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03/25/2004 17:49 4159899934 ENVSF PAGE 01 <br /> SAN JOAQUIN COUNTY <br /> MAR 2 6 2004 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3"'Floor Stockton, CA 95205 <br /> ENVIRONMENT h48013�468-3420 Fax: (209)464-0138 Web: www.co.san joaquin.ca.uS/ehd 17q7 <br /> PERMlTiSERVICES <br /> PUBLIC RECORDS RELEASE APPLICAATIO� N <br /> APPLICANT: '64BAUSINiESS!WGEN'C]�Y: <br /> ADDRESS: �84 '-rbmOa�5�Ico c7q <br /> PHONE: / qJJ FCSIMILE: // �5) (jbq_ qq3 <br /> j <br /> TENTATIVE*APPUIN IMLNI UAM; <br /> (Please allow 10 business days from date of appllcadon submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$9�3.00/JFEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT t%iP/ �'�Zrjj� °j DATE <br /> !i apartment Use Only <br /> FILE ADDRESS UNIT <br /> ho Q G <br /> ty 5/0 <br /> a. <br /> F41Cc u C 1 _ �� Ott <br /> X,. O �1 11 1WUnit 2 <br /> a U✓C IUP c '( L al <br /> Sea '2Q /AQ c " <br /> Unit <br /> 6. a[ C <br /> �da7y� <br /> I {f C c. �t Nff S ❑ Unitti <br /> ,0 1 2 of ", <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> R!"UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT, - ❑ SOLID WASTE FACILITY <br /> 13 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY O SOLID WASTE VEHICLE <br /> Jr-UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDlCHEM TOILETS <br /> O TATTDOIBODY PIERCING O POOUOPA M LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the spare above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0136 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 he 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 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 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 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 /> ENO 4"Z] <br /> AI&2403 <br />