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1 <br /> Seg • 4. 2003 12 :43RI CPaOR EARTH TECHN- OLOG I ES <br /> W. No . 4$79 P. 1/I <br /> �AItn .t1vtu cnu/1 NUly <br /> SAN JOAQUIN COUNTY �. <br /> 1�' /�r'I�i ENVUtO <br /> i NNwNTAL ILUA.LTH D"ARTmzNT <br /> 304 E_Weber Ave 3`1 Flour Stockton, CA. 95205 <br /> SEP! 11 4 2QO99)468-342'0 Fax: (209)464-0138 Web: www. .CO.SM-jOaqU1a.Caus/ehd <br /> fvVlnuidtJlEf�fT iiEHLTH PUBLIC RECORDS RELEASE "PLICATION <br /> APPLICANT: BUSINESSIAGENCY: <br /> ADDRESS: oc KTQ <br /> PHONFf/_ f/ C2 f 01�I R_ FACSIMILE: <br /> TENTATIVE*APPOINTMENTDATE:— i -- Q+ Time: <br /> n (Please allow 10 businoss days ff om data of appllcaUQn submittal) <br /> `- ' CHECK BOX TO EXPEDfTE RE= <br /> §x_,s9a.00 FEE•-REQUEST ROCESSED 1N 3 BUSINESS DAYS <br /> �� . i <br /> SIGNATURE OF APPLICANT _ t]ATE O��' <br /> Deparhmt Use Only <br /> FILE ADDRESS UNIT <br /> O W. vrc.{n ' , CRY <br /> c- Y� Unit 1 <br /> I saw r. 15t Cky 1-71 <br /> z i Q R ' _ <br /> Unit 2 • ����✓- .',,,� <br /> Street .�_..aQ"'�o..r'r�son�s•il..tNCa}p.� _ <br /> s, l l Unit &6 y� <br /> 7. 614t nit 4 <br /> a. Street a 5 5, LL V, t G <br /> s. sb..t b✓Id r'a- It ON X31 nit 5 <br /> se. 7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEMUP SITE(LOP) ❑ HOUSING ABATEMENT � SOUD WASIM FACILIW.. <br /> OTHER CLEANUP 51TE(NON-LOP) ❑ FOOD FACILITY 10 'SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) L7 DOG KENNEL ❑ 13AJRY <br /> V HAZARDous wASTE GENERATOR © ,CHICKEN RANCH 0 PKG TREATMEWT PLANT <br /> 9z -nERED PERMITTED FACILITY ❑ MOTELIHOTEI.. 0 PUMPER TRUCK(YARDICHEM TOILETS <br /> ❑ TATTOOIBODY PIERCING 0 POOLISPA VW-LAND USEAPP11CATION SITES <br /> MEDICAL WASTE FACIL TY 0 OTHER(FLEASESsaErt�n <br /> 1. List up to ten addresses in the spa 10Iq aboye oy checidnl <br /> the appropriate box(es). At least o. /� �j f A138 or Tr ail to the <br /> address indicated above. C/ 0 ! <br /> 2. EHD will notify the applicant If any i be confirmed <br /> approximately five business days bIplicatlon. The tiles <br /> will be held for a maximum of five t I tie scheduled <br /> accordingly. <br /> 3. A file that is actively being worked zle for review. Ane <br /> application may be submitted when <br /> 4. Any file not returned in the same costaff at the expens <br /> of the applicant. Future file reviews posit prior to:revim <br /> S. *TENTATM appointment dates mut . <br /> 6. Applications received after 3:00 pm, <br /> i <br /> CONFIRMED APPOINTMENT DATE.. - <br /> DATE CONFIRMED <br /> REVIEWED >. YES NO REVIEW DATE' <br /> rtu.e.ai.aac . . <br />