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06/13/2006 14:56 FAX _ I6001/001 <br /> DAT£RFCENED SAN JOAQUIN CO T <br /> EN� NY <br /> O1ENTAL HEALTH DEPA12TlYLE Y f /_ �V <br /> �EC1 (209 <br /> N E D 304 E Weber Ave aCd Floor Stockton, CA 9uiQ-ca US1Fhdt4 U <br /> ) 4b8-3420 Fix: (209) 454-0138 Web: w1vw.co.san joaq ((((VV//// <br /> jLA 1. 3 0006 LEASE APPTaICATTON <br /> PUSLiC RECORDS PELEASE <br /> IN.. <br /> PERMi1:/$T t ^EUSINESWAGENCY: <br /> APPLICANT: <br /> �: , <br /> ZsY i—S rv1 -tib S S i�Ok T <br /> ADDrtEss: p _ <br /> j'`I s- FACSIMILE:—, <br /> PHONE: i)4; <br /> TENTATIVE'APPOINTMENT DATE:, <br /> U Time:,...�.__._—•--�. <br /> r-� (Ploase allow to business days tram date of apPII=tlon sufKafaall <br /> t--1 CHECK SOY.To EXPEDITE REQUEST-±93.00 FEE' . QUEST PROCESSED W 3 SUSINE53 DAYS t <br /> / (' DATE --- - <br /> SIGNATURE OF APPLICANT �l � L DewrvnentUse Only <br /> FUnit <br /> FILE ADDRESS ` <br /> OFfitZRf a R ��1c, <br /> 2-4 1 MA�tPGS. ; <br /> Unit 5 <br /> A, 8vicet � GM "iy <br /> ta, s�.a Z173f MABLI th Q.Q �� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK NDA)CLEANUP DriE(ti„OP) Cl HOUSING <br /> ABATEMENT 61,.SOLID WASTE FAGILIfY <br /> -C <br /> O FOOD FACIL Y 13 SOLID WASSTE YENSGt� <br /> 114 OTHER CLEANUP SITE(HON-LOP) ❑ DOG KENNEL (5 DAIRY <br /> U UtNDERGRoUNDTANK(MONITORINGIREMOYALI ❑ CHICKEN WINCH r3-PKG TREATMENT PLANT <br /> M HAZARDOUS WASTE GENERATOR ❑ M ICKEN AN ❑ PUMPERTRUCKIYARDICHEM TOILE"1� <br /> ❑ TIERED P£HMfTTED FACILITY t3POOUSPA M LAND USE APPLICATION SITES <br /> ❑ TATTOQMOOY P1ERCtNG ❑ OTHER(PLEASE <br /> Cl MEDICALWAsT£FACILITY cckln5 <br /> �. List up to ten addresses in the space above. Selec! [he type(s) of flies From the list above by ch <br /> Ole, appropriate box(es). At least one file type MUST be selected. Faz tc f2091 4fr4-0138 or m_n ! t_ °�t'� <br /> address ind)cated above. oinL;lent for review w)Il be confirmed <br /> 2, Emo will notify the applicant if any EHD flies exist An app application. The fii�=s <br /> approximately five business days but no later than ten (ie day: o n receipt <br /> nts sholbe schcdUled <br /> will be held for a maximum of five business days for review. App <br /> accordingly- not be immediately available for review" A new <br /> 3, A file that is actively being worked on by EHD staff may <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 appiicanL Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> g, `TENTATNE appointment dates must be confirmed with EHD staff- <br /> 6 Applications received after 3:00 pm will be processed the next Business day. <br /> FbA <br /> btNCM�rtYvar> FAxTIME �i IRk1Ei0 cD <br /> YES NO <br />