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AUG, 11. ZUH 4:4UNM -',00W EARl-H. IECH �¢ r <br /> �p �'�� N0. 6355 P1 } --, <br /> DATE RECEIVED f <br /> EHD LOG NUMBER <br /> FD�E 6�� �}�� n. SArrJoA�vIlv CouriT� <br /> ENVIROMMNTAL HEALTH 1) 1! <br /> 304 E Weber Ave 3rd FIoor Stockton;CA 45205 <br /> AUG 2_7 20Pb9}468-3420 Fax; (209)464-4138 Web:www.co.saxt joagwn,ca.us/ehd <br /> E NME[ fiiEAL'' A PUBLIC RECORDS RELEASE A 'PI1I p A'XXON <br /> Ls 13USINES8IAGENCY: a �`� J�1�e10 J'85 C. <br /> ADDRESS: 8 a C . T k r� } Ii1 20 fo <br /> PHONE: O - d$'/$ FACSIMILE: 2-00) � 23 ^phi 3$ x <br /> k� <br /> TENTATIVE'APPOINTMENT DATE:_IO 52 er .1 UQ <br /> Time; �4 <br /> (Please allow 40 business days rrom date of appffcatlon submittal) /�T <br /> CHECK BOX TO EXPEDITE BEQUEST-$9 .00 FEE-RE EST PR ESSED IN S SUSINES3 DAYS <br /> ' SIGNATURE OF APPLICANT DATE /U,, <br /> DePartme Only <br /> HLE ADDRESS L r i UNIT <br /> �, 3lreel •r� GI �TaL-K <br /> 2. s 49 S,�o r`�%i .7 i>r G F1/1 E �I ❑ Unit 1 <br /> 3. S 7- v city rI 9 7 <br /> 4. � <br /> 31re� Unit 2 <br /> 12 <br /> [, <br /> I4 <br /> Unit 3 <br /> . 7. Sl 90 Z. 4 :� �M <br /> Lo v1re�� Gi 43 — X <br /> C5 � Unit 4 <br /> a sum 1 }q <br /> hem G d :` <br /> J I I <br /> all PAZ.nc,, p Unit 5 <br /> 10, 51r 4C I L LI <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT { SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> '%UNDERGROUND TANK(MONITORINGIREMOVAL ❑ DOG KENNEL <br /> HAZARDOUS �;, DAIRY <br /> � WASTE GENERATOR O CHI ' <br /> CICEN RANCH �' A f'KG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL I� El PUMPER TRUCIUYARDICHEM TOILETS � <br /> iJ TA7T001BODY PIERCING <br /> . .❑-PaOLISPA - - --- MAANDUSEAPPLICATION-SITES <br /> - _.__.._--- ----- =- <br /> 0 MEDICAL WASTE FACILITY t7 OTHER(PLEASE SPECIFY) �} <br /> 7. List up to ten addresses in the space above. Select the ' <br /> P types)4f files from the list above 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 appointmentfor reviewwil(be confirmed <br /> approximately five business days but no later than ten(10)days after�receipt of application. The files <br /> WIII 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. ij i� <br /> 4. Any file not returned in the same condition as released will be reorgan(zed by EHD staff at the expense <br /> of the applicant, Future file reviews by the same applicant may require a$83.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EIiD staff. 11 <br /> 6. Applications received after 3:00 pm will be processed the next'buslness Bay. <br /> 0.0 <br /> 13App1NThhtT'1 ;, .file". <br /> 'i.•I �1 1i{ :11 ^'��'{I•/��vy'/�r1��^' ,...I 4 •I��' 11 <br />