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ALLUUNSULTANTS_(SF) l✓AGt : :OI. <br /> �� � �� ' D,_.-_ - EHD LOG NUMt3EF <br /> 51 U L� SAN JOAQUZN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTmmNT <br /> SEP 0 9 2004 304 E Weber Ave 3'd Floor Stockton,CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:�vww_co•sazT Joaquin ca us/ehd <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES tPUBLIC )RECORDS RELEASF "PLICAUON <br /> APPLICANT: ^SYYIcj Y) BUSINESSIAGVNCY:_ bASiJI�G(( <br /> ADDRESS:_ -500 Canino l lla lo n{L MO Watn J l,re&_ CP <br /> PHONE: OM,)a03 UGX7 O FACSIMILE;. 9915 cr,$3 all 1 <br /> TENTATIVE*APPowmENT DATE: �X � Mme; I <br /> (Please allow 10 businers days from date of application submittal} <br /> l t � feulC� fti b q jao , tef- Yin--{aha <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE QUS$T-`PROCESSEDJIN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT L�L DATE 4.01 t7 <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> ,. saes 3-gka FgSi c_njl ck, S O <br /> s. Unit 1 <br /> 9. sueec <br /> Unit 2 <br /> � �3- <br /> s. sveet js Wa N. a �l a. tY� 17 ` yop Unit 3 <br /> B. sa-et lso G q <br /> r.. net 5`i lP 1�i• W a U 'f. ES Unit N �� <br /> q <br /> - 9�• -sveec <br /> aty - <br /> Unit 5 <br /> to. sac�t city <br /> ENVIRONMENTAL HEALTH DEPAR'T'MENT FILES • ` <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) �(HOUSING ABATEMENT IY\SOUD WASTE FAC '' <br /> N,OTHER CLEANUP srrE(NON-LOP) C3 FOOD FACILITY Cl SOLID WASTE VEH E <br /> K UNDERGROUND TANK(MONrroRINGlREMOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PlZRCING ❑ POOL(SPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY <br /> E3 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 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 file that is actively being worked on by EHD staff may not be Immediately available for review. A nem <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 reviem <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 p'm will be processed the next business day. <br /> '•CONFIRMED,& INTMENT DATE.. - _ :TIME <br /> DATE CQNF D' r :';_`:•tom'•:'; <br /> 1RNlE "RHONE.. FAX 'INiT(1tCS�'L�-;_,'°.�_::•.' <br /> RtViEWED - , -. •. YES NO REVIEW DATE <br /> EHD 48-02-005 <br /> ararzovs .14 <br />