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05-10-'04 10:13 FROM- U.A. CRAIG INC. 707-893-2922 T-900 - P002/002 it-829 1 <br /> if VVr <br /> EiVE <br /> EET EHD LOG NUM t <br /> G3 r7L! D! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL$EALTH DEPA'RTmNT <br /> JUN 1. 0 2004 344 E Weber Ave 3'd Floor Stockton,CA 95205' <br /> ff209)468-3420 Fax: (209)464-0138 Web:WWW.co.san joaqui�n.ca.u6/ehd <br /> ENVIRQi'&ENT HEHLrH <br /> PERMIT/SERVICES. PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 6r.'a W n ` BUSINESSIAGENCY: C JW�AnU6 �re., <br /> ADDRESS: h��O YfP�1QY�� {�' �n_tkQ✓� �YS 1b4J - - <br /> HONE: ('133 FACSIMILE: <br /> TENTATIVE`APP41NTNT DATE: �/ fire,, $ 30 a m <br /> d18 <br /> (Please allow 10 business clays fwolee do 11 submlttary <br /> I <br /> XiG <br /> HECK BOX TO EXPEDITE REQUEST-$93.00 FEE-kE EST PROCESSED IN 3 BUSINESS DAYS 1-/ � <br /> ATuRe OF APPLICANT DATE. r j <br /> rinmt Use Only <br /> FILE ADDRESS UNIT <br /> 5.2 3 7 7l <br /> ❑ Unit 1 <br /> ; <br /> a s� Unit 2 (4 �y <br /> s ree� d tr <br /> Orr Unit 3d � <br /> * =00 <br /> je ' <br /> D' Unit 5 <br /> Vt,o. <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES(13 <br /> UNDERGROUNO TANK(UST)CLEANUP SITE(LOP) G HOUSING ABATEMENT �SOLID WASIrE FACILITY <br /> OTHER CLEANUP SITE(NON-LOOP) G FOOD FACILITY 0 SOLID WASTE VEHICLE � <br /> G UNDERGROUND TANK(MONITORY OMPMOVAL) G 000 KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR O CHICKEN RANCH E3 PKG TREATMENT PLANT <br /> E3 TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TFIUCKFYARO/C14E M TOTLUT <br /> E3 TATTOOISODY PIERCING o POOLISPA N SITES <br /> I3 MISDICAL WASTE FACILITY VCOTHER(PLEASE SPECIF <br /> 1. List up to tern addresses in the space above. Select the type(s) of files from the list aboye (ay checkil <br /> the appropriate box(es). At least one file type MUST be selected, Fsx o(2091 4Q .D128 or bail to tb <br /> ag.ft%t.Inds ated above. <br /> 2. EHD will notify the applicant if any EHD tiles exist. An appointment for review wail be confirmed <br /> approximately five business days but no later then ten (10)days after r9G0pt of application. The fi16 <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 r � <br /> application may be submitted when the file Is available. i <br /> 4. Any file not returned In the some condition as released will be reorganized by EHD staff at the expel <br /> of the applicant. Future file reviews by the sante applicant may require a$93.01)deposit prior to rev I. <br /> 5. 'TENTATIVE appointment dates must be confirmed with kHD staff. <br /> $, Applications received after 3:00 pm will be processed the next business <br /> CONFIRMED APPOINTMENT DATE - _ TIMI*DATE CONFIRMED CONFIRMED PHONE .' FAX ll+tl71ALS - <br /> REVIEWED YES NO REVIEW DATE <br /> bo"i oat <br /> I <br /> I <br />