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06/26/2008 12:21 FAX [a 002/002 <br /> DATE RECEIVED ID a --—"••.�•" <br /> SAN JOAQVLN COUNTY <br /> ENVtRON�YIEtt•I'AL RE.kLTH DEF1kKJL--LENT <br /> 304 E Weber Ave S d Floor Stockton,CA 95205 2 <br /> (209)468-3420 Far: (209)464-0138 Web. www,co.saa-joagwU.ca.vs/ehd V J <br /> PUBLIC RECORDS RELEASE AIN (((///PPLICATIO <br /> APPUCAPrr: �Q�, r�--�� r �5,s�,._BUSINESSIAGENCY: <br /> ADDRESS: U W +�� <br /> PHONE: . FACSIMILE: / / 4.V•---SG"`�-! "'------- <br /> .TENTATIVE'APPOINTMENT DATE: d)(a Time: <br /> (Pleas allow 10 busincas days from date of applica•tian submittal) <br /> ❑ CHECK SOX,TO EXPEOrrE REQUEST.$93.00 FEE—/REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 1 SIG NATURE OF APPLICANT DATE -Jz4Z—y�1SJL <br /> Depanment the On'y <br /> FILE ADDRESS UA <br /> / LA 3-r 0 Unit 1 <br /> LASt�sM° T <br /> a s.M . M ✓ Uni:2 "l <br /> S ✓ U <br /> l�s wM 7 l U0 ✓✓ UST Jam-— Unit 3 <br /> ,. fbR, 3731L�1 c 1 Gu T UnA 4 <br /> G <br /> 0. rV wl <br /> Unit 5 <br /> 0. Sbei <br /> ON <br /> ENVIRONMENTAL HEALTH DEPARTMENT FiLES � <br /> 11' U4D£RGF.OUND TANK(UST)CLEANUP STYE(LOP) Q HOUSING ABATEMENT 19L.SOUD WASTE FAC;;LLm' <br /> ej OTHER CLEANUP sf1E(NON•LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VPHICLE <br /> DAIRY <br /> a UNDERGROUND TANK(MONiTORINWREMOVAL) ❑ DOG KENNEL 8L PKG'C <br /> Z HAZ.ARDOU'a WASTE GENERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUGKICATION STT <br /> TOIt.ErS <br /> 13 TATTOOrdDDy PIERCING ❑ POOLr`SPA LAND USE APPLICATION sa7E5 <br /> 0 MEDICAL WASTE FACILRY ❑ OTHER(PLEASE SPEC;F'f) - <br /> 1. List up to ten addresses in the space above, Select the types)of files from the list above 1?y checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0133 or rnall to the <br /> address indleated abovo- <br /> 2. EHO will notify the applicant If any EHQ files exisL An appointment for review will be ranfitmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The fi(3s <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 END 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 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. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3.00 pm wilt be processed the rtext'business day. <br /> ,;;.•. <br /> CON <br /> Ifkg� AP..P.biNTMENf d . TIME <br /> DPfHC4HF{(241E0 PHONE FAX i,'%INf�1ALS - - <br /> REViF,WED YES NO REVIEW DATE __�= <br />