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FILE ADDRESS <br />1 ay.*2,tO S 0 rio).06e Avc ob, 1.- 0 eA <br />2. Glieel i 0 o S G.Ltr., y1 --o\-- . <br />z. uireei (PO 7) 0 61 t(01,6ece Lti • cly !j/-l ) <br />4. "'t N 1 ? 1\-) a k-c.rok ec, t-n• ok i D A 1 <br />i3. t. 505 CD'Iovif.er lar ci,y Lo al f <br />. ...i 0 CVer0V-v. , ...ism b MO\ l'Ne.- MY L N <br />a ei.011 6 1 5 0.4% a? Ari,g . oity L-0 , <br />0 gire'd t-.13a‘ea \--)0:rcIA v't, My ( a <br />lo. swam 0\ k 0 47 69-1-0.11 rbiliCi CA). k.••• 0 A <br />UNIT <br />EI Unit 1 <br />Unit 2 <br />13 Unit 3 <br />Unit 4. <br />[I] Unit 5 <br />O.< <br />0 <br />JUL 13. 2004 2:04PM 1'1 NEWS SENTINEL Na 3962 P. 2 <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY <br /> EHD LOG NUMBEF <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E Weber Ave 3'd Floor Stockton, CA 95205 <br />(209) 468-3420 Fax (209) 464-0138 Web: www.co.san-joaquin.ca.u.s/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: NA I c\ e ; 1\ e BUSINESS/AGENCY: L-- ("a Jtto5- r%lc <br />ADDRESS: '2?' CAA%) CCTV: Lo(A <br />PHONE: Co -- -7 0 FACSIMILE: )2(.1 °t <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from data of application submittal) <br />a 171 CHECK BOX TO EXPEDITE REQUEST. $ , 0 FEE - REQUE T PROC SSED IN 3 B INESS DAYS <br />SIGNATURE OF APPLICANT <br />$4 <br />/ 11/ /7/ DATE 7 /1 '2-) I/7 "1 <br />DOOCirtrnent Use Only <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES EIDEIC1000 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />OTHER CLEANUP SITE (NON-LOP) <br />UNDERGROUND TANK (MONITORING/REMOVAL) <br />HAZARDOUS WASTE GENERATOR <br />TIERED PERMITTED FACILITY <br />TATTOO/BODY PIERCING <br />MEDICAL WASTE FACILITY <br />HOUSING ABATEMENT <br />FOOD FACILITY <br />M DOG KENNEL <br />M CHICKEN RANCH <br />,MOTEL/HOTEL <br />2"POOIJSPA <br />OTHER (PLEASE SPECIFY) <br />I: SOLID WASTE FACILITY <br />CI SOUD WASTE VEHICLE <br />DAIRY <br />PKG TREATMENT PLANT <br />PUMPER TRUCK/YARD/CHEM TOILETS <br />0 LAND USE APPuCATION SITES <br /> <br />List up to ten addresses in the space above. Select the type(s) of flies from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mall to the <br />address indicated above. <br />END 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 />A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br />application may be submitted when the file is available. <br />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 review. <br />*TENTATIVE appointment dates must be confirmed with EHD staff. <br />Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DAM CONFIRMED PHONE FAX INITIALS <br />REVIEWED . YES NO REVIEW DATE <br />1. <br />END 40-02-005 <br />11/B/2003