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07. / 05 / 2005 09 : 56 209417 - 1. 18 AGE STOCKTON PAGE 01 / 0 <br /> to LVl NUNIDCr <br /> TIMT �C� SAN JoAQzJZN COUNTY <br /> 1111 ENVIRONMENTAL HFA,LT11 DEPARTMENT <br /> JAN 0 5 1005 304 E Weber Ave 3`d Floor Stockton, CA 95205 I <br /> CiUIN C "68.3420 F Il (209) 464-01. 38 ■ kb: ww,v C0 San joaquin.ce..us/ehd <br /> SAN <br /> ENVIR NMANTALIIEALIHt�FNT. � <br /> PUBLIC RE CORDS RELEASE APPLICATION <br /> BUSINESSIAGENCY: A' .2200d GPOErlVironMental, <br /> APPLICANT: ".jq <br /> ADDRESS: _ 837 Shaw Road , Stockton CA 95214��,____._. _ <br /> PHONE: 209.467100E FAC:SIMILE: , 209.467-1118 <br /> _.,�. <br /> TENTATIVE" APPOINTMENT DATE: Tuna: <br /> (Pleasa allow 10 wsinoss days from date of appllcadon submittal) <br /> CHECK @0X rO EXPEDITE REQUES 4q3,00FEEp-, REQUEST01P ROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APP�I ANT to DATE <br /> Department Use only <br /> -� �p=^�..��� FILE ADDRESS _-- UNIT <br /> s � Pf e 0 e c� SLA [] Unit 1 <br /> All) f GIlt r�l�CU�Yd�E f <br /> cn STS' Nll E] Unit 2 \ � <br /> So lop <br /> a. 3veec pop 'E' • l Po�AiOlt S <br /> 7. sI�4eI 3D 'a' Fit FX/ Q 57' cI IP r. 0 Un a <br /> e, s,mai il- 2 ;'�/.�/ ` t(1�St`{-l�v�i'/U7D 7`__ ca l/) <br /> ao— mar r_ aI ❑ Unit 5 <br /> Ic. s�roel ca <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> * UN09RGROUND TANK (UST) CLEANUP SITE (LOP) Q HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> * OTHEt. CLEANUP SITE (NON-LOP) 0 FOOD FACILITY ❑ SOLID WASTE VEHICLE - <br /> * UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY - <br /> GJ HAZARP:)US WASTE GENERATOR Q CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY Q MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS - <br /> Q TATT001BODY PIERCING El POOLISPA ❑ LAND USE APPLICATION SITES <br /> * MEDYCA! WASTE FACILITY Q OTHER (PLEASE SPECIFY) <br /> 10 List up to ten addresses In the space above, Select the type(s) of files from the list above by rhecking <br /> the appropriate box(es). At least one file type MUST be selected, Fax to (2091464-0138 crr ulall to t u <br /> address_ I • -a4.ed above. <br /> 2, <br /> 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 aster receipt of application, The files <br /> will be held for E) 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 Ise immediately avaliable for review, Anew <br /> application may be submitted when the file is available, <br /> 44 Any file riot returned In the Same condition as released will be reorganized by EHD staff at the expense <br /> Vf the aapplicant. Future file reviews by tha same apPliIi may Fequire a $93.00 deposit prior to review, <br /> F= °1 ENT ATIVE appointment dates mutt be confirmed with EHD staff. <br /> G . 64.pplinaS'lun rr e1ved after 3:00 pm will be proce Asad the neat baseness day. <br /> �. <br /> CONFIr'til 0 A0.0dih LrMtk�" bAT i IME <br /> I IF . , <br /> 67At t,s hlhi kVl DI .'� l I <br /> pHc�14a :. .. lcb �C . INITIALS : <br /> : , <br /> fbE1AlE1AIF <br /> AEn11 <br /> YE3 , . :: NO'; >REUp6yv 17hTE <br /> omizcea z-0oa <br />