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3/02/2004 12:09 FAX 2V180621 � f <br /> DATE RECEIVED a 002/002 <br /> Il����MSAN JOAQUIN COUNTY���11J EP-, '' ENVMoNMENTAL HEALTH DEPARTMENT <br /> MAIR 0 2 2004 304 E Weber Ave 3 d Floor Stockton,, CA 95205 <br /> 0209)458-3420 Fax: (209) 464-0138 Web:www.co.saa joaq=.ca.us/ehd <br /> t NVIRUNMi dT}N H `� PUBLIC RECORDS RELEASE A.PPLICATYON <br /> r E, � <br /> APPt]CANT: .STAB Jjrm C„ BUSINESSIAMOY: 1�-A f!E:A fL <br /> AzORESs• r -- <br /> PRONE:_ _ �s•tl--�' !-,� FACSIMILE: <br /> I <br /> TENTATIVE'APPOINTMEAT DATE: 3' O Time: <br /> -1*Zoo w <br /> (Please allow is bus4ess4 <br /> days roam date of appGtaraoil submittal) <br /> a CHECK box I V EXPEDI -REQUEST-$93.00 FEE- REQUEST PR. ED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE pLi <br /> Deo tTwt Use 0* <br /> I% FILE A11DItE$S UNrr <br /> 2. sued ")A cy Unit 1 <br /> a. svees x°13 ,� i <br /> .. sneer f'L R . W f� Unit 2 <br /> s. svee� ' S L 4A. P. <br /> Unita .�.� <br /> 6. 5 W W = A.1 O J <br /> 7. sneel fi- Lo S~ U 4 <br /> `` t� i-7- 4 M� %C <br /> F <br /> 9- Sheol <br /> I <br /> 1Q. S4'1eC4 i ., <br /> i <br /> i <br /> I ENVIRONMENTAL HEALTH-DEPARTMENT FILES <br /> Ar,UNDERGROU�I D TANK(UST)CLEMUP SnE(LOp) Q HOUSING ABATEME T 4 SOLID WASTE FACILITY <br /> ` SrOTHER 9.EANl3P SITE(NON-LOP) ❑ F000 FACtiM ❑ SOUD WAM VEHICLE <br /> $UNDERGRQuyD TANK(moH(TORINGIREMOVAL) ❑ DOG KENNEL W DAIRY <br /> ®'HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 41 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITFED FAOIXN O MOTELIHOYEL ❑ PUMPER TRUCKNYARmHEM TotLETS <br /> ❑ -rATTOomoD� IN <br /> PIERCG Q POOLISPA 1' LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILrrY ❑ OTHER(PI-FRSE SPECIFY) <br /> 1. List 1 p to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At(east one file type MUST be selected, Fax to 249 464-0138 or mail to the <br /> address indicated above_ _ <br /> 2 EHO will notify the applicant if any EHD files exist, An appointment for review will be confianed <br /> approximately five business days but no later than ten(10)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 fiie 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. An�file not returned In the same condition as released will be reorganized by EFID staff at the expense <br /> of t I e appllcant. Future file reviews by the same applicant may require a$93.90 deposit prior to review <br /> S., *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 /> ':fibNEI,R,MI=yykkD,APRO[NiIUEN7iA.TE.': � :: ,,•�_ r ='.. TIME <br /> Et PHONE= FM .- LdNrr AL,S <br /> .RLh EWED •YES <br /> NO REVIEW DATE- _. <br /> Ei+ola�zaaa ,.C, <br />