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(THU)SFP 16 2004 13:43/ST.,13:42/No. 6812855736 P <br /> EHD LOG NUMBEI <br /> L�R RECSklVED <br /> SAN JOAQUIN COUNTY <br /> SEP 16 2004 j,NVjR0NMFNTAL HEALTH DEPARTMENT <br /> ENVIRON 304 E Weber Ave 3r°Floor Stockton, CA 95205 <br /> Vi j' '�t/ )468-342 Fax: (209) 464-0138 Web:www.co.san-joaquinca_us/ehd <br /> PERrliT;�SER'Ji^E'� <br /> aloov <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: SZ�CUG Te.�K ton BUSINESSIAGENCY. CO>7ve,/�rG cm rulee-'tr <br /> ADDRESS: 1039, lUG <br /> PHONE: D - 79 -2� -FACSIMILE: <br /> TENTATIVE'AP OINTMENT DATE: 912r <br /> tplease allow 10 business days hom date of application submittal) <br /> 13 CHECK 60X TO EXPEDITE RE EST-593.00 FEE-R�EQU/EST PRO ESSED IN 7 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��ry DATE <br /> ' Department Use OnN <br /> FILE ADDRESS UNIT <br /> ✓�/✓ , 3 ht/rJiA -� ❑ Unit 1 <br /> 2. street Z 'r 7 , <br /> ❑ Unit 2 <br /> s. street <br /> l l V Unit 3 <br /> 6. Street <br /> unn 4 <br /> B. sued Otyc n <br /> n <br /> s stroet G ❑ Unit 5 <br /> to, street Chy <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> )�(UNDERGROUND TANK(US )COrGfREMOVAI-)UP SITE(LOP) ❑ HOUSING ABATEMENT 1�SOLID WASTE FACILITY <br /> Of OTHER CLEANUP SITE(NON-L � FOOD FACILITY � SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONK ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERAT R ❑ CHICKEN RANCH O PKG TREATMENT PLANT <br /> O 'TIERED PERMITTED FACILITY D MOTELMOTEL ❑ PUMPER TRUCKIYARDICHEIA TOILETS <br /> LJ TATTOOJHOOY PIERCING OO <br /> ❑ L/5PA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> 1, List up to ten addre es In the space above. Select the tys)et files from the list above by checking <br /> pe <br /> the appropriate bo (es). At least one file type MUST be selected. Fax to 209 454-0138 or mail to the <br /> address indicated obove. <br /> 2. EHD will notify the applicant If any EHD files exist An appointment for review will be confirmed <br /> approximately fiveusiness days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of flve business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. Afile that is activel being Worked on by EHD staff may not be immediately available for review. A nev <br /> application may be submitted when the file Is available. <br /> 4. Any fife not returned in the same condition as released will be reorganized by EHD staff at the expensF <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 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED 'PHONE FAX: INITIALS <br /> i <br /> REVIEWED YES NO REVIEW DATE <br /> EHD 4 W 2-006 <br /> at"03 <br />