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FROM : Ground Zero Analysis PHONE N0. : 209 838 9883 Jun. 28 2005 10:06AM P1 <br /> DATE RECEIVED END LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIP,ONMENTAL HEAI..Tii DEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web: WWW,co,s,-m_joaquin.ca.us/ehd 7 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: nhn T.ano SUSINESSIAGENCY: Ground Zern Analyaig , Tnr. <br /> ADDRESS: 1714 Main Strpet.., Igs-a' -- -CA 951320 <br /> PHONE: 1,209) 838-9888 FACSIMILE: ( 2 09) 838—()883 <br /> TENTATIVE*APPOINTMENT DATE:_July_ 12 , 2005 Time: <br /> ISI (Please allow 10 business days from date df application submittal) <br /> u CHECK BOX TO EXPEDITE REQUEST.$93. F 5—REQUEST PROCESSED IN 3 BUSINESS DAYS ,�R <br /> SIGNATURE OF APPLICANT --tJ"``� DATE `r c PI" O <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> StrnM- Hunter c tock <br /> 2 swat El Unit 1 <br /> 1 Sheet Ody <br /> Unit 2 <br /> <, suet CN <br /> ❑ <br /> s. street C)ryr Unit 3 <br /> 7. sreet Cky <br /> 8. street MyUnit 4 <br /> 9. Street ca <br /> ,o siert ❑ Unit 5 <br /> city <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP$rrE(NON•LOP) ❑ rom FACILITY ❑ SOLID WASTE VEHICLE <br /> d UNDERGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL./HOTEL /�{1 ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> E7 MEDICAL WASTE171 TA�TT601BODY IERCING FACILITY OTHER(PLEASE SPECIFY) UNQ POOL/SPA 0 `'�D USE A I t1�N $/' (� <br /> 1. 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 files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after rsceipt 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_ A new <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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATe CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHn 46-02-006 <br /> 81AUM <br />