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NOV. 16. 2004 11 :20AM CONDOR EARTH TECH N0. 788§ P. 1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JoAQumT COUNTY <br /> E 304E NMENTe 3 HEALTS�DE,CA <br /> �� <br /> 304 E Weber Ave 3`d Floor Stockton,CA 95205 <br /> (209)468-3420 FBI: (209)464-0138 Web:WwW.eo.san joaquirt.ca.us(chd 3 zoo <br /> A r pUBLIC RECORDS RELEASE APPLICATI_iO.1N -•� <br /> APPLICANTW <br /> : aryk"- Itis.S BUSINESS/AGENCY: r OV�•r' Ed•-r-m 1'e �KO� <br /> ADDRESS: IB6 l:vc KL op-+ C...-����S+e T, ';+-o tk4n a . CA '152-0(y- <br /> PHONE! <br /> 152-0(oPHONE. Z10�-2.3�r"�SIS FACSIMILE: 2�`f-z3�-O�3$ <br /> TENTATIVE'APPOINTMENTDATE: 12 2 2gc34 Time:-'1:OrD AM <br /> (Plowe allow 10 business days from date Of application submittal) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-583-00 FEE-REQU ST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I' I m 10q <br /> parlmanl Use Onry <br /> FILE ADDRESS UNIT <br /> I, slreN 9`!2 oc a 1 e�^ ❑ Unit 1 <br /> Q, SVe91 <br /> 144 5• FoGk al <br /> SweetG /10"'nit 2 <br /> s swa 19-10 rj2. k - �Unit 3 <br /> 8. Strevl K 5-I'V I ga.• al . <br /> fk 2i.�-.c S"7 - GrA ,keFt^•'�"- Unit <br /> a su99 I a oukl a <br /> CA [I Unit 5 <br /> m, sues O 0^ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES )ir" <br /> XUNDERGROUNO TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT );'SOLID WASTE FACILITY <br /> THEIR CLEANUP SITE(NON-LOP) M FOOD FACILITY d SOLID WASTE VEHICLE <br /> VUNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 1KbAIRY <br /> W HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT <br /> -nCt-TIERED PERMITTED FACILITY HI MOTELIHOTEL �❑+PUMPER TRUCKIYARDICHEM TOILETS <br /> P TATTOO/EODY PIERCING ❑ PCOLISPA I^LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space 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(209)464-0136 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 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 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$93.00 deposit prior to review. <br /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm Will be processed the next business day. <br /> C NFIfiMEI A PalN am>~h(� <br /> JE ,i <br /> 1]A( �ONORMaq. SMO(( FA$ jN)TIALS <br /> IE`W VATE <br /> EHOIBA2All9 <br /> dV3003 <br />