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08/26/2003 09: 56 2099566889 GRUBB AND ELLIS -PAGE 01 <br /> EHD LOO NUMI <br /> SATE RECEIVED SAN JO.AQUIN COUNTY <br /> T1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stockton, CA 95205 ' <br /> "G`266 468-3420 Fax- (209)464-0138 Web:www,co.sanjoaquin.ca.ustchd <br /> EENWR(Nd�lhE �i. PUBLIC RECORDS RELEASE APPLICATION <br /> mrnAti1 <br /> �Hr�B <br /> APPLICANT: ' 'M �q y�R BUSINESStAOENCY; � _ -Ar 1- .f e d ./�- <br /> ADDRESS: /,p`_33 W 1-*A"G 9PO' 2- 7r>i1 <br /> PHONE: dxO�/ X73 — 3aoQ FACSIMILE:_ .2d q �6 6 j' <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 buslnaas days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST�-593.00 FEE-RE PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Y�� �'� DATE ep 'I1G -d <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> aa„ o 'W. !/QCN S r G ldN ❑ Unit t • t.1 <br /> 7. <br /> aty ❑ <br /> .. steal <br /> s a Unita <br /> 9 9traM G <br /> 7. Sb)WG Unit 4 <br /> B. Seas G <br /> s. py,eat S aty ❑ Unit 5 <br /> 10 3V <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ` <br /> fDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> Q�THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY <br /> 13 SOLID WASTE VEHICLE <br /> e; }JNDEROROUND TANK(MONITORING/REMOVAL) 13DOG KENNEL 11DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 13PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKNARD/CHEM TOILE' <br /> ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICALL WAS <br /> C71 TATTOOWASODY PIERCING TE FACILITY OTHER PLEASE SPECIFY) <br /> 1. List up to ten addresses In the apace above. Select the type(s) of files from the list above by chock) <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to tt <br /> address Indicated above, <br /> 2. END will notify the applicant if any END flies 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 fil, <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 END staff may not be immediately available for revlaix. A i v <br /> application may be submitted when the file la available. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expo i <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to res v. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END 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 uaiaoa <br /> arvtoa� <br />