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NOV. 16. 2004 11 :20AM CONDOR EARTH TECH <br /> C) <br /> N0. 7885 <br /> �r <br /> f j END LOG NUMBER <br /> DATE RECEIVED � SAN,JT OAQUIN COUNTY <br /> E 304E PiMEAye 3f Hloor Stockton, <br /> DEPARTMENT 2,0131200 304 E Weber Ave aro Floor Stockton,CA 95205 <br /> (209)468-3420 Fax:(209)464-0138 Web:www.co.san joaquin•ca.us/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �) `, _ S BUSINESSIAGENCY: O <br /> pPPLICANY: �"t O..Y )L.K-�'` ^t'tt� •. <br /> ADDRESS: IL3FYa' C lf'QST 'rcla- + . Z }ro c(4�ev� CA <br /> _11'&2-0 <br /> �J FACSIMILE: 2.Uq z3Y 0535 <br /> PHONE: 2-b�-Z-3 T"O SI S <br /> TENTATIVE&APPOINTMENT DATE; <br /> I2IzI2�Od rima: <br /> aI:ori AN1 <br /> (Please allow 10 business days from date of appilcatlon submittal) <br /> I <br /> ❑ CHECK BOX TO EXPEDITE REQUEST -00 FES-RE aU�FS PROCESSED IN 3 BUSINESS DAYS / <br /> �,1,( DATE f' 1 ra /o q <br /> SIGNATURE OF APPLICANT panment Use only <br /> i <br /> r[] Unit <br /> FILE ADDRESS <br /> u sues 9`�2 oc a I o r 2. svesi 1 5• foalsdo a. si5>,eoc 3 ,y �.sum 12 VLYA ,\ <br /> owe <br /> • ( AJa.• dl �• <br /> Unit <br /> ❑ <br /> Unit s <br /> l a f7 <br /> �o. Suew O <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES tit <br /> 'UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT .SOLID WASTE FACILITY <br /> P5;)THER CLEANUP SITE(NON-LOP) O F000 FACILITY C SOLID WASTE VEHICLE <br /> W UNDERGROUND TANK(MONRORINGIREMOVAL) [2 DOG KENNEL M:ZbA]RY <br /> I. )W HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C3 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY n MOTELMOTEL 0 PUMPER TRUCKIYARotCHEM TOILETS <br /> (- I� TATTOOIBODY PIERCING 13POOIJSPA ,''LAND USE APPLICATION SITES <br /> ... O MEDICAL WASTE FACILITY DOTHER(PLEASESPECIPY) <br /> f. 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 flies exist An appointment for review !11 be confirmed <br /> f'r approximately five business days but no later than ten(f 0)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. Anew <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$93.00 deposit prior to review. <br /> 5. 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 /> C,' FIR(VEEI <br /> W. JE <br /> 1!JE • 1141 ,i'.i. <br /> iPilY�4CONFIR(VI1='D. <br /> Pmr <br /> > "' INVIEW DdTE <br /> EHe�AA2AV6 <br /> erazow - <br />