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o,DEC._2 2003 2:54PM CANDOR EARTH TECH r NO. 1619—P. 1 <br /> �., SAN JOAQM COUNTY 1�..1 EHD LOG NUMDE, <br /> ENVMONMENTAL HFA.LTH DEPARTMENT <br /> �: AL <br /> 15qq 304 E Weber Ave 3'd Floor Stockton, CA 95205 1:: : ,'�,:. `:t - r,�. 1E, .l f f <br /> (209)468-3420 Fax: (209)464-0138 Web: www.co.sanjoajuin.caLus/ehd r ~pvfr,F <br /> -PUBLIC RECORDS RELEASE APPLICATION 03 DEC —2 Ptd 3: 42 <br /> APPLICANT. <br /> ADDREss: b p Tui I C( 5T-F-- <br /> -iG To <br /> PHONE�� G{f_o ! x FACSIMILEpS7 3 <br /> TENTATIVE"APPOINTMENT DATE: P— LQ r <br /> (Please allow 10 business days from date of application submittal) <br /> I <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department use Only <br /> / FILE ADDRESS UNIT <br /> t, suc�f p S <br /> 2- jo 9 I A6Qy ❑ Un' 7 <br /> 3. Street , Ncn E u 1, N n(L) <br /> ,4- %" � , --C &MT 6 nR2 1 ;`U <br /> 6. sv5. �� �� UNFd�� V - a O \ <br /> 35a� T <br /> 7. li j,-. v G 3 ab M <br /> 8. s„ 41733 <br /> S q. <br /> 5 m nit 4 <br /> S. street <br /> Ia. slrca 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT �l SOUD WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) — CI FOOD FACILITY ,>ti SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS wAsTE Gr-NERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> Wr TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> TAxTOO/BODY PIERCING ❑ PDOUSPA 13 LAND U56 APPLICATION SITES <br /> MEbICAL WASTE FACILITY 13 OTHER(PLEASIr SPECIF1t7 <br /> 1. list up to ten addresses In the space above. Select the We(s)of files from the list aboye by checking <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 EHD 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 tiles <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$93.00 deposit prior to-review. <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. TIME , <br /> DATE CONFIRMED 'PHONE . FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE, <br /> END 48-02-006 <br /> 1 3-�_3! <br />