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01/08/Z00b 11 :04 FAX _ 1Q 002/002 <br /> fw/ J _ l IJ/ y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTu DEPA.RTbIENT <br /> [DOo 304 E Weber'Ave 3'4 Floor Stockton, CA 95205 ) �� <br /> EhJVI JiVf pJli� q?Q 468-3420 Fax: (209)464-0138 Web:www.co.san-joaquiaca-uslelid (Q <br /> PER?!"ITS IE t IXFS TT <br /> PUBLIC RECORDS RELEASE APPLICAMN <br /> APPLICANT: T2aeA" 13Kc6V6 BUSINESSIAGENCY: <br /> ADoraEss: � G Mdr�1a Sttce a+dekbn (A <br /> PHONE: zlgjCir{8- tl4� _ __FACSIMILE: dog CIW- O&RI <br /> TENTATIVE•APPOINTMENT DATE: ff zo Time: A2)n <br /> (Please allow 10 bminass days from date of application submittal) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED M 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> t. s..a •!5r Ccwrl' a Econ Z 0 Unit 1 <br /> 1. s.ea iza<d aty P IJ IF F <br /> >_ savor /D td City j Unit 2 <br /> 4. 0 I b A Myy 5 <br /> s. arca 17 Al F,f Unit 3 <br /> r. zacw 7l 1 D • woUnit 4 <br /> a. sues <br /> - + 0 Unit 5 <br /> to. area aty <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES . <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT EL SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 13 SOLID WASTE VEHICLE <br /> a UNDERGROUND TANK(MONrTORINGIREMOVAL) ❑ DOG KENNEL EL DAIRY , <br /> AD HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 119.PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY O MOTELIHOTEL ❑ PUMPERTRUCKIYARDICHEM 700.E-15 <br /> 0 TATTOOISODY PIERCING O POOUSPA M LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILrrY 0 OTHER(PLEASE SPECIF`n <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax to (209)46411138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately rive 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 /> 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 /> C Any rile 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 /> 5. `TENTATNE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm Will be processed the next business day. <br /> .CONF.(RM�Q:9APOINTMENTT7A7E' TIME <br /> DATE CONFIRMED PHONE FAX' - ' INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> Mo 4942a49 - <br />