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09/09/2004 -09:14 x; 9252936121 -- AEI .CONSULTANTS":(SF) - - PAGE 01 - <br /> EHD LOG NUMSEi <br /> Mr � ql j F SAN JOAQUTN COUNTY <br /> D'NVIRONeber Ave 3 HEALTH DE, CA 95205 <br /> S E P O 9 2004 304 E Weber Ave 3'�Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:www-co.sau Joaquin ca us/ehd <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERViGES LPuBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: I �t1 Srn[l V1 BUSINESSIAGENIC�Y,: AEE Clbf\S��U�(Il�� <br /> ADDRESS: of.560 (_ MIn0 nimrlol�� n C 011) ❑❑tAJalInV� C(`2//Q11.1�. I <br /> PHONE: ��_•� O�J3 ��0 -FA_CSIMIILE; -I 9.5 0+ 3 CD(O.1 <br /> TENTATIVE"APPOINTMENT DATE: 7/ut .AIJI c/`D Time: <br /> L (I- (Please allow 10 business days from date of application submittal) <br /> 4 Y� �/ l� T � .�•ko t u�edi b� fro b °i J ao vim•-{�Y'.oW , <br /> CHECK BOX TO EXPEDITE REQU S7-$93.00 FEE- OUES ROCESSE IN 3 BUSINESS DAYS <br /> DATE ° 01 <br /> SIGNATURE OF APPLICANTL t� <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> r. so-ee 3aij a5i ,0.1l (Ld a S I, [IUnit 7 <br /> a 7 <br /> z. 5� 3�0 55 E, � <br /> G � k 50 -0 <br /> s. svee� t2 SFl-H -3 a " i15 L Unit 2 ` �\y <br /> �tt2A L ' <br /> a. !t d . ., - <br /> s. svmt (s W N. a ' U n Yl —� Unit 3 <br /> 6. Sax <br /> I <br /> I(So LICK,o " F,004' ' 'L 2_9 1'' <br /> Ll" <br /> sv�x 5ylp N• w a Uy'f. E5 units6 sumUnit 5 <br /> , see ON <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES • <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) X HOUSING ABATEMENT KsOUD WASTEFAC < <br /> K OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEH E <br /> �& UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ]�HAZARDOUS WASTE GENERATOR CI CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY <br /> MOTFLIHOTEL PUMPER TRUCK/YARDICHEM TOILETS <br /> O TATTOorsoDY PIERCING 0 POOLISPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ 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)A64-0138 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 b®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 nem <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 e ense vise <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to <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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX'' ' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> ' eHo�sazccc . <br /> ararzoas <br />