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121 002 <br /> 02/08/2005 16:30 FAX 209 94� X21 <br /> DATE;RECEIVED SAN JOAQUIN COAX <br /> nn FNVIRON11r1ENTA REALTH DEPARTMENT <br /> lrll � �� 4� 304 E Weber Ave P Floor Stockton, CA 95205 <br /> (209) 468-3420 Fax: (209)464-0138 Web:www.C.O.San joaquin.ca.udchd <br /> FEB a 8 2005 <br /> PUBLxC RECORDS RELEASE &PPLXCA.7L ON <br /> FaIii I1 S;l� BUSINESSIAGENCY: <br /> £ o <br /> ADDRi=SS:. <br /> FACSIMILE; jq Oav � <br /> TENTATIVE'APPDimmEwr DATE: Time: <br /> I <br /> (Please allow 10 business days from date of application submIttni) � <br /> I <br /> CHECK BOXTO EXPEDITE REQUEST-393.00 FEE,REQUEST PROCF-=D IN 3 BUSINESS DAYS l <br /> F APPLICANT <br /> SIGNATURE O ��f"'r� — DATE <br /> De- attnent Ike Only <br /> FILE ADDRESS UNIT <br /> stred N, etCeXt a 4k F -j 0 Unit 1 <br /> z. vl Of1161.n G <br /> I a p � Unit 2 <br /> s. sairc , <br /> .. sum '• a <br /> Unit 3 <br /> a. sues Unit 4 <br /> T. .5(4eLj <br /> , <br /> e. sixes <br /> 9- Sheel <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES Vh•� <br /> UNnERGltOUNO TANK(UST)CLEANUP SITE(LAP) ❑ HOUSING ABATEMENT I&SOL.14 WASTE FACILITY. <br /> OTHER CLFANUP SFrE(NON•-OP) 0 FOOD FACILrrY ❑ SOLID WASTE VEHICLE <br /> i9k UNDERGROUND TANK(MoNrrdwNGIRFMOVAL) ❑ DOo K]=NN5-L M DAIRY <br /> HAZARDOUS,WASTE G ENE:RATOR O CHICKEN FJUqCK 9-PKG TREATMENT PLANT <br /> O MOTELJtiiOTFJ <br /> O PUMPER TRU <br /> CKIYAMCHEM TOILETS <br /> ❑ TIERBD PERHLfTTEb FACILITY Ca LANO USE APPLICATION SrrEs <br /> Q TATTOOMOOY PIERCING ❑ poouSPA <br /> ❑ MEDICAL WASTE FACIL.rr'f ❑ OTHER(PLEASE SPECIFf) <br /> 1. Dist up to testi addresses in the space above. Select the types)of files from the list abaye by(hacking <br /> the appropriate box(es). At least one file type MUST-be selected. Fax to 208 464-0138 err mail to the <br /> address indicated above. <br /> 2. Elib will notify the applicant if any EHO 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 five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A rile that Is actively being worked on by EflD staff may not be immediately available for review. A nev+ <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released>~rill be reorganized by EHO staff at the expense <br /> of the applicant., Future file reviews by the same applicant may require a$93.00 deposit prior to feviat <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. 1 <br /> f, A�ap[ieatidns received after 3:00 pm Will'be processed the next business day. i <br /> 'TIMES <br /> Job N' RMED; Pb1NTHi>r1�11' AYE -:F, ; fi,.pry <br /> PH <br /> Tlrrf. <br /> .,'•bATE•GQNFIRMEa ;�.. _ <br /> REVl.1 +VED YES HO RE=VIE=W DATE' <br /> !KO U42-Goa <br /> �: <br /> r <br />