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,----12/06/04 MON 15:28 FAX 415 -°13 5480 TETRA TECH EM INC F- Q0 <br /> BATE RECEIVED <br /> EHo LOG NUMBER <br /> '��yp �TMSAAN�•JOS TAQUIN COUNTY �j <br /> r' —— 1�1►il�wQl\l�lA'il�A.t?i+�H.f..i 1 D.�.GpARTMNT •�.:. <br /> it .!rr �.. ! 1 ('--� <br /> !r�J�_�-,�,�-��--� 304 T3Weber Ave 3r4 Floor Stockton, CA 95205 <br /> 209)468-3420 Fax:(209)464-0138 Web: www.co.s=-joaquirLmur/ehd <br /> DEC 6 204 �J <br /> PUBLIC RECORDS RELEASE APPLICADON <br /> APt�LIG�ANT�_ Gt.- ��°"'l�V'�IBVSWE55JAGENCY' <br /> ADDRESS: r r� /P 1100 <br /> PHONE: �1161 .� FACSIMILE: <br /> TENTATIVV APPOINTMENT DATE: = <br /> ^ (Please allow 10 businms days from date of AW%4 09n subM'MA <br /> Q CHECK BOX To EXPEDITE REQUEST-$9 ROCES D IN 3 BU$INESS DAYS <br /> SIGNATURE OF'APPL.ICANT <br /> DATE o <br /> Deparunent Use Only <br /> UNIT <br /> FILE ADDRESS <br /> 773 2 3 <br /> W k �ire RvC �e.,��� �<- <br /> s, sceee 9S2 Yo Unit <br /> o. sraei O W r a <br /> err [ i' cJ`- Unit 3 \'a` <br /> S. <br /> s. sweet N J v. a <br /> Unit 4 <br /> O nit 5 <br /> 9. 51roe i <br /> NVfR NMENTAL HEALTH DEPARTMENT FILES i <br /> �- Vj �0 I " ❑ SOLID WASTE FAC Z-13 <br /> t�,UNVEROROUNO WANK WS-r)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 17 SOLID WASTE NEHI <br /> t gTHER GLFANuP srM(NON-LOP) ❑ FOOD FAC1LriY 0 DAIRY <br /> 0' NbERGROUND TANK(MON(TCWJNG1REM0VAl.i D DOG KENNEL ❑ PKG TPLEATMENT PLANT <br /> Ey HAZARDOUS WASTE GENERATOR O Cr;rGIcEN RANCH P0TEL ❑ pUMPER TRUCwYAMCHEM TOILETS <br /> Ei <br /> Q TIED PERMITTED FACILITY O MOOL/$ © LAND USE APPLICATION SITES <br /> 0 TATT001BMHER <br /> O OT <br /> ODY PIERCING O HER(PLEASE <br /> A <br /> CI MEDICAL-WASTE FACILTTY SP>CSFI� <br /> 1- List up to ten addresses In the space above. Select the types)of files from the list above by checking <br /> the appropriate bnx(es)_ At!®ast one file type MUST be selected. Fax to 209 464.1138 or m )1 to the <br /> address indicated above. <br /> 2. EHD Will notify the applicant If any EHD files exlst- An appointment for review will be confirmed n The fifes <br /> approximately five business days but no later than ten (10)days after recolpt of app <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 new <br /> application may be:submitted when the file Is avallable. <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 END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> 1 1 Y... •.'..:: 'fll�l_ ..."•'�•�/R 'f l.�.Fx':�1.i±i•. i"7'M1}ala <br /> -IC'bNFIIMi=ty. PtJfNIiM>=NT RI�l <br /> 7E <br /> t3ATE CDNFiFtltilld ;RHONE FAX:' <br /> �tt`Yll✓YI/fwD YES NO REVIEW DATE Y <br />