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FEB-14-2005 11:11 CNNDUR EARTH TECH _ 209 532 [773 H.blib: <br /> DATE RECEIVED SAN JOAQUIN CQUNTY 0 EHD LOG NUN 2 <br /> (� <br /> n L�(� ��JJ �� EN VMONNV,TTAL HEAT.TH DEPARTMENT' <br /> W C� v 304 E Weber Ave 3 Floor Stockton, CA 95205 <br /> 1 n! 2005(209)468-3420 Fax-- (209) 464.0138 Web:www.co.san Joaquin ca vs/ehd <br /> Eri NMIENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> LNVI <br /> PPH19ONI J <br /> APPLICANT: 9U�striESS/AGENCY: <br /> Nb/e� ^R�—7EAkrN+MP-HAW, <br /> fAW, r <br /> ADDRESS:i1p, Q. -&A4t (iR'- _ <br /> }z0-1o <br /> FACSIMILE: <br /> O �sLCr— S -71me: <br /> TENTATIVE*APPOINTMENT DATE: Q 1 30 Ct+ Wl <br /> (Please allow 10 bmiri as days frau date of application aubmalan <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ` . �� . ( n)4u 1 T L::>i1, uae a ly <br /> FILE ADDRESS I A <br /> 200T <br /> UNIT <br /> 1. sb..i No rtk,oof F R �5FOCheTO"J ❑ Unit 1 <br /> z &,.M 1006'- E. CaM TOCK RA k CIV <br /> i. sN 041 E. c-RLOO <br /> b. �Unit2 <br /> �r �J1 i 4. s a Q Z.-7—I kA- CW <br /> S.W 75/5 P67--2-1 Unit 4� <br /> G 9 Y Loo ". City <br /> ,- svee STOGKrOIJ TERMINAL-+ E4SM96) �a . �Un(14 <br /> e �eee 1 r.`p_ i ' c,l Fti'!J �- IL/10DON <br /> s. UnR5 <br /> is rCRY ' 7 �>✓' <br /> ENVIPiONMENTAL HEALTH DEPARTMENT FILES �VnI Y <br /> /.UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT 1SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) - 171 FOODFACILITY !� SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(NONITORINGIREMOVAL) JZ'DOG KENNEL W DAIRY - <br /> ;<HAzARDOus WASTE GFNERA70R J�CHICKEN RANCH ,❑,'PKG TREATMENT PUNT r X TIERED PERMITTED FACILITY ElMOTELIHOTEL PUMPER TRUCKIYAROIcHEM 701LE7❑ TATTOOMODY PIERCING ❑ POOLJSPA LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) _ <br /> I. List up to ten addresses in the space above. Select the type(s)of files from the list aboye 4y ehecldr <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> e <br /> address Indicated above. <br /> 2, EHD will notify the applicant if any EHo files exist An appointment for review will be confirmed <br /> approximately five business days but no laterthan tan (10)days after receipt of application- The filer <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 nl. .9i, <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the same condlUon as released will be reorganized by EHD Staff at the expert: <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to revif <br /> 5. *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 CONFIRM ED PHONE . FAX INITIALS` <br /> REVIEWED YES NO REVIEW DATE' <br /> TOTAL P.a <br />