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_DM : ENGEO INC TRRCY, CR FAX NO. : 209-835-0675 Oct. 31 2003 11:55x,,. DA'r6 RECEIVED EHD LOG NUMBS, v j SAN JOAQUIN COUNTY F,NVIRONMENTAL HEALTH DEPARTMENT 304 E Wcbcr Ave 3'd Floor Stockton, CA 95205 OCT 3 1 ZF-99) 468-3420 Fax: (209) 464-0138 Web: www.co.san-joaquin.ca.us/ehd d\llR iiti r`:rr:' r'cf`',LiH PUBLIC RECORDS RELEASE APPLICATION _ APPLICANT:13USINESS/AGENCY:_._ 11)e, ADDRESS: '%ls'ACY_�L.!)YJ 's%E. `7i . r%)PiIL�� e 9li 7,< PHONE: X09-19336-6610 FACSIMILE: 20? L215 75 TENTATIVE' APPOINTMENT DATE: AISIP Time: G rev, (Please allow 10 business days from date of application submittal) ')�(CHECK BOX TO EXPEDITE REQUEST • $93.00 FEE- REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT A"", _;P r— DATE 1aI3//G Y Department Use Only Unit 1 Unit4 LA FILE ADDRESS 4 L X13 I�umt5 t. sveet Ol LOU V �t p' I Anel 1106 6 7 C 7,V I succi YOsi` 7 uE a AOy_C 4. sunt 4O W. cn s. svee 190 7 r. sunt HA o Y F o er.-��tU7- - Ce s. Sveet l At/%Qo -t WAY G A,LY - 9. aveel 70-1 7 6.Y} ON l . 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed Approximately five business days but no later than ten (10) days after receipt of application. The files Unit 1 Unit4 LA _._ _ r••• ••••• -- r--��-�� •••� ncna uuauteas eay- CONFIRMED APPOINTMENT DATE TIME ij U DATE CONFIRMED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE. EMe t6-02-0OC 1 4 L X13 I�umt5 tit, C�� ` � S`q { CDn-tAAV,4 nzZ 1 O`f� E. 11RPNMENTAL�}iEA�LTFiAEPARTMENLFICES P �� V L 5 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) .��{ HOUSING ABATEMENT SOLID WASTE FACILITY OTHER CLEANUP SITE (NON -LOP) i"' FOOD FACILITY SOLID WASTE VEHICLE UNDERGROUND TANK (MONITORINGlREMOVAL) DOG KENNEL ,2;[ DAIRY HAZARDOUS WASTE GENERATOR CHICKEN RANCH ❑ PKG TREATMENT PLANT TIERED PERMITTED FACILITY ❑ MOTEVHOTEL yO PUMPER TRUCK/YARD/CHEM TOILETS ❑ TATTOOlsoDy PIERCING ❑ POOUSPA LAND USE APPLICATION SITES /S' X MEDICAL WASTE FACILITY FII OTHER (PLEASE SPECIFY) A,ur RUr✓1rN6, USY . dR HA7 .lA�i` 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least One file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed Approximately five business days but no later than ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be submitted when the file is available_ 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense Of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. 6• ADDlications received AftP.r 3 -nn n, w;II ho n.n a A _._ _ r••• ••••• -- r--��-�� •••� ncna uuauteas eay- CONFIRMED APPOINTMENT DATE TIME ij U DATE CONFIRMED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE. EMe t6-02-0OC