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Sep , 4. 2013 12 : 43PM CO�1� R EARTH TECHNOLOGIES No • 4879 P . LUG NUN <br /> UAl c rte�.erveu cnu w ? <br /> SAN JOAQUIN COUNTY a <br /> Ir,Ff <br /> � )% E�(�LBONMENTAT HEALTH DEPARTMENT <br /> 304 E,Weber Ave 3d Floor Stockton, CA 95205 1410 <br /> SEP 0 4 ZRO99)468-3420 Fax: (209)464-0138 Web: www.co.san ja. <br /> oaq*,cus/ehd <br /> id 1TiUN[0ENT i1EAHTi1 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT` �Tl <br /> L� <br /> 12 <br /> ADDRE33: 6 ��TSUI i bl7lt1%-AZ' BUSINESS/AGENCY! �I�� I<nTF"I" ltd• ,JIV4� <br /> �jb�/ T <br /> PHONE(_� �'_-�u_ d i FACSIMILE: —�2 <br /> TENTATIVE'APPOINTMENT DATE i S p}. 03 Tlme: 2 ,W <br /> (�•��. <br /> (Please allow 10 business days from date of appllCation submittal <br /> CHECK BOX TO EXPEDITE REQUES 3.00 FEE—REQUEST ROCESSED IN 3 BUSINESS DAYS <br /> bt✓� 4 03 <br /> SIGNATURE OF APPLICANT '� DATE <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> eves, O W• �rrrl� � . a Gk Y% q Unit 1 <br /> 3. SV.d •��, l O R �Unit2 <br /> i'IM'pSon�S.L,nc.ala.Sty <br /> s. s t 1 <br /> e. sv..e.t t t�"• <br /> Unit3 <br /> s,.a t C <br /> 7 55 nt4 <br /> 03 ,N nllt 5 <br /> s. so- <br /> SJ <br /> ,o, s 7 <br /> ENVIR NMENTAL HEALTH DEPARTMENT FILES <br /> n UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Li HOUSING ABATEMENT lk SOLID WASTE FACILITY <br /> {,+ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY V SOLID WASTE VEHICLE <br /> Cf UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL Ll DAIRY <br /> `,V HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 91 1TERED PERMITTED FACILITY ❑ MOTELlHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOOPIERCING 0 POOLISPA _ P'LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 13OTHER(PLEA3E`sper.,m <br /> 1. List up to ten addresses in the spa I st above by checK►n <br /> the appropriate box(es). At least a r\ A130 or mail to the <br /> address indigatgd above. (/ 1 be confirmed <br /> 2. EHD will notify the applicant If any I lication. The files <br /> approximately five business days t P. <br /> will be held for a maximum Of five t i be scheduled <br /> accordingly. Ile for review. Ane <br /> 3. A file that is actively being worked t <br /> application may be submitted when staff at the expens <br /> 4. Any file not returned in the same co posit prior to revie <br /> of the applicant. Future file reviews P <br /> 5. 'TENTATIVE appointment dates mu: <br /> 6. Applications received after 3:110 pm' <br /> CONFIRMED APPOINTMENT DATE. — <br /> DATE CONFIRMED <br /> REVIEWED YES NO REVIEW DATE <br /> exo eaazaoc - . <br />