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SEP-03-2003 WED 03:40 PM S*PORTLAND FAX N0, 50 J7074 P. 02 <br /> V <br /> -DATE IVE - EHD LOG NUMBER <br /> It <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 0 3 2003 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web: www.co.san joaquin.ca.us/ehd <br /> NVIRONMENT HEALIH I <br /> 4 1 <br /> PERMJT-SFRVICES PUBLIC RECORDS RELEASE APPLICATION n <br /> APPLICANT: rIZMUI C.-bc1 Pft� �` rB»USINESSIAGENCY: Mcs N+CrVlahh -fwd, 61 C• <br /> ADDRESS: ✓O H6/1 0 r. /,, Q �U/ Z <br /> PHONE: SO3 &9l ZO3b RAIy7 FACSIIMILF:GO'5 loz.-1O y <br /> TENTATIVE"APPOINTMENT DATE:. 69-10-0J Time: hm <br /> (Please allow 10 usiness days from date of applloatlon submittal) <br /> 13 CHECK BOX TO EXPEDITE RE V 3.0UE PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE A-03-03 <br /> Department Use Only o <br /> FILE ADDRESS UNIT <br /> t suet 251 liar( a><KWu c a ro KU <br /> z. sire«t SWT' ; ic, u S d _ <br /> v <br /> 11-1-00 <br /> [3 unit 2 <br /> ., SOW <br /> S. Swat - C1 _ • _ <br /> � " FUn <br /> � <br /> 6. Sonat>. 6roet <br /> c' <br /> e. stns <br /> s sinal S�° cV [] Unit <br /> 0 swm <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT IJ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> Ycr HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> A TIERED PERMITTED FACILITY M MOTELMOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TAT700/130DY PIERCING ❑ POOLISPA Q, LAND USE APPLICATION SRES <br /> ❑ MEDICAL WASTE FACILITY �Q OTHER(PLEASE SPECIFY)A (pyo vC'�round $iDr, C <br /> �- <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 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 five 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. Anew <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 /> S. '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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 48s a <br /> verems <br />