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NOV. 11. 2004 931A C R EARTH TECH NO. 7908 P. 1 <br /> RC �CF(VED L EHD LOG NUMBER <br /> SAN JoAQzmv COUNTY <br /> NOV 1. 7 2004 ENvmONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br /> B0,11RCA MIEN T-HEP 468-3420 Fax: (209)464-0138 Web:www.co.san-joaquin,ca,us/chd <br /> PFRMMT ERVIG _, <br /> A,t I (� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: hticy Pz2 ;*1 1 BUSINESS/AGEGL <br /> NCY: ifot or <br /> ADDRESS: 198 TYAA k (A.J 4 Cirt�i $w,-)-L I, 540CL40n , CA _ q 520 to <br /> PHONE: .1p`I-LOI-"{'(531 FACSIMILE 2-01-231-0538 <br /> TENTATIVE'APPOINTMENT DATE: 12-13 A <br /> o0-4 Tlme: TOO AM <br /> (Please allow 10 buslness days from date of application submittal) <br /> EJ CHECK BOX TO EXPEDITE REQUEST•f93. EE-RREQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> +. Sia GI $ke-.l,-4-o v% Sr{ ❑ Unit1 <br /> a. sra (D O _ 0 Itv4 Car <br /> /Unit2 I / <br /> a. sem= 04e i;. Main a � <br /> S. 6c 1'010 o . tJo tk R r G l I [ Units 1(I <br /> a. Seed ry O j d 6_ 1 n GI V ) <br /> T. s c 52 E . Main L�rd <br /> � Unit 4 <br /> a. so e! 055 C. �? �-,:•r <br /> e. so e. S7 I l (a 1E . McLi" /l ❑ Unit 6 <br /> )a Swm -PS-- <br /> 9z$z e.. M' Irt 4- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 000 <br /> °4 4 <br /> f+ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILITY <br /> T3C OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 0UNDERGROUND TANK(MONrroRINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> `J (HAZARDOUS WASTE GENERATOR D CHICKEN RANCH M PKG TREATMENT PLANT <br /> fT.TIERED PERMITTED FACILITY 0 MOTELIHOTEL O PUMPER TRUCK/YARDICHEM TOILETS <br /> CI TATTOOBODY PIERCING 0 POOLBPA `f LAND USE APPLICATION SITES <br /> 0 MEOICALWASTE FACILITY O 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) 484-0138 0r mall to the <br /> address indicated above, <br /> 2. EHD will notify the applicant If any EMD 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 fi!a 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$9100 deposit prior t0 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 /> t;. l� { 'iAP,;I?SaIF)TA(ENTDY\T ::` :'' °jljVi�•;: F• <br /> i,bplT�•'�NF1R11 ; ,, `"iPHb�(�^:,t ,;F�}�� �i" ' Jt8}7'({lC.s. :i'e".. ,.• 'iiti,j";;- <br /> olo.laaz-0ae <br /> ewmos <br />