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12/09/2004 09:49 FAX 9162905 WKAAENVIRONMENTAL 002/002 <br /> 44/U If LC1rJL4 1 f:rio 41D461 ENVIRONMENTAL .TH PAGE 01 <br /> EHO LOG NUMSER <br /> DATE WECEIVED SAN JO,A.QUINN COUNTY <br /> iENv)i>EtOIYwNTAL HEALTH DEPARTWNT <br /> 304 E Weber Ave 3`1 door Stockton,CA 95205 <br /> (209)468••3420 Fax: (209)464-0135 Web:VM w.co.San j0aqulza_ca unlet. '50P <br /> ]PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT: <br /> M�'`A 7�r suSINE=AGUNCr. CcJG 1! o K�i.1 € A s,�o c•'� t! <br /> ADDRESS: 3050 �r..tvt a} 81 OD / Wei+ Str/tip'` "k' Got ys'!o9 <br /> PHO": 914 7 3 2- /413 FACS00-E: g 6 ^ 2 ° SSS Z 9 <br /> ytr 1� 2 e 7-. 3 <br /> TENTATIVE'APPOINTMENT oAT>=: fit~G c <br /> (PLe"e;j""10 puniness days 6W-date of oppUcation submMAn <br /> CHECK BOX TQ EXPEDITE REQUEST-$93.00 F -REQUEST P OCESSED It•13 BUSINESS DAYS I <br /> SIGNATURE`+OAt'PLICANT DATE <br /> y, DepVbnera Ueo orty <br /> FILE ADDRESS <br /> ` ,. s / Sov+-h L:•,c a t To e Kfi 9�P p Unit 1 '' <br /> *OZ W Weser A✓6'- S roGJGn"' njL �. <br /> s Wti' Ave. TocIK7*-en� �9� Unit <br /> W W t b« AVG <br /> W Wd / ALL$' SToGKsb� Unit '�✓� <br /> 6. 6aeet <br /> 66 W <br /> We Lt.- A✓F S 7~v *--r,) <br /> -we- 6—— AVIF S TcocJc.Ye� c7/J Unit 4 <br /> steel D ' <br /> X60 - 26 STPC*-- <br /> S Trc It Unit 5 <br /> A PN /3 - t 6 O <br /> _� ro. stKl ! �� � • <br /> • ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q HOUSING AAATEMENT ❑-^5'GM WASTE FACILITY <br /> ,)—<o-mm <br /> NST)CLEANUP SITE(LOP) ❑ FOOD FAgltTY ��, O'SOLID WASTC VEt11CLE <br /> OTHER cOM' UP SM"-LOP) O DOG FA(A� r*' ❑ DAIRY <br /> UNDERGROUND TM1K(NONiTORIIIGJREMONAU ❑ PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR 0 MOTELIFl 0CHICI 'N RANCH � C3pVMPF.R TRUCK/YA=CHEM TOUXTs <br /> ❑ TIERED PERMITTED FACILITY - O POLISPA x ' ❑ j_AlW USg APPLICATION 81TV-S <br /> O TATTOW60Y PIERCING [J aMER tPL EAsst:SPECIFY) <br /> ❑ MEDtcAL WASTE FACfUfY <br /> s of files from the list above pY checking <br /> 1. List up to ten nddressesl the space above. e <br /> MUST be acted. F to 209 +t64-0138 or malt tot <br /> the appropriate box(es).:AAMeAAt one file type <br /> address Indicated above. <br /> 2. EHD will notify the applicant tf arry END fibs exist An appotntnterrt for review will plication. Tho files <br /> approxhraWy five business days but no later than ten(10)days after receipt of app <br /> Will be held for a maximum of five business days for review. Appolritrnents should ba scheduled <br /> accordingly, ed on by 1`HD staff may not be Immediately a�vallable for review. A nQ, <br /> 3. Afile that is actively being wo+"tc <br /> application may be submitted when the file IS avaliable. �p staff at the expQns <br /> Q• Any fila not returned In the same Condition as released will be reorganized by to reivie, <br /> of the applicant Future file rerrlews by the same appUcant may rQguin3 a$93.04 deposit pilot' <br /> iS. *TENTATF.VE appointment dates must be confirmed with <br /> H staff.less day. <br /> 6. Applications received after 3:QQ pm b <br /> ( pro j <br /> {�•�. ..uI"'• TIMI~ <br /> :Wi,w. ...�f,•r.T'rs,:;,� •�;;�,i�:.�• <br /> ENT DATE <br /> PN�9NE _ <br /> c;h FAX" <br /> `VASE C1Ot�FiRMY- RE,whEVv DATE • : �' <br /> S NO <br /> F�/LEWIED - <br /> • toazaoe <br />