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Q1tQJ/ZU06 11 '.!)4 FAX to 002/002 <br /> tdtf . -. i I <br /> SAN JOAQUIN COUNTY <br /> EtNyiRoNmEr-,rrAL REALTia DFPARTzyrENT <br /> jj0^ 304 E Weber-Ave 3� Floor Stockton, CA 95205 <br /> I -3420 Fax: (209)464-0139 Web. 4v <br /> 138 S5Q9�1!468 <br /> 1L--(,-( I <br /> PUBLIC RECORDS RELEASE APPLICAMN <br /> APPLICANT. BUSINESSAGENCY. <br /> ADDRESS: =2s: CA <br /> PHQNE: Ate- 134 FACSIMILE: 009 <br /> TENTATIVE'APP6KNENT DATE. ff.Zo 1 12-00 <br /> (Please allow 10 bu-siriass days from date of application subcnitt2ll TILE COPY <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN;1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Deparbmrt Use Only <br /> FILE ADDRESS UNIT <br /> aty - 0 Unit 1 <br /> Z, sir /Opp <br /> X mrm /0 1fit., Unit 2 <br /> mmd q3? &=C,! <br /> s. me" qqv li4�,r;�f Zh"', JJ <br /> unit 3 <br /> e. suw� 7420 1-2418CL61 0tr <br /> jn,�LAWAI Vr,', Cky Reogunit 4 <br /> 1. Spee <br /> Cky <br /> El Unit <br /> A. 3vfti dN <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE.(LOP) 13 HOUSING ABATEMENT �,SOLID WASTE FACILITY <br /> OTHER CLEANUP SrM(NON LOP) 0 FOOD FAClLrrY 13 SOLD WA-STF VEHICLE <br /> I& UNDERGROUND TANK(MONrrORINGA;tEMOVAL) El DOG KENNEL M DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 8.PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILrry 0 MOIVLniOTF-L 0 PUMPER TRUCKfYARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLfSPA CL LAND USE APPLICATION SrMS <br /> 0 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFlrj <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list abo_ye by checking <br /> the appropriate box(es). At leastone file type MUST be selected. Fax to(209)46.4-0138 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 rile that is actively being worked on by EHD staff may not be immediately available for rayiew. A new <br /> application may be submitted when the file is available. <br /> 4. Any fila not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future rile reviews by the same applicant may require a $93.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3;00 prn will.be processed the next'business day. <br /> E 31 <br /> A0 0 N <br /> .PAP TIM <br /> ,BATE CONFIRM.ED '1DHO'NE FAX- <br /> REVIEWED YES NO pF_VIF-W DATE <br />