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Oct-26-`OG 01 : 388 Pj' }D Grote 916 6 66;BB P.01 <br /> Ull Ec [�D SAIN JOAQUIN COUNTY EHD WGNUNIL'ER <br /> UL i" 2 6 2006 E' NVIROPmIIMEDa7�-ASL, HEA1,Tn DEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stockton, CA 95235 <br /> ENVIRONMENT HtAit 18-3420 Fax'. (209)464-0138 Web:www.co.san joaquia.ca_us/el;c'. <br /> z(p <br /> PERMIT/SERVI ES PIT-BLIC RECORDS RELEASE APPLICATION <br /> ` s <br /> U v— APPLICANT:�P'it A 1 S' i-lr.,-�y,` -Vy YN �����?SINESWAGENCY: <br /> �a lla�h�✓ � — <br /> AD0Rk9S' � �� .� _�� � (!lU tr_ <br /> pijaig4cjj6 C11-4 <br /> F.y}-4 !`6ft> ..�,.,—FACSIMIL/ - <br /> TENTATIVE*APPOINTMENT CATs: <br /> 3J{aw I?buS11195s days from daEa of appiiratipn submittal) <br /> CHECK BOX TO EXPi DIT£REQUES7-493.40 FEF-RE VEST PROCESSED 114 3 SUSIA'E5$DAYS <br /> SIGNATURE_OF APPLICANT l .e DATE ; � � <br /> Depar;ment Use Qtly <br /> FILE ADDRESS UNIT <br /> " C•-�' �, <br /> Unit <br /> 2. stuve C`Ily <br /> 5. Sire-1 CIN ❑ 1 <br /> Unit i i <br /> t. street G N <br /> ' tJrrtl.r ' <br /> 6. Simi Cay i i\ <br /> Street <br /> 3 <br /> SMm4+ <br /> 9, CICr <br /> a. "ar"I <br /> C <br /> } <br /> re' -vaamm v+ Y <br /> Ea•VIROr'+iitfIENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TAMC fUSTi GILE"4UP Si-l!;(LOP) 0 HOUSING AE ATEMENT1�SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE iNQN-LOP; a FOOD FACILiT'Y ❑ $OLID WASTE VEHiG:,E <br /> t° <br /> UNDERGROUNO TANK 1'iQNITORiNGfREMOVA`) 'I DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CH.ICKEN RMCH ❑ PKG TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY S FAOTELJHOTEL ❑ PUMPER TRUCK/YARD" HEM TOILETS <br /> ❑ TATTOOiEODY PIERCING FOOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIM <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 hor(es;. At leaGt on6 file type MUST be selected. Fax te,(209)464-013&or mail to the <br /> address inaicatad above. <br /> 2_ EHD will notify the applicant if any EHD files exist. An appointment for review wii!be confirmed <br /> approximately five business days but no later than tan(10)days after recelpt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 7. A file that is actively being worked on by EHD staff may not he Erro rediately available for review. A new <br /> applicaiicr, may be su,--,rnittSd Yrhurl tr,e file is available. <br /> 4. ,Any file not returned in the sarne condition as released will be roorganized by EHD staff at the expense <br /> of the appiio4ant. Future file reviews 13Y the same applicant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with FHD staff. <br /> 6. Application: received after?:00 pre will be processed the next business day, <br /> CONFIRMED APPOINTMENT D+AT4 TRAE M — <br /> DAT E CONFIRMED PHONE FAX X IN TIAL-..a <br /> REVIEWED YES NQ REVIEW DATE <br /> EMU 441-61-006 - <br /> 61$/RQ03 <br />