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11/01/2004 12:10 FAX 209 9480C" U002/002 <br /> r_ ----3 �� - . . .. <br /> � ��/ LS(�LUI SAN JOAQUIN COUNTY � •VV <br /> ENVIRONNIENTAL$EALTH DEPARTbIENT O <br /> NOV - 1 2004 304 E Weber Ave 3d Floor Stockton, CA 95205 <br /> (209)469-3420 Fax. (209)464-0138 Web:www.co.sanjoaquinmus/eha <br /> ENVIRONMENT HEAzw <br /> LTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE A PLIICA,T,,'ION <br /> APPUOANT: ._Xr,1C, 4'�'EZ51'sBUSINESSIAGENCY: nal1O <br /> ADDRESS: aXoZ` CjMd kk gjk 9seafi <br /> PHONE: a _ 9GIR^ 1 k5: FACSIMILE: o -Z)621. <br /> TENTATNE'APPowTMEmTDATF__ IItro/OV Time: )a-60 <br /> (Please alla 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$33.00 FEE—REQUEST PROCESSED W 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE //�1�c>q <br /> Deoarenenl use Onto <br /> FILE ADDRESS - UNIT 1 <br /> (� <br /> sbee 4I u, 70 a 1 zt•br C 0 [1 Una \ <br /> ���- <br /> +, 6 idwtio [� Unit 2 <br /> 115'7 G r G 5 G T <br /> Unit 3 <br /> C $beecky <br /> 7. S rtdCkf <br /> Unit 4 <br /> 0. $bee <br /> Ckf <br /> ❑ Unit 5 <br /> la. sees <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES VK� <br /> UNDERGROUND TANK(USM CLEMIUP SITE(LOP) ❑ HOUSING ABATEMENT ELSOLM WASTE FACILITY <br /> OTHER CLEANUP SrTE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> a UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL B-DAIRY <br /> Ia HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 6-PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK(YAROICHEMTOILETS <br /> ❑ TATTOOIBOOY PIERCING Q POOVSPA IA LAUD USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ 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 rile 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 or 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 same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future rile 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 will be processed the next business day. <br /> oNF, fMD. aoiNTrnEN r. TIME ' ' - , <br /> AP Tj4TE <br /> '.: <br /> Wj <br /> 71 <br /> DATECONF.IR)AED "PHONE'. FAX'.i'•.' ,>1NffWtS e <br /> REVIEWED YES NO REVIEW DATE <br /> ' EHD t8-02-0a6 <br /> uuzao� ' <br />