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^ f- <br /> .,,29/. 94 11:05 CLAYTON PLEASANTON �'-12 464 fi38 "NA': r29 -D <br /> 0* `{ ) EHD LOG NUMBER <br /> if11 L._ t �= SAN JO.A,QUW COUNTY <br /> SEP 1 4 2004 ENVtRONMNTAL HEALTH DEPA RTMNT <br /> 304 E Weber Ave 3'a k koolr Stockton,CA 93205 <br /> ENVIRONMEIN'Mk .-(119)414138 Web:,wwweo.saa joaquin.c&us/ekd. Q <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT: SUSINESWAGENCY: <br /> ADDRESS: cd � <br /> -Lz]� 9 <br /> PHONE: —� r 1.�1G�U FiiCSlesA.E: 4 Z S — b <br /> TENTATIVE*APPOINTMENT DATE:-7,Z- Tinw: <br /> (Please allow 10 business days fmm date of application submAttal) w <br /> CHECK BOX TO EXPEDRE REQUf:sT.=93.00 FEE—REQU PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /y/ey <br /> Depa Use Only <br /> FILE ADDRESS UNIT <br /> E. L3a3 �l4 <br /> z sh*�t cityi [] Unit 1 <br /> 3 ❑ Unit 2 <br /> 4. Skeet <br /> s, sk�ei Unit 3 <br /> 6. Saect V <br /> 7. 5"N. <br /> Unit 4 <br /> 9. SvaatCky <br /> CKY <br /> 10. Such <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 'NL SOLID WASTE SF <br /> OTHER CLEANUP SITE(NON-LOP) G FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONIT•ORINGIREMOVAL) ❑ DOG KENNEL DAIRY <br /> HA?.ARDOUS WASTE GENERATOR ' ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELhiaML ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOIBODY PIERCING ❑ POOL/SPA tl LAND USE APPLICATION SITES <br /> O mEmcAL WASTE FACILITY Iq MM(PLEASE SPECIFY)_jjLQ�(� <br /> 1. List up to teri 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 tan(10)days after receipt 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 /> appllcaUon 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$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dices must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processod the next business day. <br /> NFI <br /> ASIC T. ,E-:•;: ,:. gs <br /> =yz�',��E'�i' �-1, pt�t��:,�e ry-a ti$'e-=q:.wc -ii.•rf:I:e.:'ii5 _ 'I .1 _ - ��;.' .':I.^;i3ra:!:1.:!...__ u.,.�e;;•e`�.: s� . <br /> ` 'i ;OCAI"i!?Yt�ILYaii:•i; .a:xzC.?.:_-r ':i t i.=.. ����:/�"�:yy����. ;. ,i.�r•��/_ °:�.t .. :.s.. a -•._:n_r <br /> ..:r._•: ° •L c::-cn•_••.- ...�..'_-•rm•n.ti +"-e=-ice+"! '...-. _ ^_Y <br /> a.m-_ .nwi�.'!.A, 5 �w��>I�I.:i.s.:w�•-,rc_: a;v;:' ',.: -.1.'r::-.i1:.:�'I_-1•ii'- ,i;4?:....- . ,..r n.•:•Ir�:na.•.e.i.. •s � _�:jj.6eF•:.�- <br /> s�1 <br /> :e`-A ia4u. <br /> �7��n� p,i...:.:.:Y .. :' ..�.s :�1=d`-�vrr•44 i..�. +r=:'�'�;L�t'.!rc �:::%ii==afi�I�'a'I�diy._Plg,..�-••'�_'.lc-5�::�' <br /> •7�Y;/G;SG�-�ri tiTni:. M!'�:ZS-'F•.��"F_....aln y� �`-.-r-.P5.4 G i. ���•��..iw wi+iia.,�.ri!mililElas.i:.:ii:.::�..:•-f:Ei,^:. •c. ' w:d ii'' <br /> - ��:: .,ax: 1�::-w5'�Fm•:, ...:R: :�:i Vic'L: �!•_,r, ,3: ..",.,.'.L,�:a' •.;.�.�iG7iC.i1r IJiT�,. , M,. _ ra,.. <br /> TEND 45424ga _ _ r'e: _ 2 y .y.• :;. <br /> Umm <br />