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06/13/2006 14:58 FAX I�001/00 i <br /> OAT.RECENEO SA.N' JOAQUIN COUNTY <br /> (� E rivMO tlrWN-r--A L IIEALTa'D Ep AART(YISNT <br /> FED)� `^L ffl [0 304 E W ebcr Ave a' Floor Stockton, CA 95205 <br /> (2oq) 4059-3420 Fa.x: ('–?09) 464-0138 Web:wtivtiv.co.san joaquiD ea u�/e e <br /> s� d ' 3 0006 <br /> PUBLIC RE. CORDS ULEASE g,PPLICATIO <br /> �J BUSINESSIAGENCY:^ l :��� s <br /> APPLICANT, <br /> FACSIMILE• <br /> pFiOKC: �" <br /> TENTATIVE'APPoiNTMENT DATE: <br /> (Rause allow 10 berittef.s days from date of applirxtian submittal) <br /> CSi .CK 60X TO EXPEDf-tZ REQUEST.1s]:0 F/EE EaUEST PROCESSED IN SUSlNE5S DAYS <br /> 1)ATE <br /> ,IGNATURE OF APPLICANT <br /> C�eaarur antUsr Only <br /> ' UNrr <br /> FILE DRESS <br /> N <br /> 0�7"lY4?V Q <br /> z. Str.N Z.•"7 f / <br /> cur <br /> u ,Lri <br /> -C•. <br /> g�su� ! J Unit <br /> Ns <br /> a, samr �3-Jz MR1r - i C] Unit 5 <br /> -1 zz �� <br /> a. <br /> ave 1-1 <br /> ENVIRONMENTAL H5A1.TH DEPARTMENT FILES <br /> CLEANUP Sri <br /> UNOHRCROUNt]TANK(UST) E(t-Of`) O HOUSING ABATEMENT 5L Souo E3 SOUOwu7E FaC1LrFY <br /> O 17000 FAMay l7 50C 1fl W f.S i e Yc!{aG <br /> ¢i OTHER CLF.-NNP SITE INQNd.opl ❑ DOG KENNEL M DAtRY <br /> PLA <br /> [s� UNDERGROUND TCHIfW <br /> ANK(MONITORINGIR_MOVAi.I O CHICKEN CH I-PKG TREATMEWr DIG�iEM�AIL�15 <br /> NT <br /> Z HAZARRdUS WASTE GENERATOR ❑ M01 ELIHOTcL a RUMpER TRucKrYAFc <br /> ra -nERED P£RMriTE FACILM ❑ pooLfSPA � !Alva USE APPLIC4TiUN SfiT 5 <br /> G TATTOCIMOOY PicRC'NG O OT145R(PLEASE SPECIE n <br /> a M[DICALWASTEFAZ)LnY <br /> 1, List up to ten addresses in the space above. Select the type(s) of rites from the list above b�Mh o tf --r <br /> the appropriate box(ew}. At last one file type NJUST be selOcted. Fxx to %0�3 4tit-05 38 or rtai! to t{ie <br /> address indicated above. Dint„Ient for review will be confirmed <br /> g. EHD will notify the appficar7t if any EHO file4 exist An apo da after receipt of application. The <br /> a:pp;oximately five business days but no layer than ten ( ) ppointmen:s. should be schcc.uled <br /> will be held for a rrlaxirnum of five busine," days for review. Ap, <br /> accordingly. <br /> ively being worked on by EHD,toff may not be immediately available for cer'ew <br /> 3. A file that is act <br /> application may be submitted when the file Is available. at Vie <br /> 4. pray file not returned in the same condition <br /> $3me app(clns released lt rttsyl be 'r;quirPza 5arg <br /> 93 00HdeFaosfit prior to expenseview• <br /> of the applicant. Future rite revlewa 1 <br /> 5 *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> g A(aplications received after 3:00 pm wily be processed the next business day. <br /> M <br /> -.0 �F'MED.AP,PQtiY"Ch1t <br /> pp:ONsn FAX :.� :?i<',:1Nf .IALS w— <br /> ZAT'5- Cltlr=l<ZMED - <br />