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Sent By: GEOCON CONSULTANTS; 1916 652 9132; Jun-24-04 9:25AM; _ Page 1/1 <br /> yI�pI� r EHD LOG NUMBER <br /> C ILS VEDD- SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN 2 4 2'000p 4-04 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> ENVIRONMENT <br /> RR168-3420 Fax: (209)46138 Web: www.co.san-joaquin.ca.us/ehd. <br /> I%lq <br /> PERM IT/SEERRjVICpESS PUBLIC RECORDS RELEASE <br /> /^APPLICATION <br /> APPLICANT: 15-E::E� � ( ,�� SUSIMSIAOENCY: LStr.-tXDtpJ L '�tS,L��L�T..M�T��l`�e-•. <br /> ADDRESS: bit PD ZY—��.I Of �A SCA <br /> PHONE: PACSWILE: <br /> TENTATIVE"APPOINTMENT DATE: "n r9h, 4A r2-q I Oq Time: <br /> (Plea"allow 10 6usMau days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST•MOO FEE-REQUEST P CESSED IN 1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DppeHrnam use Only <br /> PILE A60RESS UNIT <br /> ew« c ❑ Unit 1 <br /> se.wCW <br /> a. so..l 11 C <br /> CRY <br /> OeUrdt 2 <br /> s. So.n CRUnit 3 <br /> u <br /> 7. Sh I <br /> ❑ Unit 5 <br /> ts, sacci M <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 99 �D <br /> )0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE rFIYCIUfY URI : <br /> R OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY 9 SCUD WASTE VEHICLE <br /> P1 UNDERGROUND TANK(MONRORINGIREMOVAL) d DOG KENNEL ❑ DAIRY <br /> X HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ffDTIERED PERMITTED FACILITY O MOTEUHOTEL O PUMPER T'RUCKNARDICHEM TOILETS <br /> ❑ TATTOOlBODY PIERCING 0 POOUSPA El LAND USE APPLICATION SRE$ <br /> O MEDICAL WASTE FACILITY C] OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type($)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 to the <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 he 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 new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition an released will be reorganized by EHD staff at the expense <br /> of the applicant Future file reviews by the some applicant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> iy- <br />