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10/13/2003. 12: 33 9252836121 AEI CO-SULTANTS (SF) PAGE 01 <br /> DATE RECEIVED EHO LOG NUMBEF <br /> A' ; 1. SAN JOAQUIN COUNTY 40 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0 C T 1 3 M03 304 E Weber Ave 3'd Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209) 464-0138 Web: www.co.sanjoaquirLca.us/ehd <br /> y�PUBLIC RECORDS RELEASE APPLICAUON <br /> APPLICANT: !,AIInn sm tl h - BUSINESSIAGENCY: REI <br /> E I (I)n5l. hack <br /> ADDRESS: (CvvmQo 1900 WaAnJ Creole CA q14 CAI <br /> PHONE:g?? 283-(.n.000 exk ILS FACSIMILE: <br /> IILE: I ,, 77�����,� )•t <br /> TENTATIVE"APPOINTMENT DATE:•0 C L1�o f Time: 1 1 O fn <br /> (Please allow 10 business days from date of application submittal) <br /> En CHECK BOX TO EXPEOITE REQUEST-$93 0 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE to 13 0 IV <br /> Department Use Oniv <br /> FILE ADDRESS UNIT <br /> ,I- Xreel 1008Z f PA. c1ty Renckl Cwrto ❑ Unit 1 <br /> u <br /> O 5 a Unit 2 -' <br /> s. sober So <br /> Oty <br /> 5. 6veMan, inn kaO It <br /> AK Unit 3 !��•t'r/'(� <br /> 9. r<tt S o 1i <br /> z. Sven c Unit <br /> 8, sveel city <br /> s. street Qty ❑ Unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �i UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT X SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) C3 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> A,HA7ARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOO/BODY PIERCING ❑�,r FI')POOL+SPA ❑ LAND USE APPLICATION SITES ,OL�T <br /> C1 MEDICAL WASTE FACILITY "'l OTHER(PLEASE SPECI 'ID 7 RDYrw <V' rF= Armes . <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 (2091464-0138 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 neA <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. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 p'm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> :. <br /> DATE CONFIRMED "PHONE .` FAX <br /> REVIEWED " YES NO REVIEW DATE <br /> ararzoos - <br />