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,_---�12/06/04 MON 15:28 FAX 41r" "43 5480 TETRA TECH EM INC S-- <br /> . ' ' f�0 <br /> BATE RE:CEIVi b �`r � EHD LOG NUMBER <br /> SAN JOAQMN COUNTY <br /> .. k�NVrRONMENT'AL HEALTH DEPARTMENT <br /> Ic,: <br /> 304 E Wcber Ave P Floor Stockton, CA 95205 <br /> 2D9)468-3420 Fax: (209)464-0135 Web:www.co.sanjoaquimmuslehd G <br /> DEC 6 204 1J <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APP[ iT; CRUI _ •' L9-42 0v/auSUSINESUAGENyCY' <br /> ADDRESS: <br /> op <br /> PHONE: �f I7 - FACSIMILE <br /> TENTATIVE`APPOINTMENT DATE: �= <br /> (Please avow 10 business days from date of appll=tion submi"A <br /> Q CHICK BOX TO EXPEDITE REQUEST-$9 9 ROC>S D M{'3 BUSINESS DAYS <br /> SIGNATURE OF'APPLICANT DATE I2 O <br /> Department Use Only <br /> FILE ADDRESS ' WAFT <br /> L2. <br /> gSvW W M4 ff ews urlr C G 3/ U R 1 <br /> W ,%1� i?t;P,Q vL e ,. GsS+o 141 .E c ` cit' 951 ya clp Unit <br /> .. same - �`• 4-f1- �y z'� � <br /> .1 v �9 �rr [ 2 t9 C�Jr Unit 3 \ � <br /> s. sued Al J u <br /> Unit 4 <br /> r: D <br /> e. saea 1, . �,`r �' <br /> rO nit 5 <br /> 9. strre+ 2 /� 160 <br /> 5cA�C 'v oVp,,Y,YNVIR NMENTAL HEALTH DEpAPTMFNT FILES <br /> L,��"' Z-13 <br /> t� NDERGRQUND'TANK NST)CLEANUP SITE(LOP) 0 HOUSING AaXtEMENT r3 sp SauD WASTE FAC <br /> ailD WASTE VENT <br /> �f OTHER CLEANUP SITE MON4jDP) ❑ Fb4D FACILITY 0 DAIRY <br /> t5� NUERGROUND TANK(MONITORINGlREMoVAL) O DOG KENNEL ❑ PKG')'P.EATMENT PLANT <br /> 5Y HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH ❑ PUMPER TRUCW'Y'ARD1014EIA TOILETS <br /> Q TiERraD PERMITTED FACILITY O Mo•fEuMO'TEL ❑ LAND USE APPL.tCAnON SITES <br /> 0 TATI.00IBODY PIERCING O POOUSPA <br /> O MEDICAL WASTE FACI6RY O 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 cfieclfing <br /> the appropriate box(es). At)east one fllo type MUST be selectod. Fax to 209 464.0138 arm it to tfie <br /> address indicated above. <br /> 2. EHD vAll notify the applicant If any EHD fires exist. An appointment for review will be confirmed <br /> ximately five business days but <br /> approt no later than ten(10)days after receipt of applieatlon. Tho files <br /> will be held for a maximum of five-business days for review. AppaiTitrstents should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked an by EHD staff may not be immediately Available for review. A new <br /> application may be subrnitted when the fife Is available. <br /> 4. Any flit 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. "TEN'TATIV'E appointment dates must be confirmed with EHD staff. <br /> 6. Appllcatlons received after 3:00 pm will be processed the next business day. <br /> y��.rC �+�y .�y ��yii+��.�•,` ^ y- <br /> TIME <br /> =4 N(�II'��FU.Jif�PA71i�I.(Yl �1T•DA•r <br /> `:i�A►l E CLJNFIEtMD <br /> RHONE FAX:. ;.. 's' a :INCi`;IAI:S•_ ;:. <br /> `I�EV1151Nt"t7 YES NO RE-VIEW DATE. <br />