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12/28/2003 18:38 9252"'6121 AEI CONSULTANTS (SF) PAGE 01 <br /> EHO LOG NUMBER <br /> ti aw <br /> DATE RECEIVED SAN JOAQU'IN COUNTY <br /> ENVIRONMENTALREALTH DFP A�'rMEN'r <br /> " 304 E Weber Ave 3"d Floor Stockton, CA 95205 <br /> DEC 3 S. ) 468-3420 Fax: (209)464•-0138 Web:www.co.san-joaqdrLcaus/ehd <br /> NV!i- vii civ i 4L A PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Yl ,r ,,1,,{ SUSIINNESWAGErN,CY: <br /> ADDRESS: lnD vY/lt"i11rr�� `/r Li 1 <br /> PHONE: �1✓ FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: <br /> lln 12-E1, Time: �d M <br /> (PleaSe allow 10 business days from date of application submittal) <br /> CHECK SOX TO 1 XPEDM REQUEST 4-93-00 F E—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT Department use OMY <br /> r UNIT <br /> FILE ADDRESS <br /> p t� ❑ <br /> 1. street ^I ,wE 507'1 Unit 1 <br /> dt �� Al /- <br /> 2. Str 1 1 G tt �P <br /> a. 2A Wl W[{ G 11?Z'� P Unit 2 <br /> 1� V_ <br /> 4: stet Unit 3 <br /> s. stream J <br /> G <br /> s. Strcat 1 1 d G Unit <br /> 7. street (� 5 <br /> 9. Street C <br /> 1o. straet <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> C! HOUSING ABATEMENT 0,SOLID WASTE FACILr7Y <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) C7 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) (3 DOG KENNEL ❑ DAIRY <br /> M UNDERGROUND TANK(MONFrORINGIREMOVAL) 13 CHICKEN RANCH X PKG TREATMENT PLANT <br /> ig HAZARDOUS WASTE GENERATOR [] MOTELIHOTEL C3IU <br /> PUMPER TRUCYARDICHEM TOILETS <br /> 10, TIERED PERMITTED FACILITY p pOOLISPA JCC.LAND USE APPLICATION SITES <br /> TATTOOISODY PIERCING d OTHER(PLEASE SPECIM <br /> ❑ MEDICAL WASTE FACILITY <br /> List up to ten addresses in the space above. Select the type(S)of files from the list above by checkinc <br /> thea appropriate box(es). At least one file type MUST be selected. Fax to 209 484-0138 or the <br /> mail to <br /> PP <br /> address indicated above. ointment for review will be Confirmed <br /> 2. EHD will notify the applicant if any EHD files exist to app application.of The Piles <br /> approximately five business days but no later than ten(10)days ointreceipt houl -be scheduled <br /> will be held for a maximum of five business days for review. Appointments <br /> accordingly. worked on by EHD staff may not be immediately available for revieW. A ne' <br /> g, A file that is actively being <br /> application may be submitted when the file is available. reorganized by EHD staff at the expens <br /> 4. Any file not returned in the same condition as released will be <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to revie <br /> e confirmed <br /> th EHD staff. <br /> 5. �E�at ons eceived fteATIVE appointment a3: 00 pm wpates mustb be P ocessedlthe next b siness day. <br /> C. <br /> App _ <br /> CONIF <br /> MED APPOINTMENT.DATE <br /> `pNONE t=AX. . INfTlptlrS - <br /> DAT5 CONOIRMED - <br /> REV{EWED. <.YES <br /> NO REVIEW DATir ' I•' <br /> EHD 48-02-006 <br /> arar2naa - .. •. <br />