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11/02/2004 10:04 9168610430 SECOR PAGE 02/0 <br /> 10 464LL ENVIp <br /> OMEiTF <br /> . TH MAGE 01 <br /> DATE RECEIVED "V LOG NUMaER <br /> LE:` <br /> ti A JOAQUIN COUNn. <br /> R E f� 'J E D Nvm()NMENTA MALTH REPAR mn <br /> 304 E Weber Ave 3 door Stockton,CA 95205 <br /> NOV 0 2 201409)468.3420 Fax: (209}464-0138 Web:www.co.sanjoaquin.caLus/&d <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELUASE APPLICATION <br /> pt1SIHESS1ACt"HCY;�C)_��+'1��G_✓f'I[xd7 tF�MSC� ,�•�, <br /> aDDs;>=ss: ,-Sir) 1 y rFOL <br /> PHONE: (07-Sir) <br /> 14 <br /> FACStMI4E: (a f c? <br /> TENTATIVE?Appo(NTMENTDATE: <br /> ez!Ssr,§.4 <br /> _�1"�' <br /> (1 le.0-4 a allow 10 Ibu*wss days from date of Vplkatian suaxnitt4 <br /> CHECK BOX TO EXPEDITE REQUEST-393.00 FEE—REQUEST PROCESSED W 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DeD artrMM Uaa 0* <br /> nflortEss r UArr <br /> 1 <br /> Y S4v e-A <br /> �a <br /> cyl Unit 3 <br /> UnX 4 <br /> . dtc <br /> a' S I <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILM <br /> .(UNDERGROUND YANK(UST)C4EAt1UP SIrE(LM 13 HOUSING ASATP,IV MT M SOLID WASTE FACILITY <br /> d OTHER CLEANUP SITE(NON-LOP) t 0 tOOD FACR= O 6oLm WASTE VEHICLE <br /> M UNDERG.RWK01rANK'("oN G1REPAOVAL) 0 AO0 MNEL O T <br /> 2K}{kZWOUS WASTE GENERATOR O CHWXEN RANCH ❑ PKG TREATMENT PLANT <br /> * TMRED PF_"111Eb 1"ACB.rrr Q MOTELIHOTEL. da PUMP90LTRUCWARMCM M TMErs <br /> O TATTOO MODY PIEROiNG o POOV$PA WLAND USE APPLICATION SrMS <br /> E1 MEDICAL WASTE FACU Y a CTMCA(PIXSME SPEO <br /> 'I. List up to tan addresses 1n the space above_ select the.t rWs)of files from a IIsi abode b!Y checking <br /> the appropriate bores). At least one file type MUST be selected- Fax to i2D9 #64-0138 0LMaI1t41M0 <br /> addressl d Qabo e <br /> 2, EFiD will notify the appllaant'If any EHD fi1a5 vxltt. An appoinkrtlerlt for ravt0w Wil[be confirmed <br /> approximately rive business days but no later than ten(1 o)slays after receipt of srspplid:attlon_ The files <br /> will be held for s maximum of five business days for review. AppolAh"o Tts shouTd be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately avallable for review, A new <br /> I` Iipplication relay las submitted when:the file Is avoliable. <br /> 4. Ady file not returned in the some condition as released will be reorganTred by EHD staffs Qt <br /> h to review <br /> of the applicant. Future file reviews by the same apprcant may require a$93-00 deposit p <br /> a. "TENTA WE fappolntment dates must be confirmed with RHD staff. <br /> S. Applications received after 3:p0 pm will be processed the next business day_ <br /> CiiII' 1EiVr aA >r 'time <br /> r`-'•,VHbNE <br /> �EillElhfED' <br /> .E=5 <br /> R <br /> iN <br /> EVIEW DATE <br /> � ez <br />