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10/07/2004 .09:41 CLRYI PLEPGMTON -4 '12094640138 - NO.(365 PC EHD LOG NUMBER <br /> 4 5!c lls �I �Y�L DD SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART 4ENT <br /> 0 C T 0 7 2004 304 E Weber Ave 3 d kRooc Stockton,CA 9::205 ^ / t(209)468-3420 Fax:(209)464-0138 Web:WWw-Co-sam joa.:vin.ca-us/ehd <br /> r li I "iti;Li <br /> RVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 6 (_�'�i Wl/q�/��-/ -SUSIN�E�SSIIA�GjE�NCY: IIA/i G--( J)Jf Q�j ,(/i^��( <br /> ADDRESS: (� /�.o v"^^'r '�_" 4_— iNeC :I " / 7 <br /> PHONE. �Z.�-7Gto- GCPCr� FACSIMILE: (f9L� 09 <br /> TENTATNE'APPOINTMENTDATE: <br /> (Please allow 10 busim"days f om date of aWrmation s„bmitleq <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINE!iS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Deoal in t Uw Only <br /> FILE ADDRESS UNIT <br /> L] Unit I <br /> 2 are ' <br /> . a. swd .. ❑ Unit 2 tA <br /> 4. aY91 (OrI/ <br /> 6. sealCRY <br /> .. <br /> Unit <br /> ,. seamCky - Unit 4 <br /> e. screeCky <br /> s- scree: ON ❑, Units <br /> ,o- suetCRY <br /> 4 ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X(M <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ':-SOLID WASTE FACILITY <br /> IEl--OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY GI SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL I DAIRY <br /> HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH [:' PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELAKTTEL I PUMPER TRUCK/YARDICHEM TOILETS <br /> O TATTOOIBODY PIERCING O POOLISPA L' LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) .. <br /> 1. List Up to ten addresses in the space above. Select the type(s)of S IS:from the list above by checking <br /> i the appropriate box(es). At least one file type MUST be selected. F:'.x to(209)464-0138 or mal(to the <br /> address indicated above. <br /> 2. EHD will notify the applicant If any EHD tiles exist. An appointment For review will be confirmed <br /> approximately five business days but no later than ten(10)days aH;,r receipt of application, The files <br /> will be held for a maximum of five business days for review. Appoi! tments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immi:diately 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 reon: aniaed by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may req .ire 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 bust'iess day. <br /> AIFIRANEba�pPGhtII�MTiE. _ _ -- . - `t -= <br /> _`_, A <br /> .:-. .,irFes SaA9S " .. :n.:.:..:�.a.n:-v' _-'••C��xsf�: ___ - —: . vSLei- 'Sa•) r�_..;_.� .' a:e:a <br /> '. . :. [ - 3. i ate-• <br /> .;;� inlama"_ .:3 _:z ._�.: <br /> �-• ori'.:.Aletli:"'SGJ,T.�w�v..�:� ..Nt) � li �v. �i.. .:ltii a::Neve: '« _�S:'c.J'.1�'„•� <br /> "REYIE�ISA . <br /> eo�.Ma .. <br /> awmoo <br /> I <br />