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.NIOV. 20. 2003 3:400 CONDOR EARTH- TECH N0. 1430 P. 1 <br /> DATERECFIVEQ EHu LUG NUMBER <br /> SAN JOAQUINCOUNTY <br /> ENVIRONMENTAL SAT Ma DEPARTIMEI 1T <br /> NOVA 17 2003 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:wWw co.san joaquin.ca.us/eb.d <br /> `I�((` n(�''pp <br /> PERf�41"I,' F.R';iGr ' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT, 64,75hq j l i L -Z-- BUSINESSIAGENCY; <br /> �i CLQ S1 `^TOc Kyo <br /> ADPRi=ss: <br /> PHON2!�j QF(' <br /> 3 ( '�FACSIMILE: ��f O S <br /> TENTATIVE*APPOINTMENT DATE: 5-Mee--, IQ 3 Time: <br /> }� (Please allow 10 business days from date of application submittal) <br /> w CHECK BOX TO EXPEDITE REQUES •$93.00 FE=E RE4l1EST PROCESSED IN 3 BUSINE=SS DAYS <br /> SIGNATURE OF APP ICAN DATE (� Q <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> Sum CgKP AjrF_1?- RD =oma To <br /> z svK, 3 E• A�L7fNTerz - El Unit 1 <br /> a <br /> �3. <br /> a. &.1i � . f� N T � a �.Unit 2 <br /> s. sv«1 �. A21 posA a <br /> 6. Svgs ' D _ <br /> z. sweet OO a9 r <br /> e, s o � ), <br /> s- svvet PQcf} ' Unit <br /> ,a- st,ee�. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ISOLID WASTE FACILITY <br /> OTHER CL,5ANUP SITE(NON-LOP) — ❑ FOOD FACILITY �SOUD WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIRF_MOVAL) E3 DOG KENNE=L Cl DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH E3 PKG-n7EATMENT PLAN-r <br /> 13 TIERED PERMITTEb FACILITY O MOTELIHOTEL ❑ PUMPER TRUCKJYARD/CHEM TOILETS <br /> ❑ TATTOOBODY PIERCING 0 POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PULSE SPECIFY <br /> 1. List up to ten addresses in the spade above. Select the type(s) of files from the list above py checking <br /> the appropriate box(es). At feast one file type MUST be selected. Fax to f2091 464-0138 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 /> 5. 'TENTAT'IVE appointment dates must be confirmed with LAND staff- <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE - - TIME <br /> DATE CONFIRMED PHONE . FAX 1NMALS", <br /> REVIEWED YES NO REVIEW DATE' <br /> F}f0 4E-02-006 <br /> 61aI8¢3. . <br />