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1 D04 46PM Neil 0. Anderson & Assoc. No.4226 E`"P. 2 <br /> � SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 17 2004 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br /> ENVIRONMENT fLfA68-3420 Fax: (209) 464-0138 Web: www.co.san-joaquin.ca.us/ebd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1 BUSINESS/AGEENCY: c1V Q.t, O ' �t'16" <br /> q <br /> ADDRESS: 1 0-2- 1 uS °`A �"�M {b+&� -t�Z-�fZ - <br /> PHONE: 5(2-4 -3�` FACSIMILE: 3419 - L-}'ZZ 8 <br /> TENTATIVE'APPOINTMENT DATE: 31-2- 1.04 Time: <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-§93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> UNIT <br /> FILE ADDRESS <br /> 1. street 331 W• Sk- ci % p Unit 1 <br /> 2. Street 2 3> %nekvs Z • �~ M A- <br /> 22tN <br /> 3. Street 3 - l�aS Sa , ci SIP <br /> 3 Unit 2 '� /�tN}.� <br /> 4. Street 7- r7 I/W- Luh kV ° , U <br /> s. Street 11-68 �' '� e.t R� n l A)0 Unit 3 �� <br /> 6. Street 10(o v Cif F" +T1-% <br /> 7. Street �j k)• 1ti C� i 1 r t Unit 4 <br /> 6. Street 7J Fi• !'rMyt`� - s a1 I� `� a <br /> 9. Street 5_�•.�,. + (� : Y <br /> d % ni <br /> 10. Street 304 ea eta. see V1• Ci F^ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(USI)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 93 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> In: UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> It HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑ MOTEUHOTEL E3 PUMPER TRUCK/YARD/CHEM TOILET: <br /> ❑ TATTOOBODY PIERCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) - <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checkii <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to th, <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 receipt of application. The file <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. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the exper <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to rev <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 /> F.IID l8-a2-0Q6 <br /> WM003 ' <br />