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FROND:ECN4 't I RACY, - - <br /> �}Q� CA FAX NO. 209 835 0675 L`c. 10 2004 03:19PN P2 <br /> D RIFE C 1VtU <br /> ii 11 :�.IC SAN JOAQUIN COUNTY <br /> Pc ;; ✓% _=h'iJfr,L LLJ) ENVIRONMENTALHEALTH DEPARTMENT <br /> O 2A304 B Weber Ave 3Ta Floor Stockton, CA 95205 <br /> 468-3420 Fax: (209)464-0138 Web:vPww.co.san-joaquin.ca.us/ehd <br /> F(VV1R ). 'N l i iL 1i fH <br /> ERVI(,FS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: CASEY 7EN6FA2 BUSINesSIAGENCY: E ) 66:6 W <br /> ADDRESS L 9& 376' ° N,¢"� _►+ <br /> PHONE- .2QQ• $grj-QC/Q FACSIMILE: 709• R35 d675 - <br /> TENTATIVE"APPOINTMENT DATE: ASA R lime: `d 3V llrN _ <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT / e4 CaC= - DATE <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> �f i a Unit 1 <br /> r 2. srcct T Ci G1f 19 S TV <br /> �S T 3, Succt2 00 1-00AIA d ca, • 7dd <br /> A_ Unit 2 p <br /> s. strw '73v �+ Grr 74 ►L-1ZON =Unlit <br /> 1-00,u <br /> 7. <br /> O c fCaa,✓ <br /> 7. streetc Unit 4 <br /> a. s1r=1 G D . <br /> 9. Street city <br /> Un;t 5 <br /> 10. SI-1 oty LJL <br /> • <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE=S LA <br /> ONDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT ./" OLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) FACILITY SOLID WASTE VEHICLE <br /> >eUNQERGROUND TANK(MONITORINGIREMOVAL) � OG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR �HICKEN RANCH �KG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY TELIHOTEL LIMPER TRUCKIYARDlCHEM TOILETS <br /> o TATT00IB0DYPIERCENG �OOLISPA /K LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY Cl OTHER(PLEASE SPECIFY) <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 selectod. Fax to(209)464-0138 or mail to' <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. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the some 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 /> DACE CONFIRMED PHONE FAX' 'INITIALS' <br /> REVIEWED YES NO REVIEW DATE <br /> EHO 48-02-006 <br /> M003 <br />