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08/02/2008 08:22 FAX 0 1 ;002/002 <br /> �(i TE RECENEO (��(' �] <br /> SAN .JOAQUIN COU'NT'Y D� t 3C8 ED" .... <br /> - .M- <br /> �� ENVIROt ME;NT.0 1 EAI.TH DF.P.A.RTh1I:NT <br /> 304 E Weber Ave 3'1 Floor Stockton, CA 95205 AUG 0,.2 2006 <br /> A (209) 46$-3.120 Fax. (209) 464.0133 Web:wwtiv.co.sazt joaqu(n.ca_us/e' <br /> ENVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATI MITISENCES <br /> APPLICANT: F4.e4 3P_rLIVS 13USINESSlAGENCY: aer <br /> ADDRESS: ,Z'dZ!3" C 14)z.g 5tZli <br /> PHONE: 99 `f -(•5&Q, FACSIMILE: 7W' JCod'.} <br /> TENTATIVE'APPOINTMENT DATE; /"" Tirne: 1242'�' <br /> (Please allow 10 bu:iml;4 day:from date of application submittal <br /> CHEEK EIOX TO EXPEDn-E RFQUEST-$93,00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGN 4t UR£ OF APPLICANT DATEI�CC_ <br /> Dapannlant UNe Only <br /> FILE ADDRESS UNIT <br /> s F 30 E dAfl(irt._ Ge ._ Unit t <br /> s. .� 7 r ., 4M _... Unit 2 <br /> Unit 3 <br /> -..i..w�^^i - �• .. � t' o _ �/h Unit• <br /> •I Sv" fG _ <br /> 9. Sbsci rTtt ��vf:.- ...-.... ❑ ( nit 5 <br /> 10. aKrr Gir <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT WL SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> a UNOERGROUND TANK(MONITORING/RF.MOVAL) ❑ DOG t-NNEL EL DAIRY <br /> = HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Ifo-PKC TREATMENT PLAXT <br /> ❑ TIERED PFRMrrTED FACILITY ❑ MOTEUHOTtL ❑ PUMPERTRUCK/YARDICHEM TOILLTS <br /> ❑ TATTOOIRODY PIERCING Cl POOt.,MPA 0i& LAND USE APPLICATION SITES. <br /> ❑ MEDICAL WASTE FACILITY Cl OTHER(PLEASE SPECIF`f)____„ ,—.,— <br /> 1. List up to ten addresses in the space above. Select the type(q) of files from the list above by checking <br /> the appropriate box(es). At least one rile type MUST be selected. Fax to (2091464-0138 or mail to the <br /> addros: Indicated_aboy o_ <br /> 2. EHO will notify the applicant if any EHD files exist. An appoiniment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The film <br /> wilt 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 new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be roorpanized by EHD staff at till expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> a. Applications received after 3:00 pm will be processed the next business day. <br /> CQNF.IkW D APPOINTMENT DATE' ' : .:... .. :' TIME :'.:.r:"i: .•".':: .' _.« `, —�— <br /> - — <br /> DATr- C61`WiRMED .........__._..... .....- PHONE; PAX' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />