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12/09/2004 09:49 FAX 916290 W'RAsENVIRONMENTAL In002/002 <br /> i��Gi��GGw 1.:Go 4batl1 ENV1RW ENTAL V_TH PAGE 01 <br /> EHD LOG NUMBER <br /> >' DATE RECEIVED SAN JOAQIIIN COUNTY <br /> ENmoNMENTAL HEALTH DEPARIMNT <br /> 304 E Weber Ave 34 Floor Stockton, CA 95205 <br /> (209) 468-3420 Fax: (209)464-0138 web.www.eo.san joaquin-ca ustelld <br /> ]PUBLICRECORDS RELEASE' APPLICA'T M <br /> APPLICANT: I"A 4, i y 41- RUSINE=AGENCT; We, !l.I Ge --Kv i,) � ASroc.'w 4-e J <br /> ADDRESS: 3D5O �^AvC4-e,a) B/uD / Wcj} S7 r.G+`47 GA F5-49 / <br /> PHONG: 9 /4 — 3 ;Z2 — /4t .;V FAGSOtl£: <br /> CD <br /> rTENTATNE'APPON MENT DATE: <br /> �C(l SED oe"e now 10 bmjness Gays nwm data of apd+cejon sa—MO <br /> CHECK BoX TTS E)CpEDITE REQUEST-$93.00 F –REQUEST P OCESSED W 3 BUSINESS DAYS <br /> SIGNATURE 41'I'LICANT --- DATE <br /> DepXty to Use Orgy <br /> utaT �I <br /> FILE ADDRESS <br /> L'weel� %eKfi�/ q�20 wit <br /> L amM �O welt[/ A✓i .S To GK7'>•"' L `�� <br /> rocK� e� ! a94 Unit <br /> ".� 4 IV <br /> xaa51aW We b•i AvG S 0�+` <br /> Ivo / Avg- �Unit3 <br /> 66 JS 7v&k—ra <br /> itriv ZUnit 4o <br /> CRY y a A AJpcKfe,. <br /> STcATdv ❑ Units <br /> �j► e. ser APN !3 �2 60,`�d. Y`e�T✓ /Y)� <br /> S tN i <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> pp^ <br /> CLFJUIUP srTE(Lop) O HoUSMG AEATEmENT 0 S'Dt3D WASTE FACICU <br /> � ITY <br /> UNDE0.GR up amtG(US'() 0 FOOD FActLnY °" C3 SOLID WASTE VEHICLE <br /> OTNER Ct lIUP tv'riE(NONa-OFA ❑ DOG KENNEL F ❑:DNRY <br /> UNDERGROUND TANK(NONITORINGIREMOVAL) ❑ CHICKEN RANCH 0 PKG TR FATMrENT PLANT <br /> �HAZNtDOUS WASTE GENERATOR ❑ MOTELMOTF.I. 17 pUMPERTRUCKIYARDICHEM TOILETS <br /> ❑ TIERED PERMrTTED FACnJTY - - u O LAND USd ppPLICATON Sr1E-�. <br /> E3 POOLSPA <br /> O TAITOD70dDY PIERCING <br /> ❑ MEDICAL WASTE FACILITY ❑ QTHER(PLEASE SPE ype <br /> 1. List up to tan nddresses3n"the spate above Select be. elto <br /> Of files from the list above pY checking <br /> the appropriate box(es). P&jaASt ono file type MUST be selected. EE,S10(2091 4 64-01 38 or�nail to the <br /> address indicated above. appointment for review will be confirmod <br /> g. EHD will notify the applicant N eery EHD filar euha An appoof <br /> approximately five business days but no later than ten (10)days after^tccats hourdpba schadu ed�r� <br /> will be hold for a maximum of rive business days for review. Appo <br /> accordingly. <br /> 3. A file that is actively being worked en by EHD staff may not be immediately available for review. Anal <br /> appitcation may be submitted when the file is available. EHD staff at the expens. <br /> 4. Any fie not returned in the same condition as released wilt be reorganized by to reviel <br /> of the applicant. Future file reviews by the same appUwnt may ratiuira a$93.00 posit prior <br /> E "7'ENTATT'dE appointment dates must be confirmed with EHD staff. <br /> g, Applications received after 3:00 pm will be processed the next business day.• <br /> CONFIF2lV1ED�tPPO1N"�Y+fpNT;DATE ,' ' I�-;=-�-'-'----. - �drrlTiAlsS ,. f� <br /> ']SATE C6f4Ff <br /> YES _ No. REVIEW DATE. <br /> '13E'VIE�'D <br /> �ya2404 <br />