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03/02/2004 - 11:11 9252836121 AEI CONSULTANTS (SF). PAGE 01. <br /> • EHD LOG NUMBER <br /> [ d�D SAN 10AQ» COUNTY <br /> ErrvmoN)vUrrr�HEAz,'rO DEPARTMENT ^ ' <br /> 304 E Weber Ave�3 d Floor Stockton, CA 95205 1 <br /> MAR Q 20009)408-3420 Fax: (209)464-01 i 8 Web: www•co.san joa4u •ca.lLs/ehd I <br /> ENVIR MIUSERVICES H PUBLIC RECORDS RELEASE APPLICATION <br /> BUSIIESSIAGENCY: G ,��•- <br /> R <br /> APPUCAN7: <br /> ADDRESS: FA as�� fir. a <br /> �j <br /> PHONE: IMILE: (� (Xlc.kr- <br /> .1 1 Tibet (� p <br /> TENTATIVE`APPOINTMENT DATE: I bcatien submlttaty <br /> (Please Shaw 10 bm]l L days trom date of app �.� <br /> 19`CHECKBOXTO EXPEDrTE REQUE5 .$93.00F E—REQUEST PROCESSED W 3 BSN Q DAYS ATE ' <br /> SIGNATURE OF APPLICANT 2�C rL21// papaRmontUseO <br /> UNIT <br /> FILE ADDRESS <br /> C <br /> ;. soaal a o'1rS ] unit 2 <br /> 2 fizz `� <br /> a. Slree� I c1 <br /> 6• gueal I G <br /> Unit 4 <br /> 9. 6� <br /> a 6 nh� EN�IIRONMENTAL HEALTH DEPARTMENT FILES <br /> V Iv I7 SOLID WASTE FACILITY <br /> NUP 3ITE(LOP) O HOUSING ABATEMENT 13 $Duo WASTE VEHICLE <br /> UNDERGROUND TANK(uST)CLEA <br /> ❑ FOOD FACILITY p DAIRY <br /> 07HER CLEANUP SITE(NON-LOP) p OOH,KENNEL ❑ PKG TREATMENT PLANT <br /> UNDERGROUND TANK(MONtcORINGIREMOVAL) 0 CHICKEN RANCH In pUMPERTI KryARDICHFM TOILETS <br /> HAZARDOUS WASTE GENERATOR O MOTELlHOTEL M LAND USE APPLICATION SITES <br /> TIERED PERmrTTED FACILITY p pO0USPA <br /> ❑ YATTOOIDODY PIERCING ❑I OTHER(PL EASEsPEC1FY) <br /> ❑ MEDICAL WASTE FACILITY <br /> of files from the list above by checking <br /> MUST he selected. FaX to 209 464-0138 or mail to the <br /> q List up to ten addresses in the space above. Select the type($) <br /> the appropriate boX(es)• At least one Lle type <br /> address indicated above. appointment for review will bfimed files <br /> EHD will notify the applicant if any EHD files exLsi An tla s after receipt of application, <br /> 2• days ten ointment$should be scheduled <br /> approximately five business da but no later thafor rewtew• APP <br /> will be held for a maximum of five bu mess days available for review. A new <br /> accordingly. of be immediately <br /> 3• A file that is actively being worked OR by EHD staff may n an¢et by EHD staff at the expense <br /> application may be submitted when the file is available. be uire a$93.00 deposit prior to review. <br /> q. Any file not returned in the same condition as released antlmay rep <br /> of the applicant• Future file reviews by the same app <br /> `'TENTATIVE appointment dates ffms lj confirmed with EHD staff• <br /> 5 ed the next business day. r <br /> 6. APPlicatlons received after 3 00 pm W III be process _ 1 . r' y <br /> r x TIME <br /> FA <br /> ruaxuoa <br /> uvmm <br />