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2004 16:03 9168610430 SECOR PAGE 01/1PAUL U2 <br /> �� 2094683 FIFTH FLOOR <br /> J1 SANJGIAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT s <br /> NOV 1 9 2004 $04 EAST WEBER T <br /> HIRD FLOOR <br /> STOCKTON CA 95202 <br /> FNVRONMENI HEP.LH (209)469 3420 Z143 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> kT�S ISS I��. - — ---K . --//---- -- <br /> APPLICANT bhLT._1k—g„ $USINESSIAGENpCY <br /> ADDRESS :301 r �_q..o u ��Q 'r'( r� [Q 64 0pO(ll• �I��L I (.�/H�St69�ir(fT�l`J� <br /> PHONE 9tb- �r-oN"..2..x. .. .8_FACSIMILE 91b dlF r'OLI, 0 I^C/rv� le. <br /> TENTATIVE-APPOINTMENT DATE_ 1d mb 10Xa4mE <br /> (Pleaao give 7 Lo to basi -ss days from date of application supmi ) a, a �^<-+.-- qF<'? <br /> ff <br /> CNECK BOX TO EXPhDRE�R Ski jST- oo FEE E <br /> REDlISTPROCFS$rDINHeUSINE53OAYS p <br /> SIGNATURE OF APPLICANT DATE <br /> FILE A.UDRESS THIS$IDE 0 S AFF US ONLY C <br /> PROGRAM LENENTS SEARCH ) <br /> �r✓sn Sfo2cid-ar751r__$53S•-y4sc ;4c IlArOceA, _ <br /> FNVIRONMENTAL HEALTH DIVISION FILES <br /> &'UNDERGROUND TANK(UST)CLEAN UP SITE(L.OP) n HOUSING ADATEMEW ❑ SOLID TE FACILITY <br /> ❑ OTHFR CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY n SOLID TE VEHICLE <br /> 4d�UNDERGROUND TANK(MONITORINWREMQVALI U DOG KENNEL 4 DAIRY <br /> ❑ HA7ARDOU i WASTE GENERATOR n CHICKEN RANCH t7 PKG TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILM ❑ MOTELIHOTEL ❑ PUMPER TRUCKlYARDIGHEM TOILETS <br /> ❑ TATTOOMODY PEIRCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES doftlelt <br /> b MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY _ <br /> 1. List up to ten addresses in the Space above- Select the type(s)or flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 b -0t3 o ail to the. <br /> address indicated above. <br /> 2- EHD will notify the applicant if a ny EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(t0)days after receipt of 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 file reviews by the same applicant may require a$$9.00 deposit prior to review. <br /> 5. "TENTATIVE appointment elates must be Confirmed with F-HD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME . <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHO dOd3-006 ... <br /> anartaos <br />