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0,7920/2004 10:54 2094671118 AGE STOCKTON PAGE 01/0 <br /> ENUTRONoENTAL HEALTH PAGE 61 <br /> `07/08/2004 16:07 4640138 <br /> DATE RECENED wM JOA�QA COUNTYw / <br /> ErrnRvt�n'"�'AL�Ai�xH DEPARTbbEPiTi I /V1/Jj <br /> 304&Weber Ave 3 Floor Stockt�n&anAo9520n.ca Usland <br /> (209)468.3420]Fax: (209) 464-0138 Web:www. J 4 <br /> PUBLIC RECORDS RELEASE AM ICAITON -- <br /> APPLICANT: RUSINESSIAOENCY: <br /> sls� 29 S+oJ<+o <br /> ADDRESs: � 111 6._- <br /> ylw-7- I0Ixo FACSIMILE: / <br /> PHONE: a L p 3 0-�, <br /> TENTATEVE'APPOINTMENT DATE <br /> (Please allow 10 buslmss days from date of aPP"Callon sUbmltral) <br /> QO FEE- UES ROCESSED W 3 BUSINESS DAYS 7—Z7 l� <br /> CHECK PDX TO EXPEDITE REO PATE '`=T" <br /> SIGNATURE OF APPLICANT Depa'trvmt use Only <br /> ivR`S68i aa°Ga <br /> ❑ INIT <br /> FILEADDRESa Un <br /> it <br /> east 14Unt <br /> Unit <br /> Unit <br /> g 1 q <br /> c ENVIRONMENTAL.HE=ALTH DEPARTMENT FILES <br /> O SOLID WASTE FACILITY <br /> p In HOUSING ABATEMENT Q BOLLD WASTE VEHICLE <br /> 1#-UNORRGROUND TANK(UST)CLEANUP SITE(L P) 17 FOOD FACILITY ❑ WURY <br /> OTHER CLEANUP SITE(NON-LOP) I7 DOG KENNEL O PICG TREATMENT PWINT <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ CHICKrN RANCH ❑ PUMPERTRUCKrYAIlDJ CHEM TOILETS <br /> DOUS WASTE GENERATOR O MOTELIHQTEL ❑ umD USE APPLICATIO a SnEs <br /> O TIERED PERMrMp FACILITY r3 POOIISPA 6 SPCCIFY).�— ^•^'�'—����^.� <br /> ❑ TATTODIDdDY PIERCING ❑ OTHER(PLGA9 b checking <br /> O MEDICAL WASTE FACILrrY of flle8 from the list above ..y o <br /> 1, List up to ten 4ddrossos in tho"Ice above. Select the type(s) dao g 4fE4-0 38 nr 1 th <br /> the appropriate box(es). At least one fila type MUST be selected. <br /> ad a �'^d'caI d above. appointment for review will be co nfirmed <br /> 2, EHD will notify the applicant If any EHD files exist An app <br /> s for review. Appointments should be sl:heduled <br /> approximately five business days but no later than ten(1 0)days after rocaipsof should <br /> boat on, The I as <br /> Will be held fora maximum of five bucinoca day <br /> accordingly. y Worked on by EHD staff may not be immed'.ateiy available for review. A neW <br /> 3. A file that is Betivel being <br /> the fife it available, <br /> application may be submitted whan <br /> licant may require a$93,00 deposit prior to review- <br /> of the applicant. Future <br /> 4, Any file not returned In the same aondifWn as released W11 blr reorganized by EHD staff at lite eXpens <br /> file reviews by the same app <br /> 5 <br /> *TENTATIVE appointment dates must be confirmed with EHD staff. y. <br /> 6_ Applications received after 2:00 pm will be processed the next business dam—�__`� <br /> TIME — <br /> �ONFIRMED APPOINTMENT DATE INITIAL — <br /> PHONE . FAX <br /> DATE CONFIRMED -- <br /> EVIYE5 NO REVIEW DATE <br /> REWED <br /> NR;goa L <br /> `7l 2-0 <br />