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,11/22/2004 14:14 FAX 209 94EI621 Q002/002 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMNTAL HEALTH DEPARTMENT &—v 0o <br /> NOV 2 2 200124 304 E Weber Ave 3d Floor Stockton, CA 95205 <br /> ENVIRONMENT H6ON468-3420 Fax: (209)454-0138 Web:www.co.san joaquin.causfehd 145501 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPnnLICAMN <br /> APPUCANT: 7,y4, "j3 reSI VS BUSINESSIAGENCY: <br /> ADDRESS: FSitte fo G O <br /> PHONE: 14B -eSL1S FACSIMILE d-U9 94% - 6(AR-t <br /> TENTATIVE'APPOINTMENT DATE: 1"13 Time: :. <br /> (Please allow 10 business days from date of applietlon svbmittaE <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 F�EE-REQUEST <br /> PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT '7'�^' �/ 'S'�5 DATE <br /> Deparowt use ONy . <br /> FILE ADDRESS UNrr <br /> ,. 7 rnmia Qtj 5TOC OW ❑ * Unit 1 ,P(a <br /> sYaaa4kTb h) <br /> y_c13 -d s soca n i £. o e Unit 2 1\3 <br /> �. local <br /> s. svea 3 Ls itr Ro o T Unit 3 <br /> C r 'Rob S o S+1 <br /> ,r-gS-LIQ T. sta c) o Unit4 <br /> e. s+taau rfiW M t• v,. STo <br /> aV s sua ❑ Units <br /> eat <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)cLE/WUP SITE(LOP) ❑ HOUSING ABATEMENT R"ot-11 WASTE FAC01tY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACHM ❑ SOLID WASTE YEHICLE <br /> IF UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL EL DAIRY <br /> AD HA.ZARAOUS WASTE GENERATOR ❑ CHICKEN RANCH B PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FAcILRY ❑ MOTELIHOTEL O PUMPER TRUCKIYARD/CHEM TOILETS <br /> ❑ TATTOO/BOOY PIERCING ❑ POOLfSPA CL LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <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 it 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. Ane' <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 experts <br /> of the applicant- Future file reviews by the same applicant may require a$93.00 deposit prior to revie <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm wilt be processed the next'business day, <br /> 'F'j�RM ATE "i: =L` .,p•.:_.-.. - TIME ^.aT.il %r' ? _i.' ''••'. .. s`>''`.. <br /> ;GON ED"APFbittrM -;ova .,;a • , '. :> ' �,4 � <br /> " A4E GONF.IRIY(ED - - . <br /> PHONE Tz <br /> FAX'-.: i;.r,.!t?dNf3 fALS ' <br /> REVIEWED YES NO REVIEW DATE. 'j., <br />