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JAN-26-04 MON 12;20 FMAMRELL NELSON SCHRIMP FAX N0, 2r-' 526-9320 P. 06 <br /> DATC RECEIVED _ <br /> '- (�" (� D SAN JOAQUIN,COUNTY EHD LOG NUMBER <br /> 1111I�`-j7 � 1\�Isl� ENVIRONMBNTAI,�IEALTf1DPPAliTM]iNT <br /> 304 E Weber Ave 3`d Floor Stockton,CA 95205 / <br /> JAN 2 6( M;65-3420 Fax: (209)464-0138 Web; www.co.san joaquiii.ci.us/ehd /�//� <br /> 60? <br /> IAV i.kAWMIEN 1 HEALTHPUBLIC Rr?CORI)S RELEASE APPLICATION <br /> ��. _ --- <br /> P� 1 T MS � Damrell, Nelson Schrimpp, <br /> APPLICANT: Kathy L. Monday GUSINESSIAGENCY; Palllo5, Pac{Ter & ST <br /> ADDRESS: 1601 1 Street Fifth F100r, Modesto <br /> California 9 354 <br /> PHONE: (209) 526-3500 FACSIMILE; (209) 526-3534 <br /> TENTATIVE'APPOINTMENTDATE: February 10 2004 Tima: 9:30 a,m. <br /> (Plaaw allow Ill business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST• 93 FEE—REQUEESSSTPROCESSED M J BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE January 22, 2004 <br /> Departmonl Use Only <br /> FILE ADDRESS UNIT <br /> ,, sl at 1601 Turnpike ar Stockton <br /> n <br /> a.so-e�,� Lj-0 <br /> Unit 2 <br /> e. stinal ei� Unita <br /> 1_;u1 r <br /> 8, Unit 4 <br /> GW <br /> a Sbnl Clly _ 5 <br /> ❑ <br /> fc. sine, Unit <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> YET UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> UTHEIR CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> NDERGROUND TANK(MONITORMGMEMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> : Y5MAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ja TIERED PERMITTED FACILITY 4 MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> p TATTOO/BODY PIERCING 0 POOLISPA O LAND USEAPPLICATION SITES <br /> d MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1, List tip 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)464-0139 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 be 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 new <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 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 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 /> nnn= <br />