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10 / 17/ 2003 15 : 14 9253715915 GEOCON - EAST_ BAY - PAGE 01 / 0 <br /> 10 / 14/ 2003 09 : 49 46t "- �s ENVIRONMENTAL' ZALTH PAGE 01 <br /> DATE REO61VLp - Jlr <br /> tnU +,w numocn <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTR DEPARTMEN1 <br /> 0 C T 1 7 20 304 E Weber Ave 3' Floor Stockton, CA 95205 <br /> 09) 468-3420 Fax: (209) 464-0138 Web : vrww.Co.san joaquin.cA_ ++elehd <br /> N'+i ; r„i� IvlEfJ l HEI'+L1H - <br /> = ai ? EF}vir PU$LIC RECORDS RELEASE APPLICATION }` <br /> APPLICANT: BUSINESSIAGt1NCY' (2 (2C-0E2 Co A +"fIC, <br /> f4e 6A did e <br /> p <br /> ADDRESS '7� �^cr C � G � r^ <br /> PHONE: l z� 5— / — FAC41MILE: / z �� � (�. _ <br /> TENTATIVE" APPOINTMENT DATR: — _ Timdt Ob sine — <br /> laag11M1s gy3 froth date of ap kation Submittal) <br /> �/o � . l ary oIl <br /> ff' T/09 �r� ¢ s; �a arm c1e�f z do �Ia� e <br /> // G� lo �ed <br /> CNECKBOXYOEXPEDITE. RiGtUO3 OO FEE - t]UEeTP L BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��� DATE �r� /� <br /> Department Uma Only <br /> FILE ADDRE99 UNIT <br /> w C 3 ❑ Unit i <br /> Unit 2 <br /> / <br /> s. 5 I Z N r ra 3 a n� ❑ <br /> Unit 3 <br /> sweet <br /> I— ([, lntt <br /> e. ;aces <br /> Z e d Unit 5 <br /> a. sn"t 5rh awLol <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> j!( UNDERGROUND TANK (UST) CLEANUP SITE (LOP) C] HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP aITS (NON•LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK (MONITORINOIREMOVAL) ❑ DOG KENNEL - ❑ DAIRY <br /> q HAZARDOUS WASTE ORNERATOR A CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PBRMITrEO FACILITY 0 MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> Q TATTOOIaODY PIERCING ❑ POOL/SPA 4 WAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECIFY) . <br /> i . List up to ten addresses in the spare above. Select the typs(S) of files from the list aboye by checking <br /> the appropriate box(es). At least one file type MU$T be selected. Fait'I to the <br /> address I di pbpd above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> ter than <br /> n (10) days after receipt of applicaon. The <br /> will be held for avmaxim m of five busines but no ss e <br /> s days forravlewl Appointment* should be scheduled}Iles <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for revlaw. A neN <br /> application may be submitted when the fila Is avollable. <br /> 4, Any file not returned in the same condition as released will be r#organized <br /> a $93.0 D staff <br /> t ff at the prior to p9n*0 <br /> of the applicant. Future file reviews by the some applicant meyrequire <br /> reviev <br /> g, *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6.1 Appiioations received after 3:00 pm will be praansded the next business day. <br /> CgNFIRMEI7 APPOINTMENT DATE ^~� TIME <br /> DATE CONFIRMED PHONE FAX INITIALS _ <br /> REVIEWED YES NO REVIEW DATE <br /> eno +a•oz.aae - <br /> ertrzaoa <br />