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")OR EARTH TE=CH 289 532 0773 P.01/& <br /> EHD LOG NUME <br /> SAN JOAQUIN COUNTY <br /> E+NVMONMMAL HzALTS DEPARTMENT <br /> (}C j 1 r. 2004 304 F,Weber Ave Std Floor Stockton, CA 95245 <br /> f. (209)458-3420 Fax: (209) 464-0138 Web: www.co,san-joaclu n.ca.us/ehd <br /> p F; PUBLIC RECORAS RELEASE APPLICAITON <br /> APPLICANT: SUSINESWAGENCY; <br /> Aip& <br /> ADDRESS: -] <br /> 1' <br /> PITON FACSIMILE_ � � �3 <br /> TENTATIVE"APPOINTMENT DATE' <br /> Time._ �' A <br /> {Plaaaa allow 10 business days from date of application submittA <br /> In CHECK BOX 70 ExPEDM REQUEST 493,00 FE7r-REQUEST PROCMED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department!}se Urd'i <br /> FILE ADDRESS UNIT <br /> 1-ATH a 0 Unit 1 A5 <br /> 2- EW*td3- sty s, /�( cc .000*'Unit 2 4. 0�, <br /> 5. Shea R( Unit 3 l <br /> �. s+ a - $ Unit 4 <br /> e. sty+ <br /> p Unit 5 <br /> 4. SuMt <br /> 10. Sweet {71V <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES uhf pip . <br /> UNDERGROUND TANK(US7)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 1S0UD WASTE iLrTY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FAc[Lrry SOLID WASiEVVIAICLE <br /> 19 UNDERGROUND TANK(MONITORIMcfRI✓NOVAL) O DOG KENNIEL F DAIRY <br /> V HAZARDOUS WASTE GENE=RATOR 0 CMCK9N RANCH 17 PKG TREATMENT PUNT <br /> lT TIERED PERMUTED FACILTY Q MOTEL/HOTEL0 PUMPER TRUCKIYAROICNEM T04L1='r' <br /> ❑ TAl-tO BODY PIERCING ❑ POOVSPA LAID USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY f3 OTHER(PLEASE.$PEGIFY) <br /> 1. List up to ton addresses in the space above. Select the types)of files frorn the list above by checkint <br /> the appropriate box(es). At least one file type MUST be selected. EPY,to(2qpl 46AA138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD tiles exist. An appointment for Review will be confirmed <br /> approximately five business days but no later than ten (10) claysafter should <br /> icati n- he files <br /> will be held for a maximum of five business days for review. Appointments siaou <br /> accordingly. <br /> 3. A file that is actively being worked an by EHD staff may not be immediately available for review. A ne) <br /> application may be submitted when the bile is available. <br /> Q. Any file not retumed 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 reviar <br /> 5, 'TENTATIVE appointment dates must be confirmed with EHD Staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CO IFIRMED ARPQINTMENT DATL TIME <br /> BATE CONFIRMED 'PHONE, FAX INITIALS'_ <br /> REVIEWED YES NO REVIEW DATE <br /> TOTAL P.O. <br />