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01/07/2002 13: 37 4640132 ENVIRONMENTAL HEALTH PAGE 01 <br /> EEHD LOG NMBER <br /> AQUIN YULC EALTRVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> JAN 11 2002 304 EAST WEBER AVENUE,THIRD FLOOR 7,)Y <br /> n STOCKTON CA 95202 <br /> ONVIRONMENT I (209) 468-3420 <br /> PERMIT/SE4V IC RECORDS RELEASE APPLICATION <br /> APPLICANT MICHAEL D. HAKEEM BUSINESSIAGENcY HAKEEM, ELLIS & MARENGO <br /> ADDRESS 3414 Brookside Road, Suite 100 <br /> PHONE (209) 474-2800 FACSIMILE (209) 474-3654 ' <br /> TENTATIVE"APPOINTMENT DATE TRA TIME <br /> (Please give 7 to 10/business days from date of applk29on submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1785 N. Corral Hollow Road 35.1IG <br /> Trac CA (File No. 1396) <br /> id1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> RI',UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> O UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL O PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES . <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WAR SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(s)of 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 appointment for review will be confirmed <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 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 $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. 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 /> a0A1A0B <br /> REVISED 1g.2r•07 <br />