprlate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> addrass )ndiwted�bobon_ <br /> 2. EHO 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 live business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3, A rile that is actively being worked on by EHD 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 reortIanized by SHD staff at the expense <br /> of the applicant. Future fife reviews by the same applicant may require a $93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G- Applications received after 3:00 pm will be processed the next business day. <br /> CONF:L .MED APPOINTMENT DATE' r TIME <br /> DATE G. NFIf2MEb <br /> PHONL FAX INITIALS _ <br /> REVIEWVD YES NO REVIEW DATE <br />