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06/26/2006 12:21 FAX - _ 1002/002 <br /> RECF:IV°C 7� �J^L-ry <br /> DATE SAN JOA.QUII�i CO <br /> ENYMONNI�I.ENTA-L 1.EALT)a DEPAtR,, ,-ENT <br /> 3Q4 E Weber-Ave 3'd Floor Stockton,CA 95205 <br /> (209)468-34?0 Fav: (209)454-0138 Web.wr vw.co.saa-jozquzzi.ca-vs/ebd <br /> V3 <br /> PUBLIC RECORDS RELEASE AYFLIC .TION -� <br /> APPLiGAKr <br /> BUSINESSIAG£.NCY:, �t L �c`w✓ �""_"' <br /> � � f FACSIh1iLE: <br /> PHONE: ----- <br /> TENTATiVE'APP011`f",MENT HATE: + I I Time: <br /> (Please allow 10 businc,,days from data of 3PFlic2,tinn sutmittal) <br /> © CHECK BOX TO EXPF0f1E REQUEST $9,3.04.FEE—REQUEST PROCESSFO IN 3 BUSINESS DAYS <br /> ��Y1d � <br /> S1G;`iATUftE OF APPLICANTDATE�_�..,_ o;patlmenCU°.,e Only <br /> UNrr <br /> FILE ADDRESS <br /> Unit 1 <br /> x_ ' Unit 2 <br /> .. 299-75 <br /> _. <br /> ,0' G tlriit rJ <br /> Gr ` <br /> 10. sW"s <br /> ENVIRONMENTAL HEALTH DePARTMENT HLES <br /> t� U?1oER.fa1::QUN0 TANK(US7)CLemliP SrrE(Lop) C3 HOUSING ABATEMENT 12L so I0 WASTE FACILrt•1' <br /> OTHER CLEANUP SiTE(NON-LOP) 0 P000 FACILITY C.1 SOLD WASTE VEhICLE <br /> 91 <br /> Q3- UNOERGROUND TANK(MONITORINGIREMOVAI•) C3 DOG KENNEL €i DAIRY <br /> CEL <br /> O CHICKEN RANCH <br /> PKG T)tiWATMENT Pt SWT <br /> k3 HAZA1�DOtia WASTE GENERATOR o MOTE1.mo'ret, O PUMPER TZUGK1YAito1CHEk1 T0R_L 5 <br /> 13 TIERED PERMtTi EO FAGILfIY M LANE)USE APPLICATION S1Tc'5 <br /> 13 TA'TTOOtaOoY PiERCING ❑ POOLiSPA <br /> 0 MEDICAL ViASTE FACit,rry R OTHER tf°LvLE <br /> 1. List up to ten addresses in the space. above. Select the type(s)of fifes from the list abakc b.y checking <br /> the appropriate box(es). At least one file type MUST be selected. fax to (209)a64-013.3 or mail to tye <br /> .Lddres:^,indicated above. <br /> EHD will notify the applicant if any EHD files exist Act appgintmCat for review will be eoni'irmed <br /> approximately five business days but no later than ten (10) days aftxr receipt of appl(catiorn. The fil,=s <br /> will be held for a maximurn of five business days for review. Appointments should be schcdulad <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 /> ill be reorganized by EHD Staff at the expense <br /> 4. �vjy file not returned in the same condition as released w <br /> of the applicant. Future file reviews by the same applicant may require a $93.00 deposit pr',or to review. <br /> 5, *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> ti. Applications received after 3:00 pm will be processed the next bUsiness day, <br /> INTMENTbATE <br /> 'DA'fEr Cph[F1Rht D 'PHONE FAX" <br /> REVii V1CC? •{E�; 110 REV1t 1N DATE_. <br /> —���� <br />