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NOV 20. 2003 8:40AM CONDOR EARTH iHCH- � ° E U' LOG NUMBER <br /> DATE.RECEnIE4 SAN JOAQUIN COUNTY <br /> ENVURO1VMENTALHEALTH MPARTIMIT l <br /> NOV 012003 1. 304 E Weber Ave 3'Floor Stockton, CA 95205 9 <br /> (209)468-3420 Fax: (209)464-0138 Web:www-co,saD joaquin.ca-us/ehd 1"2JJ <br /> ENVIRONI'•fHNl <br /> PERPrtIT'�FR` 'C"i`' PUBLIC RECORDS RMASE APPLICATION <br /> P� rSu N� 21N)b0R_ LrrEh- ,HNa�9- <br /> APPLICANT: �-�L �—_BUSINESSIAGENCY: <br /> Si �TocK.ro <br /> ADDRESS: 8 b <br /> FACSIMILE: -;2 <br /> �o 'a CJD Ttme: g ' 'dam Ig4ie^ a <br /> TENTATIVE'APPOINTMENT DATE: <br /> (Please allow 10 business days from date of apppcatlon submittal) ^•, <br /> CHECK BOX TO EXPEDITE RE4UES •$93-00 FEES REQUEST P�E13 IN 3 9U51NESS DAYS \,, <br /> SIGNATURE OF APP IC DATE (Q 7!M Oji <br /> \42?-� - ��\ Department Use OrdY <br /> lel FILE ADDRESS Z, UNIT <br /> I. Such 5a5" , CAKPfJjrcF� RA oe -ro El Unit <br /> Al2PfNT r- `K a <br /> Unit 2 <br /> s 1 <br /> 4. swa N 7 d� GJ <br /> s. sura <br /> AR I Pa5H e unit <br /> s s�� <br /> 7 s � O0 ❑ Unit 4 <br /> 5 1 no � �D <br /> s. SK.t P6cf}- '� Unit5 D <br /> .ia. succi �1=0 F-I) 1/ (�O <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILf1Y <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY X.SOLID WASTE VEHICLE �5 <br /> Q�-UNDERGROUND TANK(MONROWNGIREMoVAL) O CHI KENNEL C1 DAIRY <br /> 1 ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> HAZARDOUS R WASTE GENERATOR O MOTEIIHOTEL ❑ PUMPER TRUCKlYARDlCHEM TOILETS <br /> • TIERED PERMITTED FACILITY ❑ POOLISPA 0 LAND USE APPLICATION SITES <br /> • TATTOOLWASPIERCING 0 OTHER(PLEASE SPECIFY) <br /> MEDtCAI WASTE FACILITY <br /> I e s of files from the list aboye by checking <br /> 1. List up to ten addresses in the space above. Select the type(s)( ) <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 EHO 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 he 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 a to review.the se <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 depositprior <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 <br /> TIME <br /> DATE CONFIRMED PHONE . FAX INfffALS <br /> REVIEWED YES NO REVIEW DATE' <br /> rH➢,a•az4f06 <br /> marmot <br />