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04 / 10 / 03 THU 13 : 02 FAX 925 253 4985 - TREADWELL & ROLLO lj7joo1 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICE. \ ENO SOG N4MeEH <br /> 1 - _ 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 1 0 2003 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 (zd+ ✓ , <br /> ENVIRONMENT HEALTH (209) 468-0420 FNlnt r" w8 34z2 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEAS5 APPLICATION _ <br /> APPLICANT C7 r1 BUSINESSWENCY <br /> ADDRESS et. GaYYU ares � Li�,�P Z. It2 f7r1 ..d�.���}._-- —•-- l7d <br /> PNONE qL6- Z53- y9By X d} I (p F f�COY Z.Z - 0 <br /> TIMETENTATIVE" APPOINTME OATE 91E <br /> (PjU* so <br /> U/ <br /> _ <br /> give 7 (0 10 6usln0tz days from dale of appllcatlan su6lnlilal) � �fjj/I ✓\ <br /> 0 CHECK BOX 9.00 FEEUESY P <br /> TO EXPEDITE REQUEST RO SED INJ BU IN S IAY5 � W <br /> j <br /> SIGNATURE OF APPLICANT X.f�Al l; 42�-�k= <br /> FILE aDbRE53 THIS SIVE ENO S"r,4FF USE ONLY <br /> PROGRAM ELOVIEN75 SEARpH <br /> 7 -- <br /> L1111 <br /> 4 W ceF t; <br /> LAr <br /> i ion I J , M-4 tt- -- <br /> s? <br /> ENVIRONMENTAL HEALTH DIVISION FILe5 <br /> t4 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) o HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLE/WUP, SITE (NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE . <br /> UNbPRGROUND TANK (MONITORINWREMOVAL) • ❑ DOG KENNEL O DAntY <br /> HA4ARDOUS WASTE GENERATOR ❑ CHICKEN RANCH PO PIEG TREATMENT PLAW <br /> TIERED PERMITTED FACILITY O MOTEUHOTEL O PAMPER TIORWYARD/CHEM TOILETS <br /> ❑ TATTOOIBODYPEIRCWG r ❑ POOLISPA ❑ VND USE APPLICATIONSITES <br /> O MEDICAL WASTE FACILITY 5 d PUBLIC WATER SYSTEM ❑ OTHER (PLEA3F SPECIFY ABOVE) <br /> 1 . List up to ton addresses In the space above. Select tho type(s) of fibs from the list above by chot3ung <br /> the appropriate box(es). At least one Me type MUST be selected. F;X 1;1i209 464-0138 or mail to, I!Lc <br /> address indicated above. <br /> 2. EHD .will notify the applicant It any kEHD files exist. An appointment I'm review will be confirmed <br /> approximately five business days but no later than ten (i0) days after receipt of applicAlan. The Pies <br /> will be held for a maximum of five business days for review. Appointments should be schadulnd <br /> accordingly. I <br /> 3. A file that Js actively being worked on by EHD staff may not be immediately av;allable for review. )% new <br /> application may be submitted when the file is available. <br /> 4• Any file not retdmed in the same condition as released will be reorgani40d by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> . 6. Applications received after3:00 pm will be processed the next business; day. <br /> CONFIRMED APPOINTMENT DATE . TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATr <br /> Tfr :PT 7QM7/; TJ17 <br />